Respiratory
Management of Acute Asthma Attack
O SHIT ME!
Oxygen
Salbutamol (2.5 - 5mg nebulised)
Hydrocortisone 100mg IV (or prednisolone 40 - 50mg PO)
Ipratropium Bromide (500 micrograms)
Theophylline (aminophylline infusion 1g in 1L saline 0.5ml/kg/hr)
Magnesium Sulphate (2g IV in NaCl 0.9% over 20 minutes)
Escalate care (intubation and ventilation)
Well's Criteria for probability of Pulmonary Embolism
Don't Die Tell The-Team To Calculate Criteria
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Don't = DVT symptoms (3 points)
Die = Diagnosis most likely PE (3 points)
Tell = Tachycardia (1.5 points)
The Team = Three days of immobilisation or surgery in the past Thirty days (1.5 points)
To = Thromboembolism in the past DVT/PE (1.5 points)
Calculate = Coughing up blood (haemoptysis) (1 point)
Criteria = Cancer (1 point)
Causes of Type 1 Respiratory Failure
Asthma
Pneumonia
Net like lung (Fibrosis)
Oedema - Pulmonary
Embolism / Emphysema
ARDS
Shunt
Small Cell Lung Cancer - Paraneoplastic
Small-LAA (Pronounced 'Smaller')
Lambert - Eaton Syndrome
ADH production (ectopic)
ACTH secretion
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