Raven Trickett
STUDENT NAME _____________________________________
Acute v Chronic urgent v nonurgent stable v unstable
CONCEPT ______________________________________________________________________________
Managing care
REVIEW MODULE CHAPTER ___________
Related Content Underlying Principles Nursing Interventions
(E.G., DELEGATION, WHO? WHEN? WHY? HOW?
LEVELS OF PREVENTION,
ADVANCE DIRECTIVES)
Evidence Based A client who has an acute First: Airway:-Identify an airway
problem takes priority over a concern (obstruction,
stridor) -Establish a patent
Practice Prioritization and client who has chronic airway if indicated-Recognize
Time Management problem that 3 to 5 min without oxygen
causes irreversible brain
Teamwork A client who has an urgent damage secondary to cerebral
need takes priority over a anoxia
Assigning, client has a nonurgent deep Second: Breathing -Assess the
effectiveness of breathing
Delegating, and A client who has unstable (apnea, depressed respiratory
Supervising findings takes priority over a rate)-Intervene as needed
client who has stable findings (reposition, administer naloxene)
Managing Client Care Third: Circulation-Identify
circulation concern
Maslow's hierarchy (hypotension, dysrhythmia,
inadequate cardiac output,
compartment
syndrome)-Institute actions to
reverse or minimize circulatory
alteration
Fourth: Disability-Assess for
current or evolving disability
(neurological deficits, stroke in
evolution)-Implement actions to
slow down development of
disability
Fifth: Exposure-Remove the
client's clothing to allow for a
complete assessment or
resuscitation-Implement
measures to reduce the risk for
hypothermia (provide warm
blankets and IV solutions or use
cooling measures for clients
exposed to extreme heat
ACTIVE LEARNING TEMPLATES