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MSK lectures > Principles of Recusitation > Flashcards

Principles of Recusitation Flashcards

1
Q

What is resuscitation?

A

The process of correcting physiological disorders in an acutely unwell patient

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2
Q

What is the pathophysiology of cardiac arrest?

A

Adequate
-Airway
-Breathing
-Circulation
All are required for oxygen delivery to organs
Inadequate oxygen delivery leads to organ failure
Vital organ failure leads to cardio-respiratory arrest
Early detection and treatment of a developing problem may avoid cardio-respiratory arrest

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3
Q

What are some clinical indicators of deterioration?

A

Tachypnoea
Tachycardia
Hypotension
Reduced conscious level

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4
Q

What is the rapid assessment of Acute Illness?

A

General impression

ABCDE

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5
Q

What questions should you think about when a patient is unwell?

A

Are we in the best place/postition?
What equiptment do i need?
Do i have enough help?
Who am i gonna call? - GHOSTBUSTERS

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6
Q

What are important assessments of the Airway?

A 
Open or closed
Action required
Adjucts
Anaesthetic support
Obstruction
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7
Q

What can help you support an airway?

A

Nasopharyngeal
Oropharyngeal
Chin lift

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8
Q

What are important assessments of Breathing?

A 
Present or absent
Adequate ventilation
Oxygen source and means of delivering oxygen
Monitor SATs
Visible signs - Tripodding
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9
Q

Who gets High flow oxygen?

A

ALL PATIENTS (who are breathless)

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10
Q

What is Hypoxic Drive?

A

Longstanding pulmonary disease results in CO2 retention as chemoreceptors are downregulated
Swith from hypercapnic drive to hypoxic drive of ventilation
High O2 conc results in hypoventilation and CO2 retention

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11
Q

What is important in COPD patients?

A 
Aim to avoid severa Hypoxia
All breathless patients get oxygen 
Measure ABGs
-If CO2 is ok observ closely
-If CO2 is rising treat (O2 88% to 92%)
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12
Q

How can High CO2 in breathless patient and Pulmonary oedema be differentiated?

A

HCO3

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13
Q

What is the sepsis 6?

A 
Oxygen
Blood cultures
IV antibiotics
Fluid challenge
Lactate
Urine Output
BUFALO chicken wings
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14
Q

What is important in the assessment of Circulation?

A 
Present or absent
Pulse assessment
Blood pressure
CRT
ECG
Adequate perfusion
Colour
Concious level
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15
Q

What can cause circulatory failure?

A 
Internal/GI bleeding
Haemorrhage
Clots - PE, Cardiac Tamponade
Hypovolaemic shock
Trauma
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16
Q

What can cripple someone?

A

The vein that they keep on closing

17
Q

What can be used immediately at the scene of an accident to reduce a pelvis fracture?

A

Reduce volume of the pelvis by using a special belt

18
Q

Where can blood loss occur from/

A

Chest
Pelvis
Long bones
ETC

19
Q

What is the treatment for a complete femoral fracture?

A

Thomas Splint

20
Q

What must be considered when using a Thomas splint?

A

IV access

21
Q

What should be considered with IV access?

A 
If present, is it working?
If not, what sort of cannula?
Where to put it?
What blood samples to take?
Do you want to give fluids?
22
Q

What should be considered with fluid?

A

What fluid?
How much?
How quickly?

23
Q

What is transamic acid used for?

A

massive blood loss

24
Q

DEFG?

A 
Don't ever forget Glucose
Hypoglycaemia cause of decreased conscious level
Appear acutely unwell
Give dextrose orally or IV
IM Glucagon
Rapid reversal
25
Q

What is measured in the D section?

A 
Glucose
Neuro
-AVPU
-GCS
-Pupils
-Weakness
26
Q

What should be looked for in the Exposure section?

A

Colour
Rashes
Blood loss
Drains

27
Q

What important information should be gathered?

A 
Who is the patient?
What is the working diagnosis?
Events preceding acute episode
Get the notes
Get the observation chart
Should we be resuscitating?
28
Q

What should be done after ABCDE?

A 
Re-evaluate
Continuous monitoring
Further investigations
Specialist involvement
Inform /involve relatives

MSK lectures (50 decks)

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