You have successfully given spinal anaesthetics for a mom-to-be, everything went well and smooth, after a delivery you gave some med to promote uterine contraction, and then antibiotics prophylaxis for her.
You still observed the paedritician taking care for the newborn, it was quite longer than expected, then he came towards your patient telling her that her NB was in need of closed neonatal care because of respiratory difficulty.
So, can you explain what has happened in this scene for a poor newborn?
You still observed the paedritician taking care for the newborn, it was quite longer than expected, then he came towards your patient telling her that her NB was in need of closed neonatal care because of respiratory difficulty.
So, can you explain what has happened in this scene for a poor newborn?
NPO time
You picked up a call, it told you that at the MRI suite there was an uncooperative lady waiting for you. She had something in her head, and the MRI technician mentioned about the follow up scan to evaluate the patient's prognosis. You hurried, you ran, you walked very fast to be there as soon as possible. When you arrived there, the technician told you that the patient had dinner approximately two hours ago.
So, what you are going to tell her daughter who is actually anxious about her mom's condition? and would you proceed the procedure as plan or just run away?
So, what you are going to tell her daughter who is actually anxious about her mom's condition? and would you proceed the procedure as plan or just run away?
After had a provisional diagnosis of Septic shock, a med student would manage something with higher priority first,,,,
1. hypovolaemia with rapid fluid loading with balanced salt solution then re-evaluate the response together with data gathering from patients' relatives
2. full PE : conscious, pulse, pulse pressure, RR, airway, ventilator adjustment, JVP for volume status, then re-evaluate again, if the patient is still unstable, give another fluid loading with vasopressor
3. closed observe, continuous ECG monitoring, control fever
how many stars you would give to this student???
1. hypovolaemia with rapid fluid loading with balanced salt solution then re-evaluate the response together with data gathering from patients' relatives
2. full PE : conscious, pulse, pulse pressure, RR, airway, ventilator adjustment, JVP for volume status, then re-evaluate again, if the patient is still unstable, give another fluid loading with vasopressor
3. closed observe, continuous ECG monitoring, control fever
how many stars you would give to this student???
an Essay response from a med student about patient care after GA with a tube: he says,,,,,,,,,,,
1. evaluate conscious, verbal command, stable vital signs, regular RR, tidal volume, airway reflexes, muscle power, oxygenation
2. if all above are good then extubate, and transfer to PACU area to observe for conscious, oxygenation, ventilation, haemodynamics, complications (nausea, vomit, pruritus) and pain control
3. use aldrete score for discharge criteria, and advise about self care for OPD or send patient back to ward with good pain control
good, isn't it?
1. evaluate conscious, verbal command, stable vital signs, regular RR, tidal volume, airway reflexes, muscle power, oxygenation
2. if all above are good then extubate, and transfer to PACU area to observe for conscious, oxygenation, ventilation, haemodynamics, complications (nausea, vomit, pruritus) and pain control
3. use aldrete score for discharge criteria, and advise about self care for OPD or send patient back to ward with good pain control
good, isn't it?
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