Basics Flashcards

1
Q

Patients on level 1 care should have observations conducted how frequently?

A

Minimum 4 hourly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

At what level of care are the critical care outreach team informed of a patient?

A

level 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Name 3 ways in which a patient can qualify to be escalated to level 2 care

A
  1. extended post-operative care
  2. single organ support
    2a. basic respiratory support (non-invasive ventilation)
    2b. CV - central venous pressure monitoring/single IV vasoactive drug use
    2c. advanced CV support - multiple IV vasoactive drugs/CO monitoring
    2d. renal replacement therapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

A patient undergoing major burns therapy would be under which level of care?

A

level 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the mortality rate for patients in level 3 care?

A

25% mortality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

At what point does a patient qualify to for escalation to level 3 care?

A
  1. advanced respiratory support (invasive)

2. OR minimum 2 organs requiring support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the nurse to patient ratio in ICU and on a normal ward?

A

1:1 in ICU and 1:10 in basic wards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the working hours of the critical care outreach team?

A

Recently changed to 24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Where do the critical care outreach team provide their services?

A

All wards that have level 1 patients should inform the CCOT for input

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the purpose of the CCOT?

A
  1. To provide critical care to patients in ward environments

2. To prevent & recognise acute deterioration in patients, allowing for timely transfer to CCU

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Name 5 methods the CCOT use to monitor patients

A
  1. ABCDE management
  2. history + clerking
  3. NEWS recording
  4. fluid maintenance + balance
  5. bloods; radiology (CxR, ECHO etc)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What 5 parameters are measured in the NEWS?

A
  1. Temperature
  2. Respiratory rate
  3. Heart rate
  4. Systolic BP
  5. SpO2
  6. AVPU
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

A patient with a NEWS score of 3 in one parameter should be monitored how often?

A

Minimum 2 hourly for a minimum of 6 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

4 hourly observations should be performed for patients with what NEWS score?

A

NEWS score of 1-4 (score of 3 should not be from the same parameter)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A patient with a NEWS score of 5 would trigger what response?

A
  1. minimum 2 hourly observations
  2. blood glucose measurement
  3. assessment by the surgical or medical team
  4. hourly fluid monitoring + balance
  5. Sepsis screen (if positive then start sepsis bundle)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

With what NEWS score would you consider level 2 or 3 transfer?

A

NEWS of 7+

17
Q

Name all the signs of inflammation that can qualify a patient for SIRS

A
  1. T>38 or 90
  2. WCC>12 or 20
  3. altered conscious level
  4. BM >7.7 (if not diabetic)
18
Q

When does a patient only require one marker of inflammation to qualify for SIRS?

A

If the patient is neutropenic

19
Q

What is the classification of sepsis?

A

SIRS + clinical evidence of infection

20
Q

What is the clinical response to sepsis?

A
  1. Blood culture + FBC
  2. Urine output monitoring
  3. Fluids (500ml/15mins)
  4. Antibiotics
  5. Lactate monitoring (>2mmol/l)
  6. Oxygen (15L/min non-rebreathe)