Go to the patient and look how do you feel any discomfort?
Input , UOP, Pain, vomiting ?
G/A, Level of consousness
( GCS) , Vitals ( BP PULSE RR O2
T ), hydration , look for observation chart
Dillirium – When get hx what happen , Vitals ,cause for
dillirium pain , dehydration , infection
, PE, alcohol withdrawal , rabdomyalosis ( CPK ) , constipation , urinary
retention , problem with environment
unfamiliar , psychiatric , electrolyte imbalance , HF------- ECG and Blood
IX …….PAID REC p for PE, A for alcohol , I for
infection , d for drug/dehydration ,R –r
for redo/ retention , e for electrolyte
and environment
If
agitated sedate with resperidone 0.5 mg
assess severity whether need to admit to ICU
Sudden deterioration – danger , response ( No response –
CPR) , Seek for help ,
Air way – patent
or not
breathing – rate air entry , trachea , muscle using , saturation ,< 95% oxygen
Circulation – BP
Pulse capillary refill , Canula and IVF
,
Disability and
exposure , examine and relevant
investigations .
BP drop after surgery – drs ABC 2 wide bore canula ,
fluid bolus N/S 1 L, catheter , blood
for cross match , call to consultant , sent to hospital .
Chest pain – DRS If response mean
airway + , AB (RR Regular trachea muscles ) C breaf history LOTARDAR ST Worse pain Risk assessment – PMH Dm S/A, obese, FHX
After surgery C/O abdominal pain –
go , check for vitals , Hx EX , cause for pain ,Check charts , surgical note
about pain management , which analgesic given , addicted , infection bleeding
peritonitis, dehisions
Prepare for a surgery – Premed , IX
, Mentally stable , any worries , make sure drugs given
Procedure – NGT , Catheter , tube
cannula
Anuria – fluid bolus , UOP hourly ,
SE, UEC
Has laoreet percipitur ad. Vide interesset in mei, no his legimus verterem. Et nostrum imperdiet appellantur usu, mnesarchum referrentur id vim.
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