Resp Emergencies Flashcards
1
Q
Anaphylaxis and angioedema
A
Airway 100% O2 IM adrenaline 0.5 mg (every 5 mins as needed) IV hydrocortisone 200mg IV chlorpheniramine 10 mg Bronchospasm-neb salbutamol Laryngeal oedema - neb adrenaline
2
Q
Asthma
A
O2 to maintain sats
ABG if stats <92
5mg nebulised salbutamol (every 15 mins or back to back if severe)
40 mg prednisolone PO (IV hydrocortisone if oral route not practical)
Severe - ipratropium bromide 500 micrograms
Anaesthetic assessment
IV aminophylline
IV salbutamol if nebuliser ineffective.
3
Q
COPD exacerbation
A
O2 to sats of 88-92 Nebs-salbutamol, ipratropium Steroids -prednisolone 30 mg ABX if infection suggested Consider IV aminophylline Consider NIV
4
Q
Pneumonia
A
Treat as per CURB score and local guidelines
Sepsis screen
5
Q
Massive haemoptysis
A
ABCDE Lie patient on side of lesion Oral or IV tranexamic acid Stop NSAID/anticoagulants Treat underlying cause Consider vitamin k
6
Q
Tension pneumothorax
A
Large bore IV cannula into 2nd ICS MCL
Chest drain into affected side
7
Q
PE
A
ABCDE O2 if hypoxia Fluid rescusitation if hypotensive Thrombolysis in massive PE Anticoagulate
