What to do in a case of extreme vasovagal syncope and collapse
Be prepared for emergency anytime/anywhere in your work area
•Have crash carts ready always ..monitor them regularly
•Train your staff and revise regularly the various protocols
•Have the Tel numbers of the closest hospital and their physicians, ambulance service and STICK THEM TO THE WALLs
•Know which ambulance service provider is good
Most of the questions were correctly answered
•Hyperventilation can lead to respiratory alkalosis
•Hypovolemia is the most important thing to tackle in a vasovagal.
Question 3: how do you give atropine injection? (Explain the exact procedure of giving any drug IV during an emergency)
This is was the cardiologist told
Well the patient is in hypovolemic shock and peripheral circulation is compromised……..always try to secure a IV line with wide bore cannula
After Injecting any drug….. it important to:
a)flush it with 10 to 20 ml of saline so that reaches the central circulation
b)Elevate the hand…..
(small but important practical maneuvers )