Study Day 3 CWI Flashcards
IV Indications
IV fluid is required as per the CPG including the dilution and admin of medications
IV fluid bag Precautions
- ensure aseptic technique is practiced at all times
- do not re-spike fluid bag (may cause air embolism)
IV contraindications
NIL
IM Indications
Medications that are required to be administered via intramuscular route
IM Precautions
- Safety: ensure correct technique for administration, anatomical position, and disposal of sharp technique is used at all times
- Larger volumes may be painful. Dilution should be avoided
IM Contraindications
NIL
Admin Oral Paracetamol Precautions
PU
P Paracetamol precautions
U Only Use orange string to avoid admin via other routes
Admin Oral Paracetamol Contraindications
PU
P Paracetamol contraindication
U Unable to tolerate oral liquids
Assembling, connecting and changing IV infusion line contraindications
NIL
Assembling, connecting and changing IV infusion line precautions
- Ensure aseptic environment technique is practiced at all times
- Do not respite bag, may introduce embolism
NEB indications
A medication required to be administered via nebuliser route
NEB Precautions
Respiratory tract infection, use appropriate PPR
NEB contraindications
NIL
MAD indications
Admin administration via intranasal route as per CPG
MAD precautions
Rhinitis, rhinorrhoea, facial trauma. Blow nose
MAD Contraindications
Severe facial trauma
Suction Indications
Suspected fluid obstruction in airway or airway device
Suction Precaution
Epiglottis
CROUP
Suction Contraindications
NIL
OPA Indications
- support airway latency in the unconscious patient
- bite block in intubated patient
OPA Precautions
NIL
OPA contraindications
- trismus
- gag reflex
- TBI w/adequate ventilation
NPA Indications
Support airway latency in unconscious patient
NPA Precautions
- facial fracture or suspected basal skull fracture
- TBI
NPA Contraindications
NIL
PEEP Indications
All patients receiving IPPV w/cardiac output
All neonate patients w/IPPV
PEEP Precautions
Hypotension
Elevated ICP
Right ventricular failure
Tension Pneumothorax
PEEP Contrainidcations
Cardiac Arrest: no pulse to PEEP, excluding neonates
Assembling, connecting and changing IV infusion line indications
This method is indicated when intravenous fluid is required as per the CPGs, including the dilution and administration of medications
Subcutaneous Precautions
Avoid area surrounding med admin devices, skin infection or previous injection/injury site
Pelvic Binder Indications
SAUTe
S Suspected pelvic fracture
A An awake patient complaining of pain to pelvic area including lower back, groin or hips
U Unconscious or altered conscious state patient with significant mechanism
T Traumatic arrest, a pelvic splint should be applied as a priority if the mechanism is suggestive
Pelvic Binder Precautions
Should be appropriately sized for the patient. Smaller paediatrics may require sheet/towel/pillow-case as a pelvic wrap
Consider the two sizes (small/large)
A traction splint should not be applied until after the pelvis has been stabilised
Pelvic Binder Contraindications
Impaled object preventing application
Formable Split Indications
Fracture of:
- radius / ulner
- humerus
- lower leg / knee
- ankle injury
Formable Splint Precautions
Consider the use of traction splint for leg fracture if not contraindicated
Formable Splint Contrainidcations
NIL
SGA Indications
U Unconscious patient w/o gag reflex
B Ineffective ventilations w/BVM and basic airway mx
Unable to intubate
>10 minutes assisted ventilations required
SGA Precautions
S Inability to perform Sniffing position
A pt who requires high Airway pressures
T Paed pt who may have enlarged Tonsils
A Vomit in Airway
SGA Contraindications
G Intact Gag reflex or resistance to insertion
U Suspected epiglottitis or upper airway obstruction
T Strong jaw tone and/or trismus
BVM Indications
Apnoea
Inadequate ventilation
BVM Precautions
NIL
BVM Contraindication
NIL
Pressure immobilisation Indications
Suspected or reported snake-bite to limb
Suspected or reported big black poder bite to limb
Suspected or reported blue ringed octopus to limb
Pressure immobilisation Precautions
None
Pressure immobilisation Contrainidcations
None
Measuring an OPA
Angle of the jaw to the incisor
Measuring an NPA
Corner of nose to earlobe
SGA measurement
Weight based, written on SGA case
CT6 Indications
- middle third femur fracture, including compound
- upper two thirds tibia fractures, including compound
CT6 contraindications
Knee or ankle/foot trauma: may increase pain and worsen injuries
CT6 Precautions
Pelvic trauma: Pelvic splinting is a higher clinical priority than splinting of limb factures. Traction splints may apply pressure on the pelvis in order to achieve traction, potentially worsening an injury. Legs should be realigned as part of open book fracture management. Splinting can still be used in pelvic trauma/fracture though anatomical splinting may be better depending on pelvic injury and severity.
Realign long bone fractures in as close to normal position as possible.
Open fractures with exposed bone should be irrigated with a sterile isotonic solution prior to realignment and
splinting.
PILSDUCT
Signs of a fracture
Pain
Irregularity
Loss of movement
Swelling
Deformity
Unnatural movement
Crepitus
Tenderness
Fracture Treatment Acronym
FRACTURES
Fix
Reassure
Afford limb support
Cover any wounds
Try for natural position
Use appropriate splint
React to haemorrhage
Every occasion suspect fracture
Shock treat and manage
