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Nursing a critical care patient - Coggle Diagram
Nursing a critical care patient
Blood requirements
Blood type
Haemoglobin count
Total proteins
PCV %
Electrolytes
Potassium
Not eating and on IVFT
Hypokalaemia
Blood lactate
Check for signs of shock
Hyperlactaemia
Glucose
Lack of ability to eat
Drop due to shock
Neurological status
Eye trauma care
Monitor for swelling
Vision tests
Lubricate
Fluorescein to check for ulcers
Reflexes checked
Neurological checks
Visual
Vital signs
Blood pressure
Cranial nerve function
Modified Glasgow Coma Scale
Respiratory system
Diagnostics
X-ray
Ultrasound
Pneumothorax
Thoracocentesis
Thoracic drain
Samples sent for analysis
Oxygen
Cardiovascular system
Aim
Return from hypovolaemic shock
Check cardiovascular function following trauma
Return parameters to normal values
Monitoring equipment
Stethescope
BP machine
ECG
Monitoring charts
Fluid balance
Hypovolaemic shock
Isotonic fluids
Due to blood loss, restore circulating volume
Monitoring
Mucous membranes
Capillary refill time
Heart rate
Pulse quality
Blood pressure
Initial stabilisation
IVFT 10ml/kg over 20 mins
IVFT bag
Fluid line
Methadone 0.2mg/kg IV
Place peripheral IV line
IV catheter
Tape
Bung
Saline flush
Place in oxygen kennel
GA machine checks
Oxygen levels checked
GA circuit checked
Mobility
Time out of kennel
Physiotherapy
Grooming
Wound, tube and line care
IV catheter care
Daily IV checks
Renew bandage
Flush every 4 hours
Check for swelling, redness and phlebitis
Tube care
Daily bandage change
Observe skin surrounding
Pre and post flush
Dressing changed
Aseptic technique
Daily wound care
Keep clean and dry
PPE
Gastrointestinal system and nutrition
Oesophagostomy tube
Bypass facial trauma
Calculate RER
Liquid diet
Split into 8 meals per day
Feed 1/3 day one, 2/3 day two and full amount day three
Analgesia and stress
Medication
Pain score
Review liver and kidney function
Via tube or IV
Stress
Hideaway
Feliway
Dim lighting
Quiet
Home comfort
Renal system
Shock and hypotension
Acute kidney injury
IVFT
Shock doses
Infection control
Barrier nurse
Open wounds
Antibiotics?
Prevent HAIs