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Scoring Systems Anf Drug Doses > Scoring Systems :) > Flashcards

Scoring Systems :) Flashcards

1
Q

Glasgow coma scale motor response

A 
1- None
2- extending to pain
3- abnormal flexion to pain 
4- withdraws from pain
5- localises to pain
6- obeys commands
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2
Q

Verbal response GCS

A 
1- None
2- Sounds
3- Words
4- Confused
5- Orientated
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3
Q

GCS eye opening

A

1- None
2- To pain
3- To speech
4- Spontaneous

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4
Q

GCS score

A

3 totally unresponsive
8 comatose
15 best response

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5
Q

CURB65

A 
Confusion MMT<8
Urea>7mmol/L
RR>30
BP <=90 systolic or <=60 diastolic 
Age >=65
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6
Q

FeverPAIN

A 
Fever> 38
Purulent (pharyngeal/tonsillar exudate)
Attend rapidly within 3 days
Inflamed tonsils 
No cough or coryza

Indicates likelihood of isolating streptococci

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7
Q

CHA2DSVASc score

A

1 in males- consider
>2 in males or females- anticoagulate

CHF
HTN
>=75
DM
Stroke/TIA
Vascular disease (IHD, PAD)
Age>=65
Female
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8
Q

Moderate asthma

A

PEF 50-75%
Speech normal
RR <25/min
Pulse <110bpm

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9
Q

Severe asthma

A

PEFR 33-50%
Can’t complete sentences in one breath
RR >25
Pulse >110

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10
Q

Life-threatening

A

PEFR <33%
SpO2 <92
Normal CO2
Silent chest, cyanosis, poor resp effort, bradycardia, dysrhythmia or hypotension, exhaustion, confusion or coma

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11
Q

MRC dyspnoea scale

A

1- breathless with strenuous exercise
2- SoB when hurrying on the level or walking up a hill
3- walks slower than people of the same age on the level or stops for breathy while walking at own pace on the level
4- stops for breath after walking 100m
5- too breathless to leave the house or breathless when dressing

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12
Q

CKD classification

A

1 eGFR >90ml/min

2: 60-90
3a: 45-59
3b: 30-44
4: 15-29
5: <15

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13
Q

MRC muscle power

A

0: No contraction
1: flicker or trace of contraction
2: active movement, with gravity eliminated
3: active movement against gravity
4: active movement against gravity and resistance
5: active movement against resistance

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14
Q

Glasgow Blatchford score significance

A

Decided which patients with upper GI bleeding are candidates for outpatient management

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15
Q

Rockall score

A

After endoscopy determines patients risk of rebleeding and mortality

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16
Q

POSSUM score

A

Physiological and operative severity score for the enumeration of mortality and morbidity
Used to predict risk-adjusted mortality and morbidity rates in a wide variety of surgical procedures

17
Q

NELA

A

National emergency laparotomy audit

Provides an estimate of the risk of death within 30days of emergency abdominal surgery

18
Q

Ranson score

A

Used for acute pancreatitis Mortality

19
Q

Rome IV criteria

A

Used for diagnosis of IBS

20
Q

FAST score

A

Alcohol screening test

21
Q

GP- COG

A

GP screening tool for dementia

22
Q

STaRTBack

A

Used for back pain

23
Q

PHQ-9

A 
Depression tool
0-4 none
5-9 mild
10-14 moderate
15-19 moderately severe
20-27 severe
24
Q

Atropine for post-MI bradycardia

A

500micrograms every 3-5minutes IV

Maximum 3mg per course

25
Q

Calcium gluconate in severe hyperkalaemia

A

30mL, calcium gluconate 10% over 10mins

26
Q

Insulin dextrose in hyperkalaemia

A

10units insulin into 50mL of 50% glucose
Add mix to 100mL bag of 0.9% saline
15minutes

27
Q

Morphine in MI

A

Slow IV injection
5-10mg, then another 5-10mg if required
1-2mg/min

28
Q

Naloxone for opioid overdose

A

400micrograms, then 800micrograms for up to 2 doses at 1minutr intervals

29
Q

Diazepam in status epilepticus

A

10mg, then 10mg after 10minutes IV

30
Q

Lorazepam in epilepsy

A

4mg for 1 dose, then 4mg after 10minutes

31
Q

ABCD2 score

A 
Predicts short term risk of a stroke after a TIA
Age 
Blood pressure
Clinical features
Duration of symptoms 
Presence of diabetes 
>=4 is a higher risk
32
Q

How to manage TIA

A

300mg aspirin daily
Blood tests
Carotid Doppler
CT/MRI

33
Q

Management of ischaemic stroke

A

Aspirin 300mg then continue for 2 weeks
If <4.5hours alteplase
If <6 hours thrombectomy

34
Q

Severe middle artery infarction

A 
Risk of malignant MCA syndrome
Decompressive hemicraniectomy within 48hours 
NIHSS>15
<60
Infarct of >50% MCA territory
35
Q

Secondary prevention of stroke

A

Clopidogrel and aspirin

36
Q

Death certificate

A

1a cause of death
1b condition leading to cause of death
1c additional condition leading to 1b
2 any contributing factors or conditions

Scoring Systems Anf Drug Doses (1 decks)

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