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7 Cards in this Set

  • Front
  • Back

Cardiac arrest

-Commence CPR


-VT or VF = 200J shock


-Normal Saline TKVO


-Adrenaline 1mg every 3/60


-LMA


-If PEA Normal Saline 20ml/kg IV

Acute Coronary Syndrome (ACS)

-Aspirin 300mg oral - single dose.


-GTN 600mcg S/L (300mcg for first time user). Repeat every 5/60. No max dose.


-GTN patch 50mg.


-Pain relief.

Pulmonary Oedema

-GTN 600mcg S/L (300mcg for first time use). Repeat every 5/60. No max dose


-GTN patch 50mg.


-Suction if required


-CPAP


-Pain relief

Asthma

Mild


-Salbutamol pMDI with spacer. 4-12 doses @ 20/60. 4 breaths per dose


-if spacer unavailable, Salbutamol 10mg (5ml) Nebulised. Repeat 5mg (2.5ml) Nebulised if required



Severe


-Salbutamol 10mg (5ml) and Ipratropium Bromide 500mcg (2ml) Nebulised. Repeat Salbutamol 5mg (2.5ml) after 5/60 if required


-Adrenaline 500mcg IM. Repeat dose every 5-10/60. Max 1.5mg. Consult for more



Pt unconcious


-Ventilate 5-8 breaths/minute. Allow for prolonged expiratory phase



Pt loses cardiac output


-Manage as per cardiac arrest

COPD

-Salbutamol 10mg and Iprtropium Bromide 500mcg


-Titrate O2 to SpO2 88-92%, consider low flow (nasal prongs)



If Pt deteriorates ventilate with 100% O2

Nausea and Vomiting

Ondansetron 4mg tablet orally. Repeat @ 5-10 minutes if symptoms persist. If C/I to Ondansetron use:


-Prochlorerazine 12.5mg IM. No repeats.



If vestibular nausea (potential motion sickness, planned aero evac, vertigo) use Prochlorerazine it Pt>21, or Ondansetron if Pt<21.



If dehydrated, treat as per Hypovolaemia.

Hypoglycaemia

-BGL


-Glucose 15g oral


-If poor response consider Dextrose IV or Glucagon 1 IU IM



-BGL


-IV cannula in large vein


-Dextrose 10% 15g (150ml) IV. Flush with 10ml Normal saline before and after


-If unable to insert IV - Glucacon 1 IU IM


-If inadequate response after 3/60 repeat Dextrose 10% 10g (100ml) with 10ml Normal saline flush before and after