How does avpu correspond to gcs?
Alert: 14-15
Verbal: 12-13
Pain response: 9- 11
Unresponsive: 8 or less (severe head injury )
Describe eye component of glascow coma scale
- No response
- Open in response to pain
- Open in response to speech
4 spontaneous opening
Describe verbal component of glascow coma scale
- No response
- Incomprehensible sounds
- Inappropriate words
- Confused but able to answer questions
- Orientated to time, person, place
Describe motor component of glascow coma scale
- No response
- Abnormal extension (decerebrate)
- Abnormal flexion (decorticate posture)
- Flex to withdraw from pain
- Moves to localised pain
- Obeys 2 step command
How is GCS calculated in intubated patients?
Out of 10.
Minimum is 2.
Only based on eye opening and motor scores. Add suffix t to indicate intubation.
Dose dextrose for hypoglycaemia?
Dextrose 10% 5ml/kg ivi
If known alcohol user, give thiamine 100mg IM/IV before dextrose
Recheck in 15 min, if still <3 give further 2ml/kg
Once >3, Continue dextrose 5% 1L IVI 6hrly
How to mix 10% dextrose:
- take the desired % solution (eg 10%) and divide this by the undiluted injection (50%) =0.2
- multiply this by the volume of fluid in your bag in ml (ie 250ml) = 50
- this is the amount to add to bag. Ie remove 50ml of NS and replace with 50ml 50% dextrose = 10% dextrose.
Organophosphate poisoning symptoms (8)
DUMBELS
- DIARRHOEA
- urination (incontinence)
- miosis!
- bradycardia
- bronchospasm/muscle twitching!
- emesis
- lacrimation (tears)!
- salivation!
