Question 1

What are you assessing when looking to put o2 on your patient?

Accepted Answer

- Acute vs chronic - RSA - continuous spo2 - Consider causes of hypoxaemia - Bleomycin and paraquat= tx as per special notes

Question 2

What are the ranges for adequate spo2?

Accepted Answer

>92%

Question 3

What are the ranges for Mild- Moderate Hypoxaemia? And How are we treating it?

Accepted Answer

85-91% Titrate to 92-96% - NP 2-6L

Question 4

What are the ranges and treatment for Severe hypoxaemia OR Critical Illness?

Accepted Answer

85% spo2 OR Critical Illness - Cardiac arrest/resus - severe sepsis - shock - Anaphalaxis - Major trauma/head injury - Status Epilepticus - ketamine sedation Initial Mx: -Non rebreather 10-15L/min - Consider BVM/IPPV/LMA (ETT MICA) as req'd Once haemodynamically stable titrate spo2 to 92-96%

Question 5

What conditions come under chronic hypoxaemia and what is the treatment.

Accepted Answer

- COPD - CF (Cystic Fibrosis) - Bronchiectasis - Obesity - Neuromuscular disorders - Severe kyphoscoliosis Titrate spo2 to 88-92% with NP Treat as per severe if deterioration or spo2 <85%

Question 6

What is the stop point in chronic hypoxaemia?

Accepted Answer

High flow 02 in the COPD pt can cause hypercapnia respiratory failure.

Question 7

What comes under Regardless of spo2? Treatment of these conditions.

Accepted Answer

- toxic inhalation exposure - decompression illness - PPH - cord prolapse - Cluster headache O2 via NRB 10-15L/min

Question 8

RSA criteria

Accepted Answer

``` Appearance Speech Sounds Rate Rhythm Effort Pulse Skin Conscious state ```

Question 9

PSA criteria

Accepted Answer

Skin BP HR Conscious state

Question 10

RSA categories

Accepted Answer

``` Appearance Normal- calm, quiet Mild- Calm, or anxious Mod- Distressed, anxious Severe- Exhausted, fighting for breathe ``` ``` Speech Normal- Clear, steady Mild- Full sentences Mod- Short sentences Severe- Words or none ``` Sounds Normal- Quiet Mild- Cough, mild wheeze or basal crackles. Mod- Cough, ins/exp wheeze, mid zone crackles Severe- No cough, ins/exh wheeze, full field crackles, stridor or no breathe sounds ``` Rate Normal- 12-16 Mild- 16-20 Mod- >20 Severe- >20 or <8 ``` ``` Rhythm Normal- Regular Mild- Prolonged expiratory phase Mod- Prolonged expiratory phase Severe- Prolonged expiratory phase ``` ``` Effort Normal- Normal Mild- Slight Mod- Marked Severe- Marked ``` ``` Pulse Normal- 60-100 Mild- 60-100 Mod- 100-120 Severe- >120 or <60 (late stage) ``` ``` Skin Normal- Normal Mild- Normal Mod- Pale, sweaty Severe- Pale, sweaty, +/- cyanotic ``` ``` Conscious state Normal- Alert Mild- Alert Mod- Alert, or altered Severe- Altered or unconscious ```

Question 11

Borderline perfusion criteria

Accepted Answer

Skin: cool, pale, clammy Pulse: 50-100 SBP 80-100 CS: Alert, orientated

Question 12

Inadequate perfusion

Accepted Answer

Skin: cool, pale, clammy Pulse: <50 or >100 SBP: 60-80 CS: Alert or altered

Question 13

Extremely poor perfusion

Accepted Answer

Skin: cool, pale, clammy Pulse: <50 or >110 SBP: <60 CS: Alerted or unconscious

Question 14

No perfusion

Accepted Answer

Skin: cool, pale, clammy Pulse: nil palpable SBP: Unrecordable CS: Unconsious

Question 15

``` What perfusion would this pt be? Cool, pale and clammy HR 120 BP 60 Alerted conscious state ```

Accepted Answer

Inad-> extremely poor

O2, PSA, RSA, Pain relief Flashcards

(25 cards)