Medicine skills Flashcards
1
Q
Pink blood bottles
- Use
- Additive
A
Pink blood bottles
- Used for: 1. Hamatology 2. Group and Save 2. Cross match 3. Direct Coomb’s test (haemolytic anaemia) - Additive 1. EDTA anticoagulant
2
Q
Brown bottle
- Uses
- Contents
A
Brown bottle
- Uses
- U&E
- CRP
- LFT
- Amylase
- Iron
- Thyroid
- Vitamins
- Troponins
- CK
- Urate
- Endocrinology
- Tumour markers
- Toxicology
- Contents
3
Q
Six common cancer markers
A
- PSA
- Prostate
- CEA
- Carcinoembryonic antigen
- Bowel cancer
- CA-125
- Ovarian cancer
- CA 19-9
- Pancreatic cancer
- AFP
- Alpha fetoprotein
- Liver cancer
- Ovarian & testicular
- LDH
- Lactate dehydrogenase
- Monitoring treatment
- Testicular, ovarian, lymphoma, leukaemia, melanoma, neuroblastoma
4
Q
10 points for prescribing
A
Prescribing
- Indication
- Patient understanding
- Right patient
4 Right drug - Right dose
- Right formulation
- Sign
- Date
- Instruct and safety net
5
Q
Venepuncture stages
A
Venepuncture
- Introduce and consent
- Choose vein and de-tourniquet
- Glove and wipe
- Re-tourniquet and insert
- De-tourniquet and remove
- Thank, safety net, and label
6
Q
Venepuncture
- Consenting
A
- Introduce
- ID x3
- Allergies
- Pain
- Consent
7
Q
Cannula
- Preparation
A
Cannula preparation
- Open dressing pack
- Prepare normal saline flush
- Attach extension set to flush and prime line
8
Q
Cannula
- Technique
A
Cannula Technique
- Remove cannula sheath
- Open wings
- Loosen needle - withdraw and replace
- Anchor vein
- 10-30º
- Observe first flashback
- Lower cannula and advance further 2mm
- Partially withdraw needle for second flashback
- Advance cannula and withdraw needle
- Connect extension set to cannula
- Dispose of needle
- Secure wings
- Flush with normal saline
- Secure cannula
- Thank, safety net, and document
9
Q
ABG Stages
A
1. WIPER Wash hands Introduce both Permission Explain Reposition
- Contraindications and allergies (circulation, clot, thinners)
- Allen’s test
- Prep all
- Palpate, clean, glove
- Anaesthetise 60s
- 20-30°wrist
- Palpate proximal
- Sharp scratch at 45°
- Firm pressure and cap
- Sharps and expel air
- Pressure and label
- Thanks
10
Q
Cultures Steps
A
Blood culture
- WIPER
Wash, intro, permission, explain, reposition - Tourniquet
- Palpate
- Release tourniquet
- Wash and glove
- Tourniquet
- Unsheath
- Sharp scratch at 30º
9.Flashback and advance
- Aerobic first (air in line)
- Anaerobic second
- Release tourniquet
- Withdraw and pressure
- Sharps
- Dress and thank
- Document and wash
11
Q
ECG Steps
A
ECG Steps
- WIPER
- Chaperone - Wash hands
- Gather equipment
Chest:
- V1, V2 (4th space)
- V4, V6 (5th space, MC, MA lines)
- V3, V5 in gaps
- Limbs:
Red (Right)
YeLLow (Left)
GrEEn (fEEt (l) - Read
Still and quiet - Record
- Detatch and thank
- Label and document
12
Q
Making up drugs
- Steps
A
Making up drugs
- Injectable medicines book
- WIPER
- Gather all equipment
- Vial
- Syringe
- Drawing up needles
- Sticker for drugs added
- Saline bag - Wash hands
- Open packets
- Glove and gown
- Powdered drug
- Draw sterile water
- Exact amount
- Flick top off vial
- Add water - Liquid drug
- Draw up air
- Swap air for drug - Draw drug and inject
- Sharps
- Invert and label
- Clean
13
Q
Female catheter
- Steps
A
Female catheter
- WIPER
- Wash and gather equipment
- Bin - Wash and apron
- Sterile field
- ANTT
- Catheter
- Lidocaine
- Sterile water
- Sterile gloves - Syringe cotton balls in gallipot
- Wash and sterile gloves
- Chaperone to remove dignity cover
- Sterile pad under genitals
- Part labia with dirty hand
- Wipe with clean hand
- Wash and glove
- Sterile drape and collection bowl
- Warn of gel and inject
- Use 6ml for 3-5mins
- Tear off end of catheter
- Part labia with dirty hand
- Warn and insert catheter
- 10ml syringe into balloon
- Withdraw when secured
- Attach bag and lower
- Clear away
- Dress and thank
14
Q
SC Injection
- Tips
A
SC Injection
- Tips
- 5cm of skin with LH
- 45-90º
