Adrenaline inviak

1
-Aishwarya Thakurdesai
Img Imi
Img110mL
Routes IV dile
Intra tracheal L
O Intra osseous 2C
2uglkglmin every
IMG b min
for
ana Shock

Uses NS
Refractory shock
µaµc03is
Anaphylactic
cardiac arrest Adt 175 cent
PAT Afi
2
Diazepam as
Atropine ku
chest is
If dry pt adequately atropinised
used
OP poisoning to block Muse before
pfnptgeisfents.in
S 24th in9PAMIz8nig9Igstat
only if HRC60 in see pupils cons
8mg1kg1h infusb
E snakebite c
monitoring Caddneositig intros
C snake venom
itself is like atropine
u
shock IM atropine arrest
E I Vasovagal
Ophthalmic indications
Et Brady COO l arrest
is O in SES
 g
E Hyperthermia
SEs Tacky etc

Repeated
dose atropine psychosis
eg Datura poisoning

If preprocedure
Otherwise
IM
Iv

3 Mannitol Irritant
conditions have A Ice like
Wghichever
Uberculomas NCC
113 Men Bleeds strokes
Tumors etc Cerebral edema Glaucoma

L AKI 3 Nacl instead

give
irritant or 0rad
if to be dischar
SES glycerol pt geol
Thrombophleb
temporary alternatives
g will act 4 6h
Hyperventilan Iv cerebral edema
20 35
target CO2
In Infectious like 7131713Mt Ncc
steroids t mannitol
I coz I n G po g
AKE CKD

If pH 271 give tecoj

in M AC I
InDKA pH C it lifelong
oral
HC05

DKA
Hoz v
hypertonic pts already
dehydrated
depresses contractility
DKA and 1105 worsens
hypokalimec 1kt
correct underlying
murmur
cause

05 x Bwx
50kg pt E 1705207 Deficit
i 05 50 X 14
350 Meg
43 as 1 3 will correct
1 113 by itself
stat slowly over 4 6h
in 100 MINS

Nasal spray
5 IV Midazolam IV
IM
In acute seizure DOC is BEDD
any
Status
 Sedation
drip for uncoop pt
I
5mg 1h then titrate

spasms tetanus

Precautions

Avoid in LE C in
body for 4 time
hepatic meta b
SE
Resp dep

Diazepam acidic diluent

metab
i
if 9 given Iv
acidosismmm
thrombophleb E diluent needed
Irritant
5 Kd RDA of Kt 40 80 Meg Id

0 13KA Kt don't
if 5.2
give

if p.is if 3 aio.m.es
ga
correct Kt first
then only give ins
in DKA not more than 10M
Eq
in my
10g
 I
even this is t
but in c
pts
fluid 0L like
Dil CMP CKD
Management of hyperkalimea
Dost t 8 Unit ins t 1 Ca gluconate
4
lomin I
given together
kt stabilizer
so that
enter cells together does not KD
Kt binding
Resins in maint phase Polystyrene
Salbutamol nebulises

If CKD don't take all these Msrs

pt
directly hemodialysis
if u do this then hd no Kt in
plasma to be hdised

Affayoffingiffi Infarction taffolomics

is in
If patient failure Vasudha

Post wall will into arrhythmias

Inf go
 Low BP shock the
Arrhythmia patient
MAP 365 acceptable

If no BP no
pulse don't shock
Asystole not shockable

ACLs

Start compressions ask someone to call

for help more
superficial
IV in EN
If can't
get access
put
till
CPCR
pt revives an
No hope after hour
half
ventilator ACMV
if pt not
breathing

If no ventilator AMBU
bag
I
 I ed
pogferred g
t
check rhythm dBP vasopressors
inotropes

After thrombolysis
ECG
get

if tin SIT 501

if t.in SIT c5oy
I I
observe
do Rescue
resolve PCI
changes
over time
Aspirin 300
Ei P.im goo
immptYoenmesTicagrelor
up for anger
when pt taken

A SCUD score to decide statins

 I l Lik II St 1
p
sinus tachycardia suspect pulmonary
thromboembolism
5193731 Wells score

I LMWH etc ortho operans

Prophylax pt
love
against

B Pul TE No BP chest clear

RV func TAPE score 12 indicates

compromise

IPA CT pulmonary angio tells wher

the thrombus is

Rivaroxaban no antidote

c Pneumothorax

Smokers bidi hukkah

Cigarette
Occ E T smoke
exposure
Pt E S O b lessness no breath sounds
don't search for 5th KS
 in
fat person
cardiac arrest etc Check carotid not
radial pulse

auscMI
crepts
PE No BP chest clear
Pneumo no breathsounds

D Tamponade Mcc Post ME

012 s
sign
Beck's Triad

E Ab immune to
Sepsis response
infection
SOFA
Bp
Att Hachypnea
Sensorium

Just sepsis or shock

septic
 30
Imy stat bolus dose
give kg
NS
crystalloid
3 Days till reports come Pip Taycarbapers
within n i
ti
I ir
in ieinioa
in
s
in
ymno
take culture from blood suspected
site
then shift on narrow
to prevent
spectrum
resistance

SOFA score calculate

Maintain 05 ml
dailyh
0 0
of 1kg1
F OP crepts Fluid 01L lung
Poisoning
bronchorrhea fluid
1 ABC from everywhere
secure
airway
2
Foleys
 3
Atropine at 5 min intervals
sign of chest is
atropinisation dry
thent
stop
Once chest is maintain HR at 80
dry
G Status secure
airway
Lorazepam drip
i
hydration
Phenytoin
Propofol

H
Hypertensive emergencies
Always manage on LV antihypertensives
Labetalol Neal Nicardipine
Inj
avotid
if IHD
lower BP
by
20 251 in
first shot

1 Stroke even
if c 24 h don't wait
 y l c
ang l f l

D assess vitals sensorium HGT

2 MRI
Imaging
4
If notar 4
angio

vessel I
thrombus
NHSS score 2o

Supratentoria
bleed def I
f if Infratentorial

MI E IC bleed
Management

J Snakebite

WCT Whole blood clotting time

If not
clotting give 10 vials of ACV
 check
after 6h

wkness check SBC

Great need dialysis
may