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    GIC CASTest 2.1 AUG 2021 V1

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    Bishoy Bishay
    This document summarizes the clinical course and treatment of a 25-year-old asthmatic patient who presented with acute shortness of breath. Upon assessment, the patient was wheezing, unable to complete sentences, with a respiratory rate of 40 breaths per minute and oxygen saturation of 86%. The patient then collapsed and went into pulseless electrical activity cardiac arrest. Key treatment points included following ABCDE approach, administering nebulized salbutamol, IV steroids, magnesium and bronchodilators, and recognizing the patient's condition as acute severe asthma during the initial approach. During cardiac arrest management, interventions included confirming cardiac arrest, beginning CPR and administering adrenaline while checking for reversible causes such as hypo

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    GIC CASTest 2.1 AUG 2021 V1

    Uploaded by

    Bishoy Bishay
    784 views1 page
    This document summarizes the clinical course and treatment of a 25-year-old asthmatic patient who presented with acute shortness of breath. Upon assessment, the patient was wheezing, unable to complete sentences, with a respiratory rate of 40 breaths per minute and oxygen saturation of 86%. The patient then collapsed and went into pulseless electrical activity cardiac arrest. Key treatment points included following ABCDE approach, administering nebulized salbutamol, IV steroids, magnesium and bronchodilators, and recognizing the patient's condition as acute severe asthma during the initial approach. During cardiac arrest management, interventions included confirming cardiac arrest, beginning CPR and administering adrenaline while checking for reversible causes such as hypo

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    This document summarizes the clinical course and treatment of a 25-year-old asthmatic patient who presented with acute shortness of breath. Upon assessment, the patient was wheezing, unable to complete sentences, with a respiratory rate of 40 breaths per minute and oxygen saturation of 86%. The patient then collapsed and went into pulseless electrical activity cardiac arrest. Key treatment points included following ABCDE approach, administering nebulized salbutamol, IV steroids, magnesium and bronchodilators, and recognizing the patient's condition as acute severe asthma during the initial approach. During cardiac arrest management, interventions included confirming cardiac arrest, beginning CPR and administering adrenaline while checking for reversible causes such as hypo

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    784 views1 page

    GIC CASTest 2.1 AUG 2021 V1

    Uploaded by

    Bishoy Bishay
    This document summarizes the clinical course and treatment of a 25-year-old asthmatic patient who presented with acute shortness of breath. Upon assessment, the patient was wheezing, unable to complete sentences, with a respiratory rate of 40 breaths per minute and oxygen saturation of 86%. The patient then collapsed and went into pulseless electrical activity cardiac arrest. Key treatment points included following ABCDE approach, administering nebulized salbutamol, IV steroids, magnesium and bronchodilators, and recognizing the patient's condition as acute severe asthma during the initial approach. During cardiac arrest management, interventions included confirming cardiac arrest, beginning CPR and administering adrenaline while checking for reversible causes such as hypo

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    CASTest 2.

    1
    Please mark your responses by filling in the appropriate boxes like this Name:

    Clinical setting and history


    S: 25-year-old patient who has become acutely short of breath B: Known asthmatic Course Centre:
    A: Now wheezy, unable to complete sentences R: Urgent assessment D: you agree to come
    urgently.
    Date:
    Clinical Course
     A: clear; B: RR 40 min-1, audible wheeze; accessory muscles ++; quiet breath sounds
    bilaterally, SpO2 – 86% (60% if not on O2); C: PR 120 min-1 (sinus tachycardia), BP 110/70
    mmHg, CRT <2 s; D: verbal response; E: nil Assessor 1:
     Patient collapses
     Initial rhythm PEA (sinus tachycardia rate 120 min-1); continue for one further cycle if
    reversible causes not identified
    Assessor 2:

    INTERVENTIONS – KEY TREATMENT POINTS IN BOLD


    NOT
    Initial approach EXCELLENT ACCEPTABLE BORDERLINE
    ACHIEVED
    ST ABCDE approach
    Oxygen, IV access
    Recognise acute severe asthma
    Nebulised salbutamol
    IV steroids, nebulised anticholinergic, IV magnesium,
    IV bronchodilator
    Request CXR, ABG
    Cardiac arrest management
    PEA Confirm cardiac arrest / check rhythm
    Call resuscitation team / help
    2 min CPR (30:2)
    Airway / ventilation / oxygen
    Attach ECG monitoring (if not already)
    Give adrenaline 1 mg IV
    Recognise relevant reversible causes
    (hypoxia – oxygenation; tension pneumothorax – needle decompression /
    thoracostomy) (further cycle as required)

    Please add any comments below. Pass

    Retest

    Fail

    ALS Provider Course | CASTest | May/2020 | Version 1 1

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