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21 Cards in this Set
- Front
- Back
- 3rd side (hint)
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How is Wernicke's encephalopathy acutely treated?
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IV Thiamine
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How is opiate overdose treated?
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IV naloxone (0.4-2mg)
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How is the GCS calculated?
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Best motor response (1-6)
6: Obeying commands 5: Localised response to pain 4: Withdraws to pain 3: Flexor response to pain 2: Extensor posturing to pain 1: No response to pain Best Verbal response (1-5) 5: Oriented 4: Confused 3: Inappropriate speech 2: Incomprehensible speech 1: None |
Eye Opening (1-4)
4: Spontaneous eye opening 3: Eye opening in response to speech 2: Eye opening in response to pain 1: No eye opening |
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What is the GCS?
- Localised response to pain - Confused - Open eye to pain |
11
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What is the GCS?
- No response to pain - No verbal response - No eye opening |
3
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What is the GCS?
- Flexor response to pain - Inappropriate speech - Eye opening in response to speech |
9
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Midposition non-reactivr +/- irregular pupils
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Mid-brain lesion
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Unilateral & unreactive (fixed) pupil
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3rd nerve compression
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Pin point, reactive pupil
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Pontine lesion or drugs
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Management of anaphylactics?
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A
- Intubate (if obstuction) B - 100% oxygen - Remove cause - Adrenaline IM 0.5mg (0.5ml of 1:1000), repeat every 5min if needed - Secure IV access - Chlorphenamine 10mg IV & hydrocortisone 200mg IV - 0.9% saline stat ..... |
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How do you manage Acute Coronary Syndrome with ST elevation?
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ABC
- 12 lead eCG - Bloods: Troponoin, U&Es, glucose, cholesterol, FBC, CXR - Asprin 300mg PO - Morphine 5-10mg IV + metoclopramide 10mg IV - GTN: 2 puffs - Oxygen 2-4L aim for 95% sats Either: - PCI (within 12hrs) - Thrombolysis (within 24hrs) |
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How go you manage Acute Coronary Syndrome without ST elevation?
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- Admit to CCU
- Oxygen 2-4L (aim for >95% sats) - Morphine 5-10 mg IV + metoclopramide 10mg IV - GTN spray - Asprin 300mg PO - Beta-blocker: metoprolol 50/100mg/8h (if contraindicated give Ca Cannel blocker verapamil 80-120mg/8h) - Heprin: enoxaparin 1mg/kg - IV nitrates if pain continues Continue management depending on risks |
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What is the Beck's Triad of cardiac tamponade?
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- Falling BP
- Rising JVP - Muffled heart sound |
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What is the charateristic odour of someone with cyanide overdose?
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Bitter almonds
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Antidote for beta blocker overdose?
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Glucagon
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Antidote for carbon monoxide posioning?
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Hyperbaric oxygen
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Antidote for digoxin?
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Digibind (normally stopping digoxin is sufficent)
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Antidote for opiate overdose?
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Naloxone
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Antidote for paracetamol overdose?
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N-acetylcysteine
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Anitdote for tricyclic antidepressants? Why is this drug given?
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a) Bicarbonate
b) it helps reduce the chance of cardiac arrithmias (in tricyclic overdose there is broading of the QT interval leading to asystole) |
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From what dose of paracetamol intake would we start to worry? What dose do the reported fatal doses start?
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a) >8g
b) from 12g |
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