rote learn Flashcards
RED flag - pathologies ? (AP SAFES) (7)
- First presentation seizure
- Anaphylaxis (even if resolved following treatment)
- Acute coronary syndrome (even if symptoms resolved)
- Ectopic pregnancy
- Primary obstetric issue
- Stroke/TIA
- Sudden onset headache
RED flag - numbers? (5)
• HR > 120 per minute • RR > 30 per minute • Systolic BP < 90 mmHg • SpO₂ < 90% (unless chronic hypoxaemia as per CPG A0001 Oxygen Therapy) • GCS <13 (< 15 if age ≤15 years)
What is the maximum dose of fluid to be administered in hemorrhagic hypovolemia prior to consult?
2L
What is the SBP required prior to fluid admin in hemorrhagic hypovolemia?
<= to 70
Isolated SCI BP for fluid and what amount?
< 90 , 10ml/kg
Unconscious / becomes unconscious
with poor or no ventilation but still
with C.O. - SC
Small child 12 - 15 ventilations/minute
Unconscious / becomes unconscious
with poor or no ventilation but still
with C.O. - MC
Medium child 10 - 14 ventilations/minute
Severe asthma paediatric doses of meds?
• Nebulised Salbutamol
- Small children (2 - 4 years):
Salbutamol 2.5 mg (1.25 mL) nebulised - Medium children (5 - 11 years): Salbutamol 2.5 - 5 mg
(1. 25 - 2.5 mL) nebulised - Repeat Salbutamol at 20 minute
intervals if required
• Ipratropium Bromide 250 mcg (1 mL)
nebulised
critical asthma paed doses of meds?
• Nebulised Salbutamol
- All children (2 - 11 years): Salbutamol 10 mg
(5 mL) nebulised
- Repeat Salbutamol at 5 minute intervals if
required
• Ipratropium Bromide 250 mcg (1 mL) nebulised
• If unable to gain IV or unaccredited in IV Adrenaline:
- Adrenaline 10 mcg/kg IM (1:1000)
- Repeat at 5 - 10 minute intervals as required
(max 30 mcg/kg IM)
- dexmethasone 600mcg/kg max 12mg
paediatric asthma criteria (mild/mod - severe - critical): conscious state/WOB/HR/speech
Mild/Moderate: Normal conscious state, some increased
work of breathing, tachycardia, speaking in phrases/
sentences.
Severe: Agitated/distressed, markedly increased work
of breathing, including accessory muscle use/retraction,
tachycardia, speaking in words.
Critical: Altered conscious state, maximal work of
breathing, marked tachycardia, unable to talk.
paediatric midaz doses in GCSE and rpt times
• Midazolam IM
- Medium Child (5 - 11 years) Midazolam 2.5 - 5 mg IM
- Small child (1 - 4 years) Midazolam 2.5 mg IM
- Small & Large Infant (< 12 months) Midazolam 1 mg IM
- Newborn Midazolam 0.5 mg IM
repeat 10/60 once only
paed opiod OD and rpt times
• Naloxone 10 mcg/kg (max. 400 mcg) IM
repeat original dose once only
mild to moderate signs of TCA toxicity (8) (DD -THARMS)
• Mild to moderate OD
- Drowsiness, confusion
- Tachycardia
- Slurred speech
- Hyperreflexia
- Ataxia
- Mild hypertension
- Dry mucus membranes
- Respiratory depression
TCA overdose severe toxicity within 6 hours ingestion symptoms? (CRC-HESPS-V)
- Coma
- Respiratory depression / hypoventilation
- Conduction delays
- Hypotension
- ECG changes
- Seizures
- PVCs
- SVT
- VT
AEIOUTIPS
- A Alcohol / drug intoxication
- E Epilepsy (post-ictal)
- I Insulin or other metabolic cause – hypo / hyperglycaemia, renal / liver failure
- O Overdose / oxygen (hypoxia)
- U Underdose (including alcohol / drug withdrawal)
- T Trauma (head trauma) – consult with Clinician if (after pain relief) patient requires sedation
- I Infection / sepsis
- P Pain / psychiatric condition
- S Stroke / TIA
