Resus Flashcards
Consciousness definition
State of wakefulness and being aware
Confusion definition
Loss of orientation
Memory also commonly affected
Delirium definition
Acute condition Altered consciousness Confusion Difficulty sustaining attention Possible hallucinations / motor disturbance
Stupor definition
Impaired conscious level
Common with intoxication and encephalopathy
Coma definition
Profound unconsciousness
No response to verbal or painful stimuli
Persistent/Continuous Vegetative State
Following coma
May show signs of wakefulness eg. opening eyes
No detectable awareness
Must continue > 4 weeks
Catatonia definition
Psychic and motor disturbance
Normally associated with psychiatric conditions
APACHE II
Acute Physiology and Chronic Health Evaluation
Judges mortality
Base Excess
The amount of acid that must be added or subtracted to have normal pH
Bohr effect
Shift of Hb dissociation curve to right
Chronic hypoxia increases 2,3-DPG
2,3-DPG
2,3-diphosphoglycerate
Bernoulli effect
As gas velocity increases, it’s pressure falls
Maintenance fluid calculation
4 ml/kg/hr for first 10 kg
2 ml/kg/hr for second 10 kg
1 ml/kg/hr for every kg over 20 kg
Colloid fluids
Albumin
Blood
Starch-based
Gelatin-based
Crystalloid fluids
Saline
Hartmann’s
Dextrose
