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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 |
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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. |
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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 |
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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 |
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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 |
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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. |
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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 |