Acute Medicine: A Handbook for Nurse Practitioners by Lisa Carroll

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By Lisa Carroll

This publication presents Nurse Practitioners operating within the box of Acute medication with an up to the moment, sensible, and finished consultant to the administration of acute scientific sufferers. It serves as a textual content from which the busy hugely expert nurse can receive details on review, analysis, and administration of acute health conditions. It identifies priorities for remedy and publications the reader throughout the administration of the sufferer. anywhere attainable the newest released instructions were incorporated. the ultimate bankruptcy of the publication considers the criminal, specialist and moral matters confronted via nurses operating at a sophisticated point. the problems of position improvement, the improvement of protocols and prescribing are thought of.

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Example text

R If a decision to stop the resuscitation attempt is made this should be made in the usual way by the team leader in conjunction with the rest of the team. This decision must then be explained to the family member. r The family member should be allowed time with their loved one. It may be appropriate to ask if they wish to remain with them immediately after the resuscitation is stopped or to have some quiet time and return later. r The team leader must talk to the family after the event in the same way as they would if the family had not been present during resuscitation.

R Utilise guedel airway or nasopharyngeal airway if necessary. r Consider intubation if unable to maintain airway. r Remember there is a high risk of aspiration in the unconscious patient following overdose and therefore the airway can be compromised at a later stage even if it isn’t now. Breathing r Give high flow oxygen if unconscious – unless paraquat poisoning is suspected as this can exacerbate pulmonary injury. Monitor oxygen saturations. Monitor respiratory rate. Assist ventilation with bag valve mask if necessary.

ASPIRIN OVERDOSE Like paracetamol, aspirin overdose is sadly common. Aspirin is a non-steroidal antiinflammatory which is readily available in most shops and supermarkets.

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