Week 1 Flashcards
What symptoms may your patient display if they have a compromised airway?
Snoring, gurgling, stridor, wheeze, cyanosis, no breath sounds, anxiety level increased, altered conscious state
What are the signs of a compromised airway?
Inability to talk, snoring, gurgling, stridor, wheeze, cyanosis, reduced or no air entry, no breath sounds.
What management strategies are to be employed in airway management?
Basic airway management-(Head repositioning, head tilt jaw thrust)
Airway suctioning to remove foreign material
Magill Forceps to remove foreign material
Oropharyngeal Airway (OPA)
Nasopharyngeal Airway (NPA)
Laryngeal Mask Airway (LMA)
Endotracheal Intubation (ETT)
What adjuncts are available for airway management?
Airway suctioning (Yankaur suction, Y suction catheter) Oropharyngeal Airway (OPA) Nasopharyngeal Airway (NPA) Laryngeal Mask Airway (LMA) Endotracheal Intubation (ETT)
In assessing your patient what is meant by A, B, C, D, E?
A - Airway B - Breathing C - Circulation D - Disability E - Exposure
Define Anxiety
A disorder characterised by excessive concern or worry with a difficulty controlling the level of concern with irritability, restlessness and disturbed sleep.
Define Delirium
An acutely disturbed state of mind characterised by restlessness, illusions, and incoherence, occurring in intoxication, fever, and other disorders
What is meant by ISOBAR?
I - Identify ( Identify your self and/or the patient )
S - Situation ( Discuss the problem, why you are calling )
O - Observations ( Recent vital signs, changes from previous assessments)
B - Background ( Admission Diagnosis or Pertinent medical history)
A - Agree to a Plan ( What is the plan, Who will do what?)
R - Read Back ( Does what I have written or said make sense, is it correct and correctly understood?)
What precipitated factors can cause Anxiety?
Concern about current condition/illness Current experiences and feelings Current care interventions Medication side effects Environmental considerations
What are some of the clinical indications of Anxiety?
I know there are heaps of them.
1) Psychosocial
- increased HR, increased BP, increased RR, Chest Pain, SOB, change in Oxygen saturation, coughing/choking feeling, increased Diaphoresis(sweating), Pallor, Cold & Clammy, Dry mouth, Pain
2) Behavioural
- Restlessness, Agitation, Sleeplessness, Hyper-vigilance, Fighting ventilator, Uncooperative, Rapid Speech, Difficulty verbalising, Distrustful or Suspicious
3) Psychological / Cognitive
- Confusion, Anger, Negative thinking, Verbalisation of Anxiety, Facial expression, Inability to retain and process information
4) Social
- Seeking Reassurance, Need for attention or Companionship, Limiting interaction
Name 4 medications used to treat Anxiety
Diazepam, Midazolam, Propofol, and Dexmedetomidine
Name three non-pharmacological measures to reduce Anxiety
Patient Massage, Aromatherapy, and Music Therapy
What can cause sleep deprivation in our patients?
Untreated Pain and/or Anxiety
Bed Baths during the evening shift
Family visiting
Altered Melatonin levels
