PCH resus guidelines Flashcards

1
Q

causes of respiratory failure

A

asthma
bronchiolitis
aspiration
pnuemonia
foreign body
croup
posioning

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2
Q

causes of circulatory failure

A

anaphylaxis
septic shock
hypovolaemia
congenital heart disease
arrythmia
trauma

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3
Q

central neurological failure

A

raised ICP
infections
trauma
seizures

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4
Q

airway assessment

A

stridor, hoarse voice, neck swelling or brusiing, airway foreign body
resus using: suction, airway mnouvres, airway adjuncts (oropharyngeal or nasopharyngeal airways)
endotracheal intubation, surgical airway

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5
Q

breathing assessment

A

effort: resp rate, nasal flaring, grunt, tracheal tug
efficacy: air entry, chest expansion, O2 sats
effects: heart rate, skin colour, mental status

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6
Q

resus for breathing

A

hgh flow oxygen via non-rebreathing mask with reservoir bag
support ventilation: humidified high flow oxygen, positive end expiratory pressure, bag valve mask ventilation
consider intubation and positive pressure ventilation

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7
Q

circulation aassessment

A

cardiovascular function, tissue perfusion, intravascular volume and control bleeding
- heart rate
- pulse volume
- capillary refill time
- blood pressure

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8
Q

resus for circulation

A

high flow oxygen
IV or inraosseous access with blood collection investigations
bolus of sodium chloride and repeat as necessary
early consideration of inotropes
control external bleeding
treat arrythmias

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9
Q

disability

A

conscious level
pupil size, symmetry and reactivity
posturing and tone
seizure activity
fontanelle
BGL

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10
Q

what shouldnt you forget during disability assessment

A

BGL

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11
Q

disability resus

A

consider inntubation
correct hypoglycaemia
treat status ellipticus

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12
Q

exposure asessment

A

temperature, abdominal examination
non-blanching rashes or purpura
urticaria or angiodema

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13
Q

exposure resus

A

aim for normothermia
antibiotics for suspected sepsis
treaat anaphylaxis
analgesia

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14
Q

aim of the secondary assessment

A

establish underlying cause
focused history and pysical examination
lab investigations and imaging
working diagnossiss
early antibiotics for suspected epsis

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15
Q

aim of ongoing assessment

A

reasses patient
ECG monitoring
pulse rate
resp rate
O2 saats
BP
temp

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16
Q

other forms of monitoring that may be indicated

A

endotracheal tube cardon dioxide
venous blood ga
urine output
arterial line
central venous pressure monitoring
ICP monitoring

17
Q

4 Hs and Ts

A

hypoxia
hypovolaemia
hypo/hyperkalaemia
hypo/hyperthermia
tension pnuemothorax
tamponade
toxins
thrombosis

18
Q

how to approach CPR

A

continue chest compressions with minimal interuptions
attach defribullator/monitor
assess rhythm
follow prrotocol if shockable/non-shockable
assess if spontaneous circulation has returned
administer post resus care if spontaneous circulation has returned

19
Q

shockable rhythms

A

VF/pulseeless VT

20
Q

what to do if you have a sshockable rhythm

A

shock 4J/kg
recommence CPR
adrenaline 10mcg/kg after the 2nd shock and then every second loop
continue CPR for two minutes
check if spontaneous circulation has returned

21
Q

non-shockable rhythms

A

PEA/asystole

22
Q

if there is a non-shockable rhtyhm

A

recommence CPR with minimal interuptions
adrenaline 10mcg/kg immediately then every second loop
continue CPR for 2 minutes
check if spontaneous circulation has returned

23
Q

post resus care

A

re-evaluate ABCDE
12 lead ECG
treat precipiatating causes
re-evaluate oxygenation and ventilation
temperature control

24
Q

advances peads life support algorithym

A
25
Q
A