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AB 3rd Year General > CLASP - Sudden Death > Flashcards

Flashcards in CLASP - Sudden Death Deck (29):
1

what is shock?

inadequate organ perfusion

2

types of shock?

neurogenic
hypovolaemic
anaphylactic
cardiogenic
septic

3

Tx for hypovolaemic shock?

fluids
to increase CO

4

Tx for anaphylactic shock?

IM adrenaline 1:1000

5

Tx for cardiogenic shock?

dobutamine or milrinone

6

rate of chest compressions in cardiac arrest?

30:2
2 per second, 100-120 a min

7

shockable rhythms?

pulseless VT
VF

8

non shockable rhythms?

pulseless electrical activity
asystole

9

what does each part of the ECG mean?

P wave - depol of atria
QRS - depol of ventricles
ST - ventricle repol
T wave - ventricular repo
QT - ventricular repo and depol

10

how to work out rate?

number of big boxes between QRS x20

11

how big should a QRS be?

3 small squares (0.12sec)

12

features of atrial flutter on ecg?

saw tooth

13

what is first degree heart block?

prolonged PR interval

14

how long should PR interval be?

3-5 small square
0.12-0.2secs

15

what happens in mobits type 1?

dropped beat then cycle starts over

16

what happens in mobits type 2?

ratio of cycles to dropped beats

17

what happens in third degree heart block?

only P waves and QRS present

18

position of childs head in resus?

sniffing air

19

position of babies head in resus?

flat

20

ratio in paediatric BLS?

15:2, 5 rescue breaths at start

21

what is FISH used for?

small balanced translocations

22

what is karyotyping used for?

large CNVs (section of chromosome)

23

what is array CGH used for?

less/more genetic material e.g robertsonian translocation

24

what is NGS used for?

SNPs

25

what is long QT syndrome?

cardiac channelopathy

26

features of long QT syndrome?

syncope when excited/surprised
syncope at rest
palpitations

27

Ix for long QT syndrome?

ECG
genetic tests -> KCNQ1, KCNH2, SCN5A

28

Tx for long QT syndrome?

lifestyle advice
beta blockers
ICD

29

what is lifestyle advice for long QT?

avoid competitive sports
replace electrolyte imbalances
remove startling things e.g alarm clocks