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By Lisa Carroll
This e-book presents Nurse Practitioners operating within the box of Acute drugs with an up-to-the-minute, useful, and accomplished advisor to the administration of acute scientific sufferers. It serves as a textual content from which the busy hugely expert nurse can receive details on evaluate, analysis, and administration of acute health conditions. It identifies priorities for therapy and publications the reader throughout the administration of the sufferer. anywhere attainable the most recent released guidance were integrated. the ultimate bankruptcy of the publication considers the felony, expert and moral matters confronted by means of nurses operating at a sophisticated point. the problems of position improvement, the advance of protocols and prescribing are thought of.
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Additional resources for Acute Medicine A Handbook for Nurse Practitioners
Sample text
R Ask patient to: ➢ protrude tongue; ➢ move tongue from side to side. Motor Observation: Look for Signs of: r Involuntary movements. r Muscle symmetry. r Proximal and distal differences. r Signs of atrophy. r Pay particular attention to the hands, shoulders, and thighs. r Observe gait if appropriate. Muscle Tone r Ask the patient to relax. r Flex and extend the patient’s fingers, wrist, and elbow. r Flex and extend patient’s ankle and knee. r There is normally a small, continuous resistance to passive movement.
R Retract the fist immediately. NON-SHOCKABLE RHYTHM – PULSELESS ELECTRICAL ACTIVITY (PEA) r Commence CPR (30:2). r Give adrenaline 1 mg IV as soon as IV access is achieved. r Continue CPR (30:2) until the airway is secured then continue chest compressions r r r r r r r without pausing during ventilation. Recheck the rhythm after two minutes. Give further adrenaline 1 mg IV every 3–5 minutes. If the ECG changes and organised electrical activity is seen, check for a pulse. If a pulse is present start post resuscitation care.
R It is highly unlikely that a further reaction will occur. ASPIRIN OVERDOSE Like paracetamol, aspirin overdose is sadly common. Aspirin is a non-steroidal antiinflammatory which is readily available in most shops and supermarkets. While there ACUTE POISONING AND DRUG OVERDOSE 49 is some media attention about the dangers of taking too many paracetamol tablets aspirin does not seem to attract the same degree of attention. Incidences of aspirin overdose are, like paracetamol, on the decline since the inception of legislation in 1998 governing the number of tablets in a packet and the number of packets that can be sold at any one time.