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image - Coggle Diagram

- - - - The chief complaint
      - The history of present illness
      - The past medical history
      - The family and social history
      - The review of systems
      - Physical examination findings
    - - To be succinct and organized
- - - - Sympathetic distributions to beyond level organs is done through the rami communicants
  - - - Acute
        
        Synpatotoxicity
        
        Neuroinflammation
        
        Excitotoxicity
      - Chronic
        
        Calcium homeostasis
        
        Apoptosis imbalances
      - Common
        
        Oxidative stress
  - - - Any substance that is used to kill or repel pests
    - - Herbicides
      - Rodenticides
      - Insecticides
      - Fumigants
      - Fungicides
    - - Attack brain and nervous system
        
        Mechanism of cholinesterase inhibition
      - Effects?
        
        Acute?
        
        Difficulty in breathing
        
        Nausea and vomiting
        
        Irritation of the eyes
        
        Lacrimation
        
        Long-term?
        
        Cancer
        
        Brain and nervous system damage
        
        Reproductive problems
        
        Damage to liver, kidneys, lung and other organs
        
        On children?
        
        Permanent damage
        
        Impair organs
        
        Less able to detoxify
        
        May lead to death
        
        Greif
        
        Is an emotional response to a loss whether it is a loved one, an experience, or a situation
        
        Stages:
        
        Denial
        
        Anger
        
        Bargaining
        
        Depression
        
        Acceptance
        
        Different people
        
        Progress through the stages differently
        
        In different orders
        
        Might not experience all five stages
        
        Types:
        
        Acute
        
        Resolves within 6 mounths
        
        Normal to experience visions or voices of the dead person
        
        Persistant
        
        Lasts longer than 6 months
        
        Interferes with daily functioning
        
        Can lead to major depressive disorder
        
        Children and Grief
        
        When telling a child that someone has passed be open and honest
        
        Encouraged to grieve appropriately in front of them
      - Measures Taken
        
        Medically Induced Coma
        
        What?
        
        Is a reversible drug induced state of brain inactivation and unconsciousness
        
        Why?
        
        To slow down brain metabolism and function to help a patient recover from a serious condition
        
        How?
        
        General Idea: is administering drugs such as barbiturates, to depress the function of the nervous system (no stimulation)
        
        Intubation
        
        Ventilation
        
        Types:
        
        Negative Pressure Ventilation
        
        Positive Pressure Ventilation
        
        Inhalation: gas coming from the ventilator is pushed into the patients lungs after being warmed and humidified
        
        Exhalation: gas is going to be passively exhaled out
- - - - bowel irrigation
      - gastric lavage
      - activated charcoal
    - - hemodynamic monitoring
        
        invasive
        
        CVP
        
        Arterial line
        
        Swans ganz catheter
        
        continuos monitoring of the movement of blood and pressure being exerted in the veins, arteries, and chambers of the heart
        
        non-invasive
        
        ECG
        
        HR
        
        BP
        
        temperature
- - - - CPR should be commenced if cardiac arrest is suspected
      - Ongoing management should be directed by the cardiac rhythm identified
      - Cardiac arrest should be suspected in an infant or child who is unresponsive and not breathing normally
      - Effective resuscitation relies on a coordinated team and good communication