Deteriorating Flashcards
1
Q
What are the levels of ECOG?
A
- fully active
- can carry out light work but limited physically stenous activies
- is capable for more then 50% of the day but cannot carry out any work acitivies
- capable of limited self care for less then 50% of the day
- completely disabeled
- dead
2
Q
What are some common changes in patient presentation? (10)
A
- changed mental status
- drowsy
- nausea and vomitting
- agitated/agressive
- depressed
- increase pain
- neurological deficit
- flushed
- hot/feverish
- dry
3
Q
What are some possible conditions causing changes in patient presentation?
A
- metabolic
- septic
- malignant
- medications
- psychiatric
4
Q
What are some metabolic changes that can affect patients?
A
- hypercalcemia
- diabetetic
- dehydrated
- acute organ failure
5
Q
What are some septic changes that can affect patients?
A
- sepsis
- low blood count so they behave differen
- UTI
6
Q
What are some malignant changes that can affect the patient?
A
- spincal cord compression
- cerebral secondaries
7
Q
What are some medication changes that can affect the patient?
A
- dexamethasone (pushes up blood sugar, motivated or depressed, can’t sleep)
- morphine (relaxed, nausea, confused)
8
Q
How do you deal with patients with delirium?
A
- bring them back to reality
- put on bright lights
- talk softly
- take away anything they may have that is dangerious
- be caucious
9
Q
What are some symptoms that suggest a patient has cerebral secondaries?
A
- early morning headaches
- nausea and vomitting
- forgetful
- difficulty expressing words
- uncoordinated
