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Flashcards in Acute Care Deck (11):
1

What is shock?

Failure of adequate oxygen delivery to tissues

2

What are the 4 main types of shock?

Cardiogenic, distributive, obstuctive and hypovolemic

3

What are the 5 key symptoms of shock?

Hypotension
Decreased peripheral perfusion (cap refill >2, cyanosis/mottling, cool extremities) (NOT IN DISTRIBUTIVE SHOCK)
Altered cognition/agitation
Increased RR/PR
Oligouria (<0.5ml/kg/hr >6hrs)

4

What are the two scoring systems used to assess patients with acute upper GI bleed?

Blatchford
Rockall

5

What does the blatchford scoring system assess?

The likelihood of a patient with upper GI bleed to need any form of medical intervention

6

What is a high risk score in the blatchford scoring system?

Any score >0 is likely to need medical intervention

7

Management of adrenal crisis?

Hydrocortisone sodium succinate 100mg IV

8

Key findings in adrenal crisis?

Confusion, hypotension, hyponatremia, hypoglycaemia, hyperkalemia

9

SIRS criteria?

2 or more of:
HR >90, RR>20, Temp >38 <36, Altered mental state, known or suspected neutropenia, WCC <4 >12

10

SEPSIS 6

Take blood cultures, lactate, UO
Give abx (amox, met, gent), fluids, oxygen

11

What are the signs of end organ dysfunction i.e severe sepsis?

BP <90, UO <30ml/hr for 2 hrs, lactate >4mmol, newly altered mental state, new need for O2, serum creatinine >150mmol, coagulopathy/thrombocytopenia