|
The acronym "PATCH(4) MDs" provides a guide to problem search.
| Problem |
Assess
|
Possible
Interventions |
| Pulmonary
Embolism |
No pulse w/ CPR, JVD |
Thrombolytics, surgery |
Acidosis
(preexisting) |
Diabetic/renal patient,
ABGs |
Sodium bicarbonate,
hyperventilation |
| Tension
pneumothorax |
No pulse w/ CPR, JVD,
tracheal deviation |
Needle thoracostomy |
Cardiac
Tamponade |
No pulse w/ CPR, JVD,
narrow pulse pressure prior to arrest |
Pericardiocentesis |
Hyperkalemia
(preexisting) |
Renal patient, EKG, serum
K level |
Sodium bicarbonate, calcium
chloride, albuterol nebulizer, insulin/glucose, dialysis,
diuresis, Kayexalate |
| Hypokalemia |
EKG, serum K level |
Treat with great prudence after careful assessment of the cause. K can kill. |
| Hypovolemia |
Collapsed vasculature |
Fluids |
| Hypoxia |
Airway, cyanosis, ABGs |
Oxygen, ventilation |
Myocardial
infarct |
History, EKG |
Acute Coronary Syndrome
algorithm |
| Drugs |
Medications, illicit
drug use, toxins |
Treat accordingly |
| Shivering |
Core temperature |
Hypothermia Algorithm |
| If trauma is present then proceed with ATLS protocol. |
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