#novembernle
2021
--------------------
MS booster
=PRIORITIZATION
>>principle
>> ABCD (airway, breathing, circulation, disability)
rate (mabilis o mabagal, pattern- mahirap ba); breathing
(level of O2); circulation ( BLOOD, FLUID); disability (LOC)
{GCS}/time,place,person
**mababa, tingnan position, notify physician
**below 90=give O2 NURSE PWEDE up to 2L
**70 and below=intubation (doctor gumagawa)
>>MASLOW (pyramid)
impt baba
a. physiologic (basic needs) oxygen, h2o, food, shelter,
freedom from pain, sex
b. safety and security (freedom from harm and injury)
c. love and belonginess (socialization and companionship)
d. esteem (confidence, believing yourself)
e. self-actualization (satisfaction)
>>ADPIE
(assessment, dx, planning, implementation, eval)
-----------------
PRIMARY SURVEY
SA EMERGENCY
stabilize condition of patient
AIRWAY
a. head tilt chin maneuver
maintain patent airway
**no spinal injury
b. jaw thrust (index and thumb, push down)
(motor VA, patient fall
BREATHING (check chest, feel breathing through nose)
CIRCULATION (pulse) carotid pulse
**incase cardiac arrest=carotid pulse (adult)
**brachial pulse (infant>>less than 1 yo)
**5mins no oxygen sa brain caauses brain damage
check for blood and fluid loss
GCS=15(normal), 8(coma), 3(deep coma)
8=unconscious but rresponsive, 3=unconscious and
unresponsive
>>neurologic status
eye (4)
3=voice
2=pain
1=no eye opening
verbal (5)
4=confuse (sumagot pero mali, inside topic)
3=inappropriate words (sumagot pero mali, outside topic)
2=no words, sound lang
1=no answer
motor (6)
5=localized pain
4=flexion withdrawal
3=abnormal flexion (decorticate)
2=extension=decerebarate
1=no response
**best indicator of clinical death =flat EEG (accdg to WHO)
-----------------
SHOCK=priority>>circulation except anaphylactic shock (airway)
signs: hypo, tachy, tachy
a.SEPTIC SHOCK-infection, fever, antibiotic (penicillin)
b.ANAPHYLACTIC SHOCK- DOB, epinephrine o bronchodilator
c. CARDIOGENIC SHOCK- chest pain, morphine (check RR first)
MI antidote:narcan/naloxone
d. NEUROGENIC SHOCK =spinal cord injury,BRADYCARDIA
mgt:surgery
e. HYPOVOLEMIC SHOCK= blood and fluid loss
mgt: BT/IV
**albumin (volume expander) kapag no blood
