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Thursday, December 20, 2018

'ABCDEFG Algorithm Look A Airway\r'

' schoolbook Version- ABCDEFG Algorithm Look A Airway B Breathing C CirculationFor any signs of oxygeniseway handicap For evidence of mouth/neck/swelling/ haematoma For security of artificial airway Look At the chest wall movement, to mark if it is normal and cruciate To see if the persevering role is using their neck and shoulder muscles to breathe (accessory muscles) At the tolerant to stride to measure their respiratory rate Look At the fur colour for pallor and peripheral cyanosis At the capillary refill time At the patient’s central venous pressure and jugular venous pressure Look At the level of instinct For facial symmetry, abnormal movements, seizure activity or absent limb movements At pupil size, equivalence and reaction to light take heed For noisy active e. g. gurgling, snoring or stridor flavor For the presence of air movement For security of artificial airway smack For the spatial relation of the trachea to see if it is central For working(a) e mphysema or crepitus If the patient is diaphoretic (Sweaty) Listen To the patient talking to see if they can cease full sentences For noisy breathing e. g. stridor, wheezingListen To the patient for complaints of dizziness and headaches For patient’s note pressure and brass sounds tone Your patient’s hands and feet to see if they are warm or ratty Your patient’s peripheral pulses for presence, rate, quality, regularity and equality. Feel For patient’s response to external stimuli For muscle power and strength D Disability Listen To patient’s response to external stimuli and pain For thick-skulled speech For patient’s orientation to person, turn up and time. E F Exposure Fluids G Glucose let on oxygen station your patient Call for economic aid if you can’t manage Never chair a deteriorating patient without a priority management and review innovation Look Listen Feel For any bleeding e. g. nvestigate wounds and drains For air leaks in drains The patients tum that may be hidden by layer clothes For bowel sounds Look Listen Feel At the observation and fluid charts, noting the fluid For patient’s complaints of thirst The skin turgor input and proceeds At losses from all drains and tubes At the inwardness and colour of the patient’s urine and urinalysis results Look Listen Feel At blood glucose levels For patient’s complaints of thirst If the patient is diaphoretic, (sweaty, cold or clammy) For signs of low glucose, including confusion and For patient’s orientation to person, place and time decreased advised state At medication chart for insulin and spontaneous hypoglycaemics Based on your assessment (above) decide an inhibit oxygen flow rate or percentage.If in doubt commence on 4L/min on a Hudson mask and increase as indicated by oxygen saturation or patient condition. Position your patient to optimise their breathing-usually this is as upright sight as possible and as tolerated by the patient. commit the patient in the left lateral position if they are unconscious but have enough breathing and circulation and where there is no evidence of spinal anaesthesia injury Establish IV If not present, +/- fluids history and communicate clearly all word provided, outcomes of treatment implemented what care is still required The plan should include expected outcomes and when the patient will be reviewed again.\r\n'

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