RRAPIDS Flashcards

1
Q

how to establish that the airway is potent

A

the patient can talk

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2
Q

if the patient cannot talk, what are the signs of airway compromise

A
  • cyanosis
  • see-saw breathing
  • accessory muscles use
  • diminished/added breath sounds
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3
Q

what to do if the patient cannot talk (sign of airway obstruction)

A

open + inspect mouth for obstruction

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4
Q

6 interventions to relieve airway obstruction

A
  • head-tilt chin-lift manoeuvre
  • jaw thrust
  • oropharyngeal airway
  • nasopharyngeal airway
  • CPR
  • anaphylaxis treatment
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5
Q

when to perform jaw thrust instead of head-tilt chin-lift

A

trauma/risk of spine injury

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6
Q

oropharyngeal airway should be used in conjunction with a

A

manoeuvre

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7
Q

why should OPA only be used in the unconscious

A

avoid intolerance

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8
Q

NPA can be used in conscious patients, when is it contraindicated

A

base of skull fracture

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9
Q

normal RR & O2%

A
  • 12-20

- 94-8% (88-92%)

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10
Q

signs to look for in general inspection of breathing

A
  • cyanosis
  • Cheyne-strokes respiration
  • stridor
  • kussmaul’s respiration
  • SOB
  • cough
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11
Q

what should you warn the patient before tracheal palpitations

A

may be uncomfortable

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12
Q

normal findings when examining chest expansion

A

symmetrical

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13
Q

potential findings when percussing the chest

A
  • resonant
  • dullness
  • stony dullness
  • hyper-resonance
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14
Q

potential auscultation findings of the lungs

A
  • bronchial breathing
  • wheeze
  • coarse crackles
  • quiet/reduced breath sounds
  • stridor
  • fine-end inspiratory crackles
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15
Q

Ix for breathing

A
  • ABG

- chest XR

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16
Q

oxygen intervention in breathing

A

15L thru non-rebreathable

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17
Q

other interventions in breathing

A
  • CRP

- O2/nebulisers/Abx etc

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18
Q

normal HR & BP

A
  • 100

- 140/90

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19
Q

severe hptn

A

180/100

20
Q

upon calculating fluid balance what is oliguria

A

<0.5ml/kg/hr

21
Q

general inspection of circulation

A
  • pallor

- oedema

22
Q

what should you palpate in circulation

A
  • hand temperature

- cap. refill time

23
Q

potential findings when examining pulses

A
  • irregular
  • slow-rising
  • pounding
  • thready
24
Q

possible causes of ++ JVP

A
  • RHF
  • tricuspid regurgitation
  • constrictive pericarditis
25
Q

auscultation findings

A

to be added later

26
Q

ankle & sacral oedema indicate

A

HF

27
Q

large bore cannulas to use to obtain access

A

14-G; 16-G

28
Q

standard blood tests for all to be ordered

A
  • FBC
  • U&Es
  • LFTs
29
Q

when to use continuous ECG

A

px critically unwell

30
Q

when to do a bladder scan

A

urinary retention

31
Q

fluid resuscitation to be given in hypovolaemia

A

500ml Hartman’s/0.9 NaCl over 15 mins

32
Q

fluid resuscitation to avoid fluid overload

A

250ml bolus

33
Q

after giving fluids, how should you check for overload

A
  • lung auscultation

- JVP assessment

34
Q

when to use BUFALO

A

sepsis

35
Q

how to check for consciousness

A

AVPU

  • alert
  • verbal
  • pain
  • unresponsive
36
Q

what to check in pupils

A
  • size & asymmetry

- direct & consensual response

37
Q

drugs that may lower consciousness

A
  • opioids
  • sedatives
  • anaphylaxis
38
Q

normal capillary blood glucose

A

4-11mmol/L

39
Q

reverse opioid toxicity with

A

naloxone

40
Q

fix hypoglycaemia with

A

IV/PO glucose

41
Q

fix DKA with

A
  • IV fluids

- insulin

42
Q

things to look for in exposure

A
  • skin (rash, bruising, infection)
  • IV lines
  • calves
  • surgical wounds
  • catheter output
43
Q

other things to check in exposure

A
  • bleeding

- temperature

44
Q

Ix for exposure

A

cultures

45
Q

interventions in haemorrhage

A

2x large bore cannulas