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NEPT > Stroke/Anaphylaxis/NEXUS/SAT > Flashcards

Stroke/Anaphylaxis/NEXUS/SAT Flashcards

1
Q

Name the common symptoms of hypoglycaemia.

A

“He IS TIRED”

  • Headache
  • Irratable
  • Sweating
  • Tachycardia
  • Increased thirst + urination
  • Restlessness
  • Excessive hunger
  • Dizziness
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2
Q

What criteria do we use to determine the presence of anaphylaxis?

A

RASH criteria

  • Respiratory
  • Abdo
  • Skin
  • Hypotension
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3
Q

Explain the “R” in RASH criteria.

A

Respiratory

Trouble breathing
Wheeze
Coughing
Chest tightness
Itchy thoat

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4
Q

Explain the “A” in RASH criteria.

A

Abdo

Abdo pain
Nausea + vomiting
Diarrhoea
Dysphagia (difficulty swallowing)

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5
Q

Explain the “S” in RASH criteria.

A

Skin

  • Flushing
  • Itchy - eyes, nose, throat, mouth, lips
  • Swelling (angiodemia)
  • Hives (Urticaria)
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6
Q

Explain the “H” in RASH criteria.

A

Hypotension

  • Feeling faint or actually fainting (syncope)
  • Confusion
  • Anxiety
  • Irritability
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7
Q

Name some risk factors for sepsis.

Hint - SEPSIS TIME

A

S - Suppressed immune sys
E - Extreme age
P - Procured organ
S - Surgical procedure
I - Indwelling device
S - Severe pain, SOB

T - Temperature
I - Infection
M - Mental decline
E - Extremely ill

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8
Q

What are 3 EARLY warning signs/obs for sepsis?

A
  1. Temp <36 or >38
  2. RR >20min
  3. HR >90min
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9
Q

What are 2 SEVERE warning signs/obs for sepsis?

A
  1. SBP <100
  2. Change in mental state
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10
Q

Which criteria is used to assess trauma patients for risk of cervical spine injury?

A

NEXUS.
(National Emergency
X-Radiography Utilization Study)

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11
Q

What are the 5 components that make up the NEXUS criteria?

A
  1. Midline spinal tenderness
  2. Evidence of intoxication
  3. ALOC
  4. Neurological deficit
  5. Distracting injury
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12
Q

Explain what is meant by the term “distracting injury” as it pertains to NEXUS.

A

Generally thought to include severe extremity fractures, degloving injuries and severe burns.

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13
Q

Explain what is meant by the term “neurological deficit”.

A

Examples of this may include:

  • Balance - loss of.
  • Altered/Decreased sensation,
  • Mental functioning problems ie memory,
  • Speech - slurred/slowed or trouble understanding.
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14
Q

Explain the acronym “BEFAST” as is pertains to stroke assessment.

A

B - Balance. Trouble with balance or coordination.
E - Eyes. New impaired vision? ie blurred or double
F - Face. Is the pt’s face numb or drooping on one side? Ask them to smile.
A - Arms. Numbness or weakness? Ask to lift both and look for deficits.
S - Speech. Is the pt speech difficult to understand. Are they confused? Are they finding it hard to understand you?
Time - When was the pt last seen well?

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15
Q

In the context of NEPT CPP’s, what is a “SAT” score?

What is a SAT score used for?

A

Sedation Assessment Tool Score.

It should be used as a guide to determine whether transport is able to be facilitated (for a pt experiencing an acute mental health episode.

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16
Q

Explain the SAT (Sedation Assessment Tool) score system.

A

Patients experiencing an acute mental health episode are given a score between +3 (Combative, out of control) and -3 (No response).

17
Q

With regard to the SAT (Sedation Assessment Tool) scoring system, what is the low acuity cut off?

And, what must the patients state of “Responsiveness” and “Speech” be?

A

Zero - low acuity cut off.

Responsiveness = Awake, and calm or cooperative

Speech = Speaks normally

18
Q

With regard to the SAT scoring system, what is the medium acuity cut off?

A

Medium acuity crew can transport patients with a SAT score b/w +1 and -1.

19
Q

Describe the “Responsiveness” and “Speech” that correlates with these SAT scores:

+ 1.

  • 1.
A

+ 1.
Responsiveness =
Anxious or restless.
Speech =
Normal or talkative.

  • 1.
    Responsiveness =
    Asleep but rouses if name is called.
    Speech = Slurring or prominent slowing.
20
Q

Describe the “Responsiveness” and “Speech” that correlates with these SAT scores:

+ 2.

  • 2.
A

+ 2.
Responsiveness =
Very anxious and agitated.
Speech =
Loud outbursts.

  • 2.
    Responsiveness =
    Responds to physical simutlation.
    Speech =
    Few recognisable words.
21
Q

NEPT CPP’s PSA

What VS would indicate “Adequate Perfusion”?

A

Skin: Warm, pink, dry
Pulse: 60-100BPM
SBP: > 100
Conscious state: Alert
Cap refill: Central and distal < 2 seconds

NEPT (15 decks)

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