Recognise Deterioration

Question 1

Most circulation problems are caused by?

Answer 1

Hypovolemia

Question 2

Most common cause of scd is?

What are other causes?

Answer 2

Myocardial ischaemia or infarction

Can also be caused by heart block, electrocution, drugs, structural heart disease, inheritance issues

Question 3

Causes of VF?

Answer 3

Question 4

What is a low diastolic caused by?

What about narrow pulse pressure?

What is the normal pulse pressure difference?

Answer 4

1. Arterial vasodilation through anaphylaxis or sepsis
2. Cardiogenic shock or hypovolemia
3. 35-45mmhg

Question 5

What is the definition of oliguria?

Answer 5

<0.5 ml / kg / hr

Question 6

What is the definition of oliguria?

Answer 6

<0.5 ml / kg / hr

Question 7

If needing fluids, what strategy?

Answer 7

500ml crystalloid over 15 mins

Or 250ml in HF / trauma

Watch for JVP

Question 8

How long should CPR be continued?

When should you stop?

Answer 8

As long as a shock able rhythm or potentially reversible cause persists.

It is accepted that asystole for more than 20 min, in the absence of a reversible cause and with all als measures applied, is unlikely to be corrected by more CPR.