What is the first step in the systematic approach to patient assessment ACLS

Índice Show

What is the first step in the systemic approach?
What are the steps of a primary assessment ACLS?
What is the systematic approach to patient assessment?
What is an advantage of a systematic approach to patient assessment quizlet ACLS?

Pharmacology and the Nursing Process

7th EditionJulie S Snyder, Linda Lilley, Shelly Collins

382 solutions

Clinical Reasoning Cases in Nursing

7th EditionJulie S Snyder, Mariann M Harding

2,512 solutions

Global Health 101 (Essential Public Health)

3rd EditionRichard Skolnik

188 solutions

Winningham's Critical Thinking Cases in Nursing

5th EditionBarbara A Preusser, Julie S Snyder, Mariann M Harding

1,931 solutions

Pharmacology and the Nursing Process

7th EditionJulie S Snyder, Linda Lilley, Shelly Collins

382 solutions

Medical Assisting: Administrative and Clinical Procedures

7th EditionKathryn A Booth, Leesa Whicker, Sandra Moaney Wright, Terri D Wyman

1,020 solutions

Epidemiology for Public Health Practice

5th EditionRobert H Friis, Thomas Sellers

124 solutions

Mecânica dos Materiais

8th EditionBarry J. Goodno, James M. Gere

1,037 solutions

Assess

Action as Appropriate

Airway

Is the airway patent?
Is an advanced airway indicated?
Is proper placement of airway device confirmed?
Is tube secured and placement reconfirmed frequently?

Maintain airway patency in unconscious patients by use of the head tilt–chin lift, oropharyngeal airway, or nasopharyngeal airway
Use advanced airway management if needed (eg, laryngeal mask airway, laryngeal tube, esophageal-tracheal tube, endotracheal tube)

Healthcare providers must weigh the benefit of advanced airway placement against the adverse effects of interrupting chest compressions. If bag-mask ventilation is adequate, healthcare providers may defer insertion of an advanced airway until the patient does not respond to initial CPR and defibrillation or until spontaneous circulation returns. Advanced airway devices such as a laryngeal mask airway, laryngeal tube, or esophageal-tracheal tube can be placed while chest compressions continue.

If using advanced airway devices:

Confirm proper integration of CPR and ventilation
Confirm proper placement of advanced airway devices by
- – Physical examination
- – Quantitative waveform capnography
Secure the device to prevent dislodgment
Monitor airway placement with continuous quantitative waveform capnography

Breathing

Are ventilation and oxygenation adequate?
Are quantitative waveform capnography and oxyhemoglobin saturation monitored?

Give supplementary oxygen when indicated
- – For cardiac arrest patients, administer 100% oxygen
- – For others, titrate oxygen administration to achieve oxygen saturation values of 94% or greater by pulse oximetry
Monitor the adequacy of ventilation and oxygenation by
- – Clinical criteria (chest rise and cyanosis)
- – Quantitative waveform capnography
- – Oxygen saturation
Avoid excessive ventilation

Circulation

Are chest compressions effective?
What is the cardiac rhythm?
Is defibrillation or cardioversion indicated?
Has IV/IO access been established?
Is ROSC present?
Is the patient with a pulse unstable?
Are medications needed for rhythm or blood pressure?
Does the patient need volume (fluid) for resuscitation?

Monitor CPR quality
- – Quantitative waveform capnography (if PETCO2 is less than 10 mm Hg, attempt to improve CPR quality)
- – Intra-arterial pressure (if relaxation phase [diastolic] pressure is less than 20 mm Hg, attempt to improve CPR quality)
Attach monitor/defibrillator for arrhythmias or cardiac arrest rhythms (eg, ventricular fibrillation [VF], pulseless ventricular tachycardia [PVT], asystole, pulseless electrical activity [PEA])
Provide defibrillation/cardioversion
Obtain IV/IO access
Give appropriate drugs to manage rhythm and blood pressure
Give IV/IO fluids if needed
Check glucose and temperature
Check perfusion issues

Disability

Check for neurologic function
Quickly assess for responsiveness, levels of consciousness, and pupil dilation
AVPU: Alert, Voice, Painful, Unresponsive

Exposure

Remove clothing to perform a physical examination, looking for obvious signs of trauma, bleeding, burns, unusual markings, or medical alert bracelets

What is the first step in the systemic approach?

Overview of the Systematic Approach. After determination of scene safety, the systematic approach (Figure 6) first requires ACLS providers to determine the patient's level of consciousness.

What are the steps of a primary assessment ACLS?

Assessment Actions:.

Maintain airway patency. ... .

Use advanced airway if needed. ... .

Confirm the placement of advanced airway. ... .

Secure advanced airway device. ... .

Monitor Airway Placement..

What is the systematic approach to patient assessment?

Overview of the Systematic Approach After determination of scene safety, the systematic approach first requires that ACLS providers to determine the patient's level of consciousness. As you approach the patient, If the patient appears unconscious. Use the BLS Assessment for the initial evulation.

What is an advantage of a systematic approach to patient assessment quizlet ACLS?

Having a good systematic approach will allow you to provide better patient care, and hopefully improve outcomes for both clinical scenarios and real-life patients.