Aggressive/Violent Pts (W13) Flashcards
What are some metabolic causes of violence/aggression
DM, dehydration, renal impairment, hepatic encephalopathy, EL disturbances
What are some CVS causes of violence/aggression
Anoxia, CHF, dissecting aneurysm, AMI, cardiac tamponade, hypovolemia
What are some I nfectious causes of violence/aggression
Meningitis, viral infections, UTIs, STIs, hypovolemia
What are some intracranial causes of violence/aggression
Tumours, hemorrhage, epilepsy, CVA, TBI
What are some respiratory causes of violence/aggression
TB, pneumonia, pneumothorax, pleural effusion, pulmonary fibrosis (hypoxia)
‘Acting out’ or hysteria in adolescents can get quite aggressive
May required 10-200
If any of the following occurs you should leave scene and wait for cops
-threats (verbal/physical)
-throws/hits wall
-when pt does not stop doing something after being asked 2x
-pt has weapons
-spidey sense
How far from an aggressive pt should you stand
1.5m, or at least am arms length
Name some smart things to do when dealing with and aggressive pt
-keep something between you and them
-keep one eye on their gaze and one eye on them
Mechanical restraint requires what
Teamwork and a clear leader
What should you do while applying mechanical restraints
Talk the pt through what you are doing even if it appears they are not listening
When can applied restraints be removed
At the receiving facility; ensure to discuss with the receiving facility
How do you apply mechanical restraints
One arm above head, one below, tie ankles together (do not let large muscle groups work together)
What are the three hinges you want to include when documenting restraints against a pt
-who ordered the restraint
-pt position while restrained
-clinical response to the restraints
What positions are likely to result in restraint asphyxia
Hog-tie & hobble
