Dads Upskill

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Author:
sophiesmythe
ID:
90512
Filename:
Dads Upskill
Updated:
2011-06-14 02:00:01
Tags:
Medical Information
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Description:
Upskill Cards
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  1. Paediatric Weight
    • 2 x age + 10
    • Round to nearest 10kg
    • >50kg = adult
  2. Drug administration by absorption rate
    • Oral
    • Sub cut
    • im
    • rectal
    • neb
    • inhale
    • iv
  3. Major Opiatereceptors (4)
    • mu = dorsal horn of spine thalamus
    • kappa = hypothalamus
    • sigma = limbic system
    • delta = limbic system
  4. Kappa receptor stimulation (4) with morphine
    • Dysphoria
    • Analgesia
    • Miosis (pupil constriction)
    • Sedation
  5. P.E.A. causes... (3)
    1. Prolonged hypoxia secondary to resp. arrest

    2. Myocardial Ischaemia

    3.End result of secondary P.E.A. 4H's + 4T's
  6. Cardiac Arrest definition
    Abrupt cessation of normal circulation of blood due to failure of the heart to contract effectively during systole
  7. SRABCDEF
    • Safety
    • Responsiveness
    • Airway
    • Breathing
    • Circulation
    • Deformity
    • Expose Examine
    • Forward Planning
  8. SAMPLE
    • Signs/Symptoms
    • Allergies
    • Medications
    • PMHx
    • Loi
    • Events prior
  9. OPQRST
    • Onset
    • Provoke
    • Quality
    • Radiate region
    • Severity
    • Timing
  10. ROMPIT
    • Reasurance
    • Oxygen
    • Monitor
    • Position
    • IV
    • Transport
  11. Adrenaline Adult Anaphylaxis/Asthma
    IM 0.3 - 0.5mg/20min
  12. During cardiac arrest resuscitation check and recheck...
    • LMA
    • IV patancy
    • O2 Level
    • ECC effectiveness
    • Print strips
  13. Paediatric defib. shocks + fluid
    • 5 joules /kg
    • 20ml /kg
  14. Cardioversion indications (2)
    • Broad complex >150/min
    • GCS motor score <6
    • so Cardiovert 100J, 200J
  15. 12L interpretation
    • Inferior II III aVF
    • Septal V1 V2
    • Anterior V3 V4
    • Lateral I aVL V 5 V6
  16. Morphine Adult IM
    5 - 10mg/20min
  17. Anterior/Posterior Placement (4)
    • 1. Paediatric
    • 2. Obese
    • 3. Pregnant
    • 4. Resistant VT/VF
  18. Adrenaline Adult - Cardiac Arrest
    IV 1.0mg/4 min
  19. Adrenaline Paediatric - Croup
    Neb 5mg/20min
  20. Morphine Paediatric IV
    0.1 mg/kg / 3 - 5 min
  21. Adrenaline Paediatric - Anaphylaxis/Asthma
    IM 0.01mg/kg /20 min
  22. Histamine release causes ; (6)
    • vasodilation
    • bronchospasm
    • ^capillary per meability
    • hypotension
    • oedema
    • airway obstruction
  23. Naloxone Paediatric
    • IV 0.01 mg/kg 2 - 3 min
    • IM 0.02 mg/kg 20 min
    • IN 0.04 mg/kg 20 min
  24. Mu receptor stimulation (4) with morphine
    • Physical dedependance
    • Euphoria
    • Analgesia
    • Respiratory depression
  25. Naloxone Adult
    • IV 0.1 - 0.4mg / 2 - 3 min
    • IM 0.8mg / 20 min
    • IN 1.6mg / 20 min
  26. Cardioversion 4 P's
    • Prepare scene
    • R50
    • Relatives
    • Gear
    • Prepare patient
    • advice
    • IV
    • O2
    • Pads
    • Prepare lifepack
    • synchronise
    • change
    • Proceed

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