Picked up on ward rounds Flashcards Preview

Year 3 knowledge > Picked up on ward rounds > Flashcards

Flashcards in Picked up on ward rounds Deck (33)
Loading flashcards...
1

How much cortisol do we produce a day

5mg

2

Why dont you stop steroid treatment immediately

As they have been on a high level of steroids they have suppressed their ACTH production and so adrenals will have stopped producing cortisol( as using exogenous steroids) for a long time so may have trouble starting again- weaning off allows adrenals to slowly start up again. RISK OF ADDISONIAN CRISIS

3

Whats FiO2

Fraction of inspired oxygen- 20.9 in a room

4

How to calculate FiO2

20+(4xLPM)

5

What is compensated vs decompensated liver disease

Compensated means are showing no symptoms

6

What is erythema

Redness of skin from increased blood flow- cause can be anything including infection

7

What is an example of soft sign of sepsis

Diarrorhoea

8

What is a serious problem associated with chemo

Risk of infection from lines when its making you immunocompromised already

9

How would viral infection appear on FBC

CRP raised but normally above 50
WCC can be elevated or low

10

Causes of low white blood cell count

Bone marrow
B12 or folate deficiency
Infection
Spleen problems
Autoimmune
Medicines like antibiotics

11

What is sepsis

A life threatening organ dysfunction due to a dysregulated infection response

12

What is SIRS

Severe inflammatory response syndrome

13

What is criteria for diagnosing SIRS

`Temperature above 38 or below 36
HR above 90
RR above 20
PaCO2 above 32
Raised or lowered WCC

14

What is qSOFA

New criteria for diagnosing sepsis
- SBP <100mmHg
- GCS 13 or below
- tachypnoea >22

15

How is sepsis now diagnosed

Infection with qSOFA above 2

16

How is septic shock now diagnosed

- Sepsis diagnosed
- need for vasopressors to maintain MAP above 65
- lactate above 2

17

What is qSOFA formed from

SOFA was an old criteria used to diagnosed sepsis but judged to be way too complicated so introduced quick SOFA

18

Acronym for qSOFA

Hypotensive
Attention
Tachypnoea

19

Way to remember method for treating Sepsis

Sepsis 6 - give 3 and take 3

20

What do you give with sepsis

O2
IV fluids
Antibiotics

21

What to take when sepsis diagnosed

Blood cultures
VBG
Urine output

22

What does broad spectrum antibiotics mean

they cover gram pos and neg

23

What are 6 bacteria antibiotics cover

MRSA
Gram pos
Gram neg
Anaerobes
Pseudomonas
ESBL

24

What does ESBL stand for

Extended spectrum beta lactamases

25

Where do gram positive bacteria tend to infect

Chest
Skin
Soft tissue

26

Where do gram negative bacteria tend to infect

UTI
Abdo
Biliary

27

What do you generally divide gram positive bacteria into

Strep
Staph

28

What do you tend to give for suspected strep infections

Penicillin

29

What do you tend to give for suspected staph infections

Flucloxacillin

30

What is ceftriaxone used for

gram neg and pos