osca 0.0 / 5 ? NursingOSCAUniversitySQA Created by: [email protected]Created on: 01-05-19 14:07 What is sepsis? A systemic inflammatory response reacting to an unknown source with a presumed/confirmed infection 1 of 29 Sepsis oxygen protocol 15 litres high flow trauma mask to maintain adequate perfusion 2 of 29 Why do a Full blood count for sepsis to check if any infection and the function of the kidneys 3 of 29 Why do a blood gas during sepsis To test blood lactate levels, levels between 2-4 or higher indicate inadiquate oxygen supply to the tissues 4 of 29 Why do a blood glucose during sepsis To treat hypoglycaemia 5 of 29 What IV antibiotics would you give for Leah with sepsis and how does this antibiotic work Cefotaxime, it breaks down the cell wall of the bacteria which destroys it 6 of 29 Fluid resus for sepsis 20ml/kg bolus of normal saline 0.9% x 2 then check for hypervolemia (too much fluid in blood) then a further 20ml/kg bolus 7 of 29 What does of adrenaline would you give for sepsis and what does adrenaline do 0.3mg/kg in 50ml of 5% dextrose, adrenaline makes the heart contract faster 8 of 29 Whats the last step of the sepsis protocol advise PICU 9 of 29 Why are children at greater risk of dehydration childs body water ^ % of body weight, immature renal systems, extracellular compartments lose more water, high metabolic rates, higher fluid intake 10 of 29 What are the red flags a child is severelt dehydrated and could potentially enter in to hypovolemic shock appearing unwell, altered concious levels, sunken eyes, tachycardia, tachypnoe, reduced skin turgor 11 of 29 What is hypovolemic shock? Low blood volume leading to a dangerous levels of hypotension which decreases oxygen levels 12 of 29 What is the treatment for dehydration? fluid bolus 20ml/kg 0.9% normal saline, daily maintence fluids + replacement fluids 13 of 29 How are maintence fluids calculated 100ml/kg for first 10kg 50ml/kg for next 10kg and 20ml/kg for any there after 14 of 29 How are replacement fluids calculated 100ml/kg if 10% dehydrated 50ml/kg if 5% dehydrated 15 of 29 What are the key things to look for during a neurovascular assessment Pain, sensation, movement, warmth, colour, swelling 16 of 29 How would you assess the median nerve touch top of index finger 17 of 29 How would you assess the ulnar nerve touch pinky 18 of 29 How would you assess the radial nerve touch thumb 19 of 29 What is compartment syndrome it occurs when increased pressure within one of the bodies anatomical compartments leads to insufficient blood supply to the tissue within that space 20 of 29 What are the symptoms of compartment syndrome Pain, paralysis, paresthesia, pallor, temperature, cap refil, pulselessness, sweeling and increased pressure 21 of 29 What are the limb movements of a neurological assessment push pull hands, hands in air, lift legs 22 of 29 How would you assess someone airway? Is it patent? look listen feel, is airway open?, choking?, breath sounds, feel for expired air, airway adjuncts if airway cant be stabilised 23 of 29 How would you assess someones breathing? effort, efficacy and effect, resp rate, o2, peripheral perfusion, recession?, accesory muscles, ausculating lung fields 24 of 29 How would you assess circulation? HR, bp, central cap time 25 of 29 How would you assess disability? AVPU 26 of 29 How would you assess exposure? Inspect skin, temp 27 of 29 What is bronchiolitis? Disease of the lower respiratory tract, cough, IWOB, ability to feed, wheeze/crackles, 28 of 29 Treatment for bronchiolitis? Oxygen therapy if O2 consistantly below 92%, NG tube if child cant take oral fluids 29 of 29
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