Class 2 (01|18|22) Prioritization and recognition of deteriorating patients Flashcards
What are the 10 warning signs of a rapidly deteriorating patient
- Body temp
- heart rate/resp rate
- bp
- changes in mental state
- changes in urine output or appearance
- patient staes
- patient does not look right
- shortness of breath
- acute Pain
- very pale
Defne rigors
a sudden feeling of cold with shivering accompanied by a rise in temperature, often with copious sweating, especially at the onset or height of a fever.
Describe the temp of a patient that may be deteriorating.
BODY TEMPERATURE is too high or too low. Report temperatures below 36.0° C or above 38.0° C.
rigors, fever, hypothermia
Describe the heart rate / resp rate of a patient that may be deteriorating.
HEART RATE (pulse) or RESPIRATORY RATE (breathing) changes. A heart rate that stays less than 60 or greater than 100 beats per minute, or a respiratory rate of less than 15 or greater than 20 breaths per minute, may need to be evaluated.
Describe the bp of a patient that may be deteriorating.
BLOOD PRESSURE numbers are out of the normal range. If the systolic (top number in the blood pressure reading) is less than 90 or greater than 180 mmHg, ask for an assessment.
Describe the changes in mental state of a patient that may be deteriorating.
CHANGES IN MENTAL STATE including lethargic, confusion, delirium, or an acute change in personality, memory or alertness
Describe the changes in urine output or appearance of a patient that may be deteriorating.
CHANGES IN URINE OUTPUT OR APPEARANCE. A decrease in amount of urine is a concern (less than 50 ml over 4 hours), as is urine that appears darker in colour or looks “concentrated.”
Describe what the patient may communicate that may be indicating that they are deteriorating.
THE PATIENT STATES that something is wrong with them. Patients often have a sense that they are experiencing a sudden decline in their health.
Describe how the patient may not look right that may indicate they may be deteriorating.
THE PATIENT DOESN’T LOOK RIGHT to the family or advocate. Someone who knows the patient personally is often a better judge of a change in normal appearance or behavior.
Describe the shortness of breath of a patient that may be deteriorating.
SHORTNESS OF BREATH or having a tight feeling or discomfort in the chest. Shortness of breath can be a sign of heart attack, pulmonary embolism (blood clot), infection or pneumonia.
Describe the acute pain of a patient that may be deteriorating.
ACUTE PAIN, especially in the abdomen. This could be a sign of an infection (including peritonitis), intestinal obstruction, a perforated ulcer and other potentially life-threatening problems.
Describe the palness VERY PALE appearance of the skin or breaking out in cold sweats. These symptoms could indicate internal bleeding, shock, infection or heart attack. of a patient that may be deteriorating.
VERY PALE appearance of the skin or breaking out in cold sweats. These symptoms could indicate internal bleeding, shock, infection or heart attack.
What are the organization benefits of a RRT.
- Promoting positive patient outcomes (such as decreased lengths of stay and unanticipated ICU admissions
- Promoting positive organizational outcomes (such as better quality of care and enhanced patient safety
- Reducing costs
- Improving patient and staff satisfaction
What are the staff benefits of a RRT?
- getting expert helps
- RRT users learning, and gaining knowledge skills and expertise
- Supporting RRT users
What are the patient perceived benefits of a RRT?
- early recognition and intervention
- Better patient care
- Enhanced patient safety
