Resuscitarea Flashcards

1
Q

Stopul respirator- cauze

A
  • aspirare de corpi straini
  • laringita acuta subglotica/ epiglotita
  • pneumo/hemotorax, pneumoperitoneu
  • status asmatus
  • pneumonie/ bronhopneumonie
  • EPA
  • intoxicatii acute
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2
Q

Stopul cardiac cauze

A
  • fibrilatia ventriculara, TV fara puls, asistola
  • hipo/hiperK
  • hipoglicemia
  • socul hipovolemic, anafilactic, cardiogen
  • embolia pulmonara
  • acidoza metabolica
  • edemul cerebral
  • status epilepticus
  • trauma cranio-vertebrala, vertebro-medulara
  • arsuri
  • inec
  • electrocutare
  • hipotermie
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3
Q

Airway

A
  • deschidere cai aeriene=> extensia capului+ subluxatia mandibulei
  • trauma=> subluxatia mandibulei
  • dezobstructia cailor aeriene => tuse eficienta=> incurajare
    tuse inefiicienta=> manevra Sandwich/ Hemlich
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4
Q

Manevra sandwich

A

plasare sugar in decubit ventral, cu capul mai joc decat toracele => 5 lovituri interscapulare apoi plasarea in decubit dorsal=> 5 compresiuni torace sub linia mamelonara

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5
Q

Manevra Heimlich

A

5 lovituri interscapulare urmate de 5 compresiuni abdominale

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6
Q

Breathing

A
  • pacient inconstient care respira=> plasare in pozitia laterala de siguranta, reevaluare
  • pacient inconstient care nu respira=> 5 respiratii salatoare
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7
Q

Circulation

A
  • verificare puls la artera femurala/ brahiala la sugar, artera carotida la copilul mare
  • puls prezent=> pzitia laterala de siguranta, reevaluare
  • fara puls => compresiuni toracice cu plasarea mainilor incrucisate (2 degete sugar) in 1/2 inferioara a sternului=> decompresia toracelui cu 1,5-2,5 cm la sugar, respectiv 4-5 cm la copilul mare => 100-120 compresii pe min cu ritm 15:2
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8
Q

ALS- deschidere cai aeriene

A
  • dispozitive oro-traheale
  • masca laringriana
  • sonda nazo-faringiana
  • IOT
  • cricotiroidostomie
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9
Q

IOT

A

formula de calcul sonda=> v/4+3.5 cm
deteriorare brusca=> deplasare sonda, obstructie sonda, defect sonda, pneumotorax, sonda defecta, intubare in stomac

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10
Q

Abordul intraosos

A
  • plasare gamba in flexie si usoara pronatie
  • la 1 cm sub platoul tibial
  • se mentine maxim 24 h
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11
Q

Adrenalina

A
  • f 1mg/ml
  • doza= 0,01 mg/kc/doza
  • resuscitare ( asistola), bradicardie sinusala/jonctionala, socul anafilactic, hipoTA, laringita si bronsiolita ( nebulizare)
  • sugar < 10 kg => 1 f+9 ml SF => 1mg/10 ml=> 0,1 mg/kgc/doza
  • repetare la 3-5 min
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12
Q

Regula lui 6

A
  • perfuzie continua
    nx6xG (kg) ml subt+ xml SF 0,9%= 100 ml sol.
    n= 0,1 pentru Adrenalina/ Noradrenalina
    1 pentru Dobutamina
    10 pentru Xilina
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13
Q

Atropina

A
  • f 1mg/ml
  • doza= 0,02 mg/kgc/doza
  • repetare la 5 min
  • utilizare: bradicardie sinusala si intoxicatia cu organofosforice ( sialoree, fasciculatii, midriaza fixa)
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14
Q

Adenozina

A
  • fl 6mg/2 ml
  • doza= 0,1 mg/kgc bolus apoi 0,2 mg/kgc la 5 minute de 3 ori
  • TPSV
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15
Q

Amiodarona

A
  • f 150 mg/3 ml
  • doza= 5 mg/kgc bolus apoi in pev cu glu 5%
  • indicatii: TPSV care nu cedeaza la Adenozina, FV, TV fara puls
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16
Q

Ca gluconic 10%

A
  • f 94 mg/ml
  • doza= 5-7 mg/kg/D=> 0,5 ml/kgc/doza
  • indicatii: hipocalcemie dovedita, hiper Mg, hiper K, intoxicatia cu blocante de Ca
17
Q

Bicarbonat de sodiu 8,4%

A
  • fl 84 mg/ml
  • Doza = 1 mmol/kgc/ doza
  • indicatii:- resuscitare prelungita, acidoza severa, intoxicatia cu antidepresie triciclice ( antidot)
18
Q

Glucoza 10%

A
  • fl 250/500 ml
  • doza= 3-5 ml/kgc bolus apoi PEV cu 6-8 mg/kgc/min=> 3,6-4,8 ml/kgc/h
19
Q

Lidocaina

A
  • f 100 mg/10 ml
  • doza=> 1 mg/kgc bolus apoi pev 20-50 microg/kgc/min
  • FV rezistenta la defibrilare, TV fara puls ( alternativa la amiodarona)
20
Q

MgSo4 20%

A
  • fl 20g/ 10 ml
  • doza= 20-30 mg/kgc=> 0,2-0,3 ml/kg
  • hipoMg dovedita, torsada varfurilor , astmul bronsic rezident la betablocante( linia a 4)