Care of acutely ill 0.0 / 5 ? NursingAnatomy and PhysiologyUniversityNone Created by: emilymckee05Created on: 13-12-22 14:26 what is released during anaphylaxis and what does it do? Histamine- blood vessels dilate 1 of 43 what 3 criteria are needed for anaphylaxis? 1. rapid onset 2. ABC problems 3. skin problems 2 of 43 what is refractory anaphylaxis? patient experiencing anaphylaxis who doesn't recover after 2 IM adrenaline doses 3 of 43 What is anaphylaxis? an acute allergic reaction to an antigen to which the body becomes hypertensive 4 of 43 What do you give during anaphylaxis, what ml does it come in and where do you give it? 0.5 ml of adrenaline (comes in 1ml) anterolateral aspect (middle third of thigh) 5 of 43 If no response after 5 minutes what do you do? Another does of IM adrenaline 6 of 43 What does adrenaline (epinephrine) do? vasoconstrictor , raises bp, blood vessels re-direct blood to major muscles 7 of 43 What is the antidote for paracetamol overdoes? IV Acetylcysteine 8 of 43 what is the antidote for opioids? Naloxone 9 of 43 What is the antidote for benzodiazepines? (muscle relaxant ) Flumazenil 10 of 43 what are the 4 normal breath sounds? -tracheal -bronchial -bronchovesicular -Vesicular 11 of 43 adventitious sounds? crackles, wheeze, stridor, pleural rub, rhonchi 12 of 43 pt has loud harsh breathing with exp lasting longer than inspirary, what type of breathing is this? Bronchial 13 of 43 pt has soft, low pitched breathing, what type is this? vescular 14 of 43 what are the 4 points of the chain of survival? early recognition and call for help early crp early defib post resus care 15 of 43 what is new confusion a sign of? hypoxia 16 of 43 what are the 4 causes of airway obstruction? CNS depression foreign body inflammation infection 17 of 43 When assessing breathing what acronym is used? RATES (resp rate, auscultate chest, trachea, effort of breathing, spo2 levels. 18 of 43 what is the most common cause of shock? hypovolemia 19 of 43 what acronym is used for circulation problems? MOVE (place monitor, 02, venous access, ECG) 20 of 43 Name some indicators of respiratory distress central cyanosis, leaning forward in tripod position, purse-lipped breathing, paradoxical breathing (see-saw) 21 of 43 What may be present if you see trachea deviation and unilaterial chest expansion tension pneumothorax (air in lung) 22 of 43 How long do you check CPR ? 5s 23 of 43 How do you measure urinary output? Half the patients weight in kg 24 of 43 How to elicit a pain response? Trapezium squeeze 25 of 43 How long do you monitor Sp02 after changing it? At least 5 mins 26 of 43 How do you stop 02 therapy? If pt clinically stable for 2 sets of obs, take off O2 and monitor for at least 5 mins, then again after 1 hour. 27 of 43 How long does it take for a paracetamol overdose to kick in? 72 hours 28 of 43 What are the 3 components of asthma? inflammation mucus constriction of bronchi 29 of 43 ABCDE for asthma attack? ABCDE, peak flow, blood gases, give O2, Nebuliser, IV steroids (reduce inflammation) 30 of 43 What peak flow base-line do you need before you can go home? 75% or over 31 of 43 What are the 2 types of COPD? Chronic bronchitis(inflammation &excess mucus) emphysema(Alveolar membranes breakdown) 32 of 43 what are the 2 types of respiratory failure? T1 (low 02 levels in blood, low CO2) T2 (low 02 levels in blood, high C02)-risk of acidosis 33 of 43 What is normal blood pH? 7.35-7.45 34 of 43 What are the 2 types of pneumonia? Hospital acquired (48h after coming into hospital) community acquired (can be bacterial or viral) 35 of 43 symptoms of pneumonia? cough which may be productive, SOB, high temp(above 38.5), body aches 36 of 43 Once diagnosis of pneumonia confirmed, what next? chest x-ray within 4 hours, IV antibiotic within 4 hour, 02, CURB65 score 0-4 tells how severe. 37 of 43 What is a pleural effusion? fluid/water in the pleural space 38 of 43 what is a pneumothorax? Air in the lung 39 of 43 what is a hemopneumothorax? blood and air in lings 40 of 43 what is a heamothorax? blood in lungs 41 of 43 where do you put the needle for decompression tension pneumothorax(air cannot escape)? midclavicular line, 2nd intercostal space 42 of 43 where is the appex beat located? left midclavicular line in the 5th intercostal space 43 of 43
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