Flashcards in Acute Care Deck (11):
What is shock?
Failure of adequate oxygen delivery to tissues
What are the 4 main types of shock?
Cardiogenic, distributive, obstuctive and hypovolemic
What are the 5 key symptoms of shock?
Decreased peripheral perfusion (cap refill >2, cyanosis/mottling, cool extremities) (NOT IN DISTRIBUTIVE SHOCK)
Oligouria (<0.5ml/kg/hr >6hrs)
What are the two scoring systems used to assess patients with acute upper GI bleed?
What does the blatchford scoring system assess?
The likelihood of a patient with upper GI bleed to need any form of medical intervention
What is a high risk score in the blatchford scoring system?
Any score >0 is likely to need medical intervention
Management of adrenal crisis?
Hydrocortisone sodium succinate 100mg IV
Key findings in adrenal crisis?
Confusion, hypotension, hyponatremia, hypoglycaemia, hyperkalemia
2 or more of:
HR >90, RR>20, Temp >38 <36, Altered mental state, known or suspected neutropenia, WCC <4 >12
Take blood cultures, lactate, UO
Give abx (amox, met, gent), fluids, oxygen