By Lisa Carroll
This ebook offers Nurse Practitioners operating within the box of Acute medication with an up-to-the-minute, sensible, and complete advisor to the administration of acute clinical sufferers. It serves as a textual content from which the busy hugely expert nurse can receive details on evaluation, prognosis, and administration of acute health conditions. It identifies priorities for therapy and courses the reader in the course of the administration of the sufferer. at any place attainable the newest released guidance were integrated. the ultimate bankruptcy of the ebook considers the felony, specialist and moral concerns confronted through nurses operating at a complicated point. the problems of position improvement, the improvement of protocols and prescribing are thought of.
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Additional info for Acute Medicine: A Handbook for Nurse Practitioners
IX Glossopharyngeal and X Vagus r Listen to the patient’s voice, is it hoarse or nasal? r Ask patient to swallow. r Ask patient to say ‘Ah’. r Watch the movements of the soft palate and the pharynx. r Test gag reflex (unconscious/uncooperative patient). r Stimulate the back of the throat on each side. r It is normal to gag after each stimulus. XI Accessory r From behind, look for atrophy or assymetry of the trapezius muscles. r Ask patient to shrug shoulders against resistance. r Ask patient to turn their head against resistance.
R Chest stiffness may make ventilation and compressions difficult. r Defibrillation may not be effective when core body temperature is <30 ◦ C – consider delaying until temperature >30 ◦ C. r Resuscitation may be prolonged – the adage being that the patient isn’t dead until they are warm and dead. r Slowly re-warm. r Use warmed fluids. r Consider gastric and bladder lavage with warmed fluids. r If available consider utilisation of bypass and Extra Corporeal Membrane Oxygenation (ECMO). Tension Pneumothorax The diagnosis is made clinically.
Age & Ageing 1: 233–8. 26 ACUTE MEDICINE Longmore M, Wilkinson I and T¨or¨ok E (2001) Oxford Handbook of Clinical Medicine, 5th edn. Oxford: Oxford University Press. National Institute for Clinical Excellence (2004) Chronic Obstructive Pulmonary Disease: Management of Chronic Obstructive Pulmonary Disease in Primary and Secondary Care. Clinical Guideline 12. London: NICE. Sprigings D and Chambers J (2001) Acute Medicine: A Practical Guide to the Management of Medical Emergencies, 3rd edn. Oxford: Blackwell Science.
Acute Medicine: A Handbook for Nurse Practitioners by Lisa Carroll