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19 Cards in this Set
- Front
- Back
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What does ABCDE stand for? |
Airway Breathing Circulation Disability Exposure |
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What steps should be taken in the A portion? |
look for signs of airway obstruction or use of accessory breathing muscles if the patient is talking the airway is patent consider that depressed consciousness may lead to airway obstruction give high flow oxygen to patients with decreased spO2 |
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What is considered high flow oxygen? |
15L/min |
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What is the target saturation for acute respiratory failure? |
94-98% |
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What is the target saturation in hypercapnic respiratory failure? |
88-92% |
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What steps should be taken in B? |
look for respiratory distress count reap rate and assess the depth, pattern and chest expansion note any chest deformity and assess JVP look for any chest drains use a pulse oximeter percuss and auscultate |
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What steps should be taken in C? |
consider that hypovolemia is the primary cause of shock take CRT, palpate pulses auscultate the heart |
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What should patients with cool peripheries and tachycardia be treated with? |
IV fluids |
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What might be the indication for a bounding pulse? |
sepsis |
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What might a low diastolic BP suggest? |
vasodilation |
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What does a narrowed pulse pressure indicate? |
vasoconstriction |
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What is oliguria? |
volume of < 0.5mL/kg/h of urine |
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What action should be taken if oliguria is suspected? |
insertion of an IV cannula ( 14/16G ) bolus of 500ml of warmed crystalloid solution over less than 15 mins in hypotensive patients smaller volumes should be used in patient with known cardiac failure or trauma |
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What is the ACS treatment regimen? |
aspirin 300mg GTN give O2 to patients less than 94% morphine titrated IV to avoid sedation and respiratory depression |
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What steps should be taken in the D stage? |
exclude hypoxia and hypotension examine pupils assess consciousness using AVPU measure blood glucose |
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What might be given for opiod toxicity? |
naloxone |
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What is classed as hypoglycaemic? |
<4.0mmol/L |
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How would hypoglycaemia be treated?
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with 50mL 10% glucose solution IV with further 10% doses every minute until consciousness is regained up to a maximum of 250mL |
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What is the most important thing to consider on E? |
patient dignity |
