ICU nursing Flashcards
What is triage?
- quickly assesses each patient
- decides order of patients needing treatment
How do we triage?
- quick assessment of 3 major body systems (CVS, Resp, neuro)
- no longer than 2 mins
1. introduce yourself to client
2. ask if patient is friendly
3. examine: - if stable, they can stay with owner
- if not, take them for emergency treatment
monitoring times for critical patients
15-30mins- GA recovery, blood transfusions
1-2hrs- hypoglycaemic patients
4-6hrs- stable patients but may deteriorate (cardiac disease)
large breed dog HR range
60-100bpm
small breed dog HR range
100-140bpm
cat HR range
140-180bpm
dog systolic BP range
110-160mmHg
Dog diastolic BP range
55-110mmHg
Cat systolic BP range
120-170mmHg
cat diastolic BP range
70-120mmHg
hypotension
<100mmHg systolic, <60mmHg MAP
- fluid boluses
- vasopressors
hypertension
> 170-200mmHg systolic, >120mmHg MAP
- antihypertensive drugs
- treat underlying cause
bradypnoea
<15 brpm
- hypocapnia (less circulating CO2, less drive to breathe)
- hypothermia
- drugs
- CNS disease
tachypnoea
> 45-50 brpm
- hypercapnia
- hyperthermia
- pyrexia
- stress
- compensation for metabolic acidosis
dyspnoea compensations
- postural changes (orthopnoea)
- open-mouth breathing
- increased chest and abdominal muscle movement
