From a 5th year Med Student response in an essay examination about a nurse call asking you to evaluate and manage a patient with BP 84/50, RR 30, and loss of consciousness, she told you that it was the time to record the patient's vital signs after 1 hour interval in the immediate postoperative period.
He said :
1. Understand the situation: make a short list of the main problems waiting now: unconscious, hypotension, tachypnoea
2. Gathering an essential information
- more patient history : anything important for a diagnosis
- physical examination : especially the consciousness and the CVS
3. Make a likely diagnosis: because hypovolaemic shock had to be ruled out then surgical site should be assessed
4. Management to the appropriate diagnosis and re-evaluate again whether or not the treatment given is working
Good, isn't it?
He said :
1. Understand the situation: make a short list of the main problems waiting now: unconscious, hypotension, tachypnoea
2. Gathering an essential information
- more patient history : anything important for a diagnosis
- physical examination : especially the consciousness and the CVS
3. Make a likely diagnosis: because hypovolaemic shock had to be ruled out then surgical site should be assessed
4. Management to the appropriate diagnosis and re-evaluate again whether or not the treatment given is working
Good, isn't it?
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