Stuff im unsure of Flashcards
What type of pts would you expect to see with CPAP?
COPD OSA Pneumonia Actelectasis Severe pulmonary oedema
What type of pts would you expect to see with BIPAP?
COPD Truam Burns Dsitributive shock Intubation
Collaborative care of pt with chest pain
Troponin levels
ECG
Emergency therapy of acute heart failure?
ECG Troponin T 02 therapy Diuretics Vasodilators Mophine CPAP Assisted ventilation Intra-aortic balloon counter pulsatin
Renal failure post renal includes?
Bladder cancer Trauma Neuromuscular disorders Spinal cord disease Calculi formation
Clinical management of acutre renal failure?
Reduce further damage Iv fluids Assess renal outflow obstruction Cease of modify nephotoxicity drugs Treat infection Renal replacement therapy
What are the consequences of liver failure?
Varicies
Variceal bleeding
Asciteas
Resp compromise
Treatment of SIRS
Volume resusitation Early antibiotics Early goal directed therapy Support of major organ dysfunction Rapid source identfication and control
What is Thrombotic Microangiopathy?
formation of microvascular platelet aggregates, caused by injury to microvascular endothelium
What is disseminated intravascular coagulation?
Widespread activation of tissue factor
Insufficient control of coagulation
Leading to formation of fibrin clots
Result of trauma or sepsis
Treatment of haematological dysfunction?
Aggressive resus
fluids
blood
clotting factors
Signs of cardiogenic shock?
Low CO Hypotension High CVP Anxiety Peripheral perfusion Dyspnoea Tachypnea Distended neck veins Resp acidosis/alkalosis
Signs of sepsis shock?
Ineffective tissue oxygen delivery Inappropriate vasodilation Normal or Increased CO Hypovolemic Warm, Pink, well perfused Cell death
Nursing care of shocked patients?
Rapid assessment of pt Support of patient Holistic care Maintain communication Fluids Obs Scribe Medications Transfer
Assessment of shock includes?
Cardivascular assessment Nerulogical assessment Renal function assessment Obs Frequent bloods Find cause Treat cause
