637 = A patient rescued from a closed-space fire has normal SpOβ but severe headache, confusion, and cherry-red skin. Which poisoning is most likely?
Anonymous Quiz
9%
a. Cyanide poisoning
39%
b. Organophosphorus poisoning
49%
c. Carbon monoxide poisoning
3%
d. Methanol poisoning
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π« Pneumothorax β NORCET Pearls
β Air in the Pleural cavity
β Sudden chest pain + Dyspnea = Suspect Pneumothorax
β Trachea shifts away in Tension Pneumothorax
β Hyperresonance on percussion
β Breath sounds decreased/absent on affected side
β Tension Pneumothorax = Medical Emergency
β Immediate treatment: Needle decompression
β Definitive treatment: Chest tube (Intercostal Drainage)
Sagar Nursing Classes
β Air in the Pleural cavity
β Sudden chest pain + Dyspnea = Suspect Pneumothorax
β Trachea shifts away in Tension Pneumothorax
β Hyperresonance on percussion
β Breath sounds decreased/absent on affected side
β Tension Pneumothorax = Medical Emergency
β Immediate treatment: Needle decompression
β Definitive treatment: Chest tube (Intercostal Drainage)
Sagar Nursing Classes
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π©Ί ABG (Arterial Blood Gas) β NORCET Pearls
β Normal pH: 7.35β7.45
β Normal PaCOβ: 35β45 mmHg
β Normal HCOββ»: 22β26 mEq/L
β Normal PaOβ: 80β100 mmHg
β ROME Rule: Respiratory Opposite, Metabolic Equal
β pH β + PaCOβ β = Respiratory Acidosis
β pH β + HCOββ» β = Metabolic Alkalosis
β pH β + HCOββ» β = Metabolic Acidosis
Sagar Nursing Classes
β Normal pH: 7.35β7.45
β Normal PaCOβ: 35β45 mmHg
β Normal HCOββ»: 22β26 mEq/L
β Normal PaOβ: 80β100 mmHg
β ROME Rule: Respiratory Opposite, Metabolic Equal
β pH β + PaCOβ β = Respiratory Acidosis
β pH β + HCOββ» β = Metabolic Alkalosis
β pH β + HCOββ» β = Metabolic Acidosis
Sagar Nursing Classes
π« ECG β NORCET Pearls
β P wave = Atrial depolarization
β QRS complex = Ventricular depolarization
β T wave = Ventricular repolarization
β Normal PR interval = 0.12β0.20 sec
β Normal QRS duration = < 0.12 sec
β ST elevation = Acute Myocardial Infarction (STEMI)
β Tall peaked T wave = Hyperkalemia
β Absent P waves + Irregularly irregular rhythm = Atrial Fibrillation
Sagar Nursing Classes
β P wave = Atrial depolarization
β QRS complex = Ventricular depolarization
β T wave = Ventricular repolarization
β Normal PR interval = 0.12β0.20 sec
β Normal QRS duration = < 0.12 sec
β ST elevation = Acute Myocardial Infarction (STEMI)
β Tall peaked T wave = Hyperkalemia
β Absent P waves + Irregularly irregular rhythm = Atrial Fibrillation
Sagar Nursing Classes
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