Академический Документы
Профессиональный Документы
Культура Документы
Hypovolemic shock
Rationale
1. Restlessness, agitation, confusion
or any other mental changes- lack of
oxygen circulating
2. Assess VS
1. Strict I&O
Hypoxia
indicators of hypoxia.
2. Higher concentration of O2 in
tissues and cells
3. postural breathing
4. if falls below 95% pt is hypoxic
5. change in mentation r/o hypoxia
(agitated, restless, lethargy and loss
of consciousness)
1. Monitor VS
Pain
Sepsis
risk.
1. Monitor VS
Hemorrhage
2. Check stool
3. Monitor H&H and pulse ox
ARDS
symptom of ARDS.
4. Monitor LOC.
are signs of
ARDS.
3. Crackles are an indicator of ARDS.
4. Altered sensorium, confusion are
indicators of ARDS.
Cardiac arrest
Hospital acquired
Pneumonia
of PNA.
3. Semi-Fowlers makes it easier to
breath.
and T&P.
5. Ambulate
6. Administer O2 if prescribed.
pooling
Pneumothorax
risk.
Sepsis