Risk Management Flashcards
Risk of asystole in stable bradycardia
A pause of > 3 seconds
Previous asystole
Higher block - mobitz type 2
Complete heart block with BROAD complex tachycardia
- narrow complex shows some activity still intact in the electrical pathway in bundle of His (junctional rythm) so this is not an emergency pal!
Risk of asystole in stable bradycardia
A pause of > 3 seconds
Previous asystole
Higher block - mobitz type 2
Complete heart block with BROAD complex tachycardia
- narrow complex shows some activity still intact in the electrical pathway in bundle of His (junctional rythm) so this is not an emergency pal!
Risk of asystole in stable bradycardia
A pause of > 3 seconds
Previous asystole
Higher block - mobitz type 2
Complete heart block with BROAD complex tachycardia
- narrow complex shows some activity still intact in the electrical pathway in bundle of His (junctional rythm) so this is not an emergency pal!
Risk of Eclampsia
Features of severe pre-eclampsia
hypertension: typically > 160/110 mmHg and proteinuria as above
proteinuria: dipstick ++/+++
Think : cerebral hemorrhage, liver hemorrhage, high bp and kidney damage, bicytopenia
headache
visual disturbance
papilloedema (swollen edges of optic disc, engorged vessels/Sign of ICP)
RUQ/epigastric pain (liver)
hyperreflexia
Hemolysis, platelet count < 100 * 106/l, abnormal liver enzymes or HELLP syndrome
Eclampsia is altered mentation + fetal growth damage
Pre-eclampsia definition
pre-eclampsia is defined as:
1- pregnant after 20 weeks gestation
2- have high BP
3- proteinuria
Tx of eclampsia seizures or
Prophylaxis in severe pre eclampsia
mgso4 4g bolus 5-10 min followed by 1g infusion
If causes respiratory depression, give calcium gluconate to reverse it immidiately
Monitor sat O2 and RR closely
Monitor urine output (kidneys)
Monitor reflexes (cerebral hemorrhage)
Fluid restriction to prevent fluid overload
Continue tx for 24hr post seizure or delivery
