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Module 5 > Study Day 3 CWI > Flashcards

Study Day 3 CWI Flashcards

1
Q

IV Indications

A

IV fluid is required as per the CPG including the dilution and admin of medications

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2
Q

IV fluid bag Precautions

A
  • ensure aseptic technique is practiced at all times
  • do not re-spike fluid bag (may cause air embolism)
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3
Q

IV contraindications

A

NIL

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4
Q

IM Indications

A

Medications that are required to be administered via intramuscular route

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5
Q

IM Precautions

A
  • Safety: ensure correct technique for administration, anatomical position, and disposal of sharp technique is used at all times
  • Larger volumes may be painful. Dilution should be avoided
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6
Q

IM Contraindications

A

NIL

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7
Q

Admin Oral Paracetamol Precautions

A

PU

P Paracetamol precautions
U Only Use orange string to avoid admin via other routes

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8
Q

Admin Oral Paracetamol Contraindications

A

PU

P Paracetamol contraindication
U Unable to tolerate oral liquids

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9
Q

Assembling, connecting and changing IV infusion line contraindications

A

NIL

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10
Q

Assembling, connecting and changing IV infusion line precautions

A
  • Ensure aseptic environment technique is practiced at all times
  • Do not respite bag, may introduce embolism
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11
Q

NEB indications

A

A medication required to be administered via nebuliser route

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12
Q

NEB Precautions

A

Respiratory tract infection, use appropriate PPR

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13
Q

NEB contraindications

A

NIL

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14
Q

MAD indications

A

Admin administration via intranasal route as per CPG

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15
Q

MAD precautions

A

Rhinitis, rhinorrhoea, facial trauma. Blow nose

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16
Q

MAD Contraindications

A

Severe facial trauma

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17
Q

Suction Indications

A

Suspected fluid obstruction in airway or airway device

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18
Q

Suction Precaution

A

Epiglottis

CROUP

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19
Q

Suction Contraindications

A

NIL

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20
Q

OPA Indications

A
  • support airway latency in the unconscious patient
  • bite block in intubated patient
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21
Q

OPA Precautions

A

NIL

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22
Q

OPA contraindications

A
  • trismus
  • gag reflex
  • TBI w/adequate ventilation
23
Q

NPA Indications

A

Support airway latency in unconscious patient

24
Q

NPA Precautions

A
  • facial fracture or suspected basal skull fracture
  • TBI
25
Q

NPA Contraindications

A

NIL

26
Q

PEEP Indications

A

All patients receiving IPPV w/cardiac output

All neonate patients w/IPPV

27
Q

PEEP Precautions

A

Hypotension
Elevated ICP
Right ventricular failure
Tension Pneumothorax

28
Q

PEEP Contrainidcations

A

Cardiac Arrest: no pulse to PEEP, excluding neonates

29
Q

Assembling, connecting and changing IV infusion line indications

A

This method is indicated when intravenous fluid is required as per the CPGs, including the dilution and administration of medications

30
Q

Subcutaneous Precautions

A

Avoid area surrounding med admin devices, skin infection or previous injection/injury site

31
Q

Pelvic Binder Indications

A

SAUTe

S Suspected pelvic fracture

A An awake patient complaining of pain to pelvic area including lower back, groin or hips

U Unconscious or altered conscious state patient with significant mechanism

T Traumatic arrest, a pelvic splint should be applied as a priority if the mechanism is suggestive

32
Q

Pelvic Binder Precautions

A

Should be appropriately sized for the patient. Smaller paediatrics may require sheet/towel/pillow-case as a pelvic wrap

Consider the two sizes (small/large)

A traction splint should not be applied until after the pelvis has been stabilised

33
Q

Pelvic Binder Contraindications

A

Impaled object preventing application

34
Q

Formable Split Indications

A

Fracture of:
- radius / ulner
- humerus
- lower leg / knee
- ankle injury

35
Q

Formable Splint Precautions

A

Consider the use of traction splint for leg fracture if not contraindicated

36
Q

Formable Splint Contrainidcations

A

NIL

37
Q

SGA Indications

A

U Unconscious patient w/o gag reflex
B Ineffective ventilations w/BVM and basic airway mx
Unable to intubate
>10 minutes assisted ventilations required

38
Q

SGA Precautions

A

S Inability to perform Sniffing position
A pt who requires high Airway pressures
T Paed pt who may have enlarged Tonsils
A Vomit in Airway

39
Q

SGA Contraindications

A

G Intact Gag reflex or resistance to insertion
U Suspected epiglottitis or upper airway obstruction
T Strong jaw tone and/or trismus

40
Q

BVM Indications

A

Apnoea

Inadequate ventilation

41
Q

BVM Precautions

A

NIL

42
Q

BVM Contraindication

A

NIL

43
Q

Pressure immobilisation Indications

A

Suspected or reported snake-bite to limb

Suspected or reported big black poder bite to limb

Suspected or reported blue ringed octopus to limb

44
Q

Pressure immobilisation Precautions

A

None

45
Q

Pressure immobilisation Contrainidcations

A

None

46
Q

Measuring an OPA

A

Angle of the jaw to the incisor

47
Q

Measuring an NPA

A

Corner of nose to earlobe

48
Q

SGA measurement

A

Weight based, written on SGA case

49
Q

CT6 Indications

A
  • middle third femur fracture, including compound
  • upper two thirds tibia fractures, including compound
50
Q

CT6 contraindications

A

Knee or ankle/foot trauma: may increase pain and worsen injuries

51
Q

CT6 Precautions

A

Pelvic trauma: Pelvic splinting is a higher clinical priority than splinting of limb factures. Traction splints may apply pressure on the pelvis in order to achieve traction, potentially worsening an injury. Legs should be realigned as part of open book fracture management. Splinting can still be used in pelvic trauma/fracture though anatomical splinting may be better depending on pelvic injury and severity.

Realign long bone fractures in as close to normal position as possible.

Open fractures with exposed bone should be irrigated with a sterile isotonic solution prior to realignment and
splinting.

52
Q

PILSDUCT

A

Signs of a fracture

Pain
Irregularity
Loss of movement
Swelling
Deformity
Unnatural movement
Crepitus
Tenderness

53
Q

Fracture Treatment Acronym

A

FRACTURES

Fix
Reassure
Afford limb support
Cover any wounds
Try for natural position
Use appropriate splint
React to haemorrhage
Every occasion suspect fracture
Shock treat and manage

Module 5 (4 decks)

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