Group 3: DISABILITY Describe abnormal clinical manifestations for…
Question Answered step-by-step Group 3: DISABILITY Describe abnormal clinical manifestations for… Group 3: DISABILITYDescribe abnormal clinical manifestations for neurological state. A GCS less than 8 indicates what? What is your response? You are assessing the patient’s neurological status and the patient is not responding to the painful stimulus of trapezius pinch. What would you do next to elicit a response? The patient flexes to painful stimulus and scores a 3 on the GCS for best motor response. What is this posture called? Group 4: EXPOSUREWhat are you assessing? Define skin turgor. How do you assess skin turgor? What does poor skin turgor mean? Definecentral venous pressure jugular venous pressure Your patient has a suspected spinal injury, how would you roll the patient? Place the following clinical manifestations in the correct column?SBP<80mmHg; pulse rate 121-140bpm; uncontrolled pain; >expected blood loss; unable to control excess blood loss; anuria; cardiac arrest; seizure; SBP>181mmHg; SpO2 90-95%; Unresponsive; pain changed location: new bleeding site; GCS<8; 2 or more seizures; urine output < 200mL in 24hrs; SBP>240mmHg; GCS drop by 2; chest pain; pulse rate 40-49bpm; resp rate 31-40bpm; confusion; agitation; SpO2<90% EARLY WARNING SIGNS OF A DETERIORATING PATIENTLATE WARNING SIGNS OF A DETERIORATING PATIENT Prioritise the following interventions from most important to least important Position patientGive oxygenCall for helpAnticipate, prevent, treat communicateNever leave the patient without a priority management & review plan Watch this video from Resuscitation Council UK (2017) https://www.youtube.com/watch?v=jQYHQr3ebLo What do you notice? CPU: WHAT TO DO IN AN EMERGENCY Using the Bed area checklist find all the equipment listed What is each item used for? Review the patient safety checklistTUTOR DEMONSTRATION/EXPLANATION OF EMERGENCY TROLLEY go through each drawer quickly. Highlight Guedels/nasopharyngeal airway (nurse initiated), suction, drug tray, scribe sheet (good for junior nurses to scribe) OXYGEN THERAPYDefine Ventilation Alveoli Surfactant Inspiration Expiration Airway resistance Work of breathingPerfusionHow does ageing affect breathing and oxygenation? What clinical manifestations may be signs of poor oxygenation? What simple interventions may promote effective breathing and improve oxygenation? SUPPLEMENTAL OXYGEN What concentration of oxygen is available in normal air? What does FiO2 mean? DefineDelivered oxygen concentration Inspired oxygen concentration Flow rate Entrainment Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
