CARDIO COMPRMISE LEVELS Flashcards
no compromised characteristics
Normal vital signs
No symptoms of myocardial ischaemia
‘Looks status four’
mildly comp characteristics
Near normal vital signs.
Mild symptoms of myocardial ischaemia
‘Looks status three’
moderate comp characteristics
Abnormal vital signs.
Moderate symptoms of myocardial ischaemia.
‘Looks status two’
severe comp characteristics
Markedly abnormal vital signs.
High risk of cardiac arrest
‘Looks status one’
The patient is severely compromised if their vital signs are markedly abnormal (ignoring heart rate which is abnormal by definition) such that there is a high risk of cardiac arrest unless immediate interventions are carried out. For example, when the patient has:
Severe hypotension, an unrecordable blood pressure or absent radial pulses, or
An inability to obey commands, or
Severe shortness of breath.
mild asthma cahrcetristics
speak in sentences, loud wheeze, no indraweing, normal SP02, nil agitation, normal LOC
severe asthma characteristics
few words per breath, quiet wheeze. significant undraping, tripodding, sats less than 90, may be agitated and may be confused
life threatening asthma characteristics
unable to speak, reduced air entry, no wheeze, undraping unless exhausted, rapidly failing sp02, falling LOC
Reservoir masks should be reserved for patients requiring
a high concentration of inspired oxygen. For most patients 10 litres/minute is sufficient oxygen flow through a reservoir mask. The oxygen flow is sufficient if the reservoir bag is not completely deflating.
Manual ventilation bags should be reserved for patients requiring
assistance with their breathing or requiring PEEP. For most patients 10 litres/minute is sufficient oxygen flow through a manual ventilation bag. The oxygen flow is sufficient if the reservoir bag is not completely deflating.
