MyCpdZw - Protocols Details

CYANOTIC EPISODE IN A CHILD

Cyanotic episodes spells. Cyanotic spells occur in children with cyanotic congenital heart disease, in particular tetralogy of Fallot and pulmonary atresia. They usually occur early in the morning, or in the context of stress or dehydration ie. periods of increased oxygen demand/ultilisation.

Diagnosis

Occur in cyanotic congenital heart (esp. Fallots tetralogy & pulmonary atresia),

Usually occurs early in the morning or at times of increased oxygen demand (dehydration, feeding,

crying).

Usually self-limiting.

Assess for:

1. Cyanosis/ pallor,

2. Distress,

3. Dehydration,

4. Lethargy,

5. Evidence of structural heart disease,

6. Absence of previously documented heart murmur.

Management

1. High flow oxygen,

2. Continuous monitoring,

3. ECG,

4. Correct any arrhythmians,

5. Liaise early with medical officer.

Recent Protocols

COVID 19

COVID 19 is a disease caused by the most recently discovered coronavirus which is a large family of corona viruses causing illnesses. In humans it causes Respiratory infections for example Severe Acute Respiratory Disease (SARs) PRESENTATION Fever 77-98% Cough 46-82% Myalgia/Fatigue 11-52% Shortness of breath 3-31% Incubation period 14 days, most people develop symptoms between 5-6ays from exposure Stage1 (Early infection). Stage 2. Stage 3(Hyperinflation phase) Viral response---------------------------Pulmonary Phase----------------------Host Response *Anyone presenting with flu like symptoms should be assumed to be a COVID 19 case until proven otherwise*

WARFARIN OVERDOSE/ TOXICITY

Overdose of the oral anticoagulant warfarin (Coumadin), or drug interactions with warfarin, can lead to toxicity. Similarly, toxicity can result from exposure to superwarfarins, which are long-acting anticoagulants used in rodenticides. ... Warfarin is the most common oral anticoagulant in current use

SUICIDAL IDEATION

Suicidal ideation, also known as suicidal thoughts, is thinking about or having an unusual preoccupation with suicide.

SPINAL CORD INJURY

Emergency signs and symptoms of a spinal cord injury after an accident may include: Extreme back pain or pressure in your neck, head or back. Weakness, incoordination or paralysis in any part of your body. Numbness, tingling or loss of sensation in your hands, fingers, feet or toes. Loss of bladder or bowel control.