Monitoring Nutritional Status
Table 11.2 provides a comprehensive guide to the relevant monitoring required when a patient is receiving TPN. In particular the nurse should be alert to the possible complications of TPN….
Monitoring Gastrointestinal Function
Hiatus hernia Gastritis Peptic ulcers Tumours Oesophagogastric dismotility Pyloric stenosis result of chronic peptic ulcerationBiliary tractGallstones Hepatoma Metastic liver diseaseSmall and large intestineCrohn’s disease Irritable bowel syndrome ObstructionMetabolicUraemia Diabetic ketoacidosis…
Monitoring Neurological Function
The GCS can be used by different observers and still produce a consistent assessment and has been found to be reliable and easy to use (Ciechanowski et al. 2009). However,…
Recognition and Management of the Deteriorating Patient
Unfortunately, most in-hospital cardiopulmonary arrests are caused by either asystole (39%) (Fig. 1.2) or pulseless electrical activity (PEA) (37%) (i.e. no pulse, but an ECG trace that would normally be…
Assessment of the Critically Ill Patient
Resuscitation Council UK (2011) Causes of Altered Conscious Level Causes of altered conscious level include: severe hypoxia poor cerebral perfusion drugs, e.g. sedatives, opioids cerebral pathology hypercapnia hypoglycaemia alcohol Treatment…
COMMUNICATIONS
5 COMMUNICATIONS using a radio key words phonetic alphabet alternative methods common hand signals dealing with the media using a radio IF YOU ARE ISSUED A RADIO IT MUST BE…
FIRST ACTIONS
FIRST ACTIONS first ambulance at scene first doctor at scene first ambulance at scene Start a log and record time of arrival Wear protective clothing helmet high visibility coat or…
