NURBN3023 LAB
CorephysiologicalObservations-(CorrectAnswer)`RR
SaO2
BP
Pulse
Temp
Pain
LOC
ChangesincorephysiologicalobservationsthatwouldconstituteaMET-(CorrectAnswer)`RR>30or<8
SaO2<90
BPsystolic>140or<90
Pulse>140or<50
Temp>39
Significantchangeinpain
AlteredLOC
Otherindicatorsoutsidethecorephysiologicalobservationsthatcouldindicatedeterioration-
(CorrectAnswer)`Lossofbowelsounds
Decreaseinurineoutput
Nourineoutput
Chestpain
HighorlowBGL
Threatenedairway
WhatassessmentfindingsareincorporatedintotheABCDEprimaryassessment-(CorrectAnswer)`A-
assessairwayforpatency
B-assessbreathingbylookingforbi-
lateralchestwallmovement,listeningforbreathsoundsandfeelingforchestmovement
C-assesspatientforcirculationbycheckingpulse,capillaryrefill,colourandwarmth
D-assessingpatientsLOCusingAVPU,GCS,PEARLandpainlevels
E-exposingpatientfromheadtotoetocheckifthereareanyotherinjuries
SituationalAwarenessDefinitions
-Perception
-Comprehension
-Projection-(CorrectAnswer)`Perception:howyouviewthings
Comprehension:howyouunderstandthemeaning
Projection:howyouusewhatyoufoundinthefuture
Factorsthataffectsituationalawareness-
(CorrectAnswer)`Stress,timepressure,distractions,culture,fatigue
AlgorithmsforDRSABCD-(CorrectAnswer)`D-Dangers
R-Response(AVPU)
S-Sendforhelp
, A-Airway
B-Breathing
C-CommenceCPR
D-Defib
SecondarySurvey-(CorrectAnswer)`F-fullsetofobs,fluids
G-giveanalgesia,dotheyneedglucose?
H-headtotoeexamination,history
Managementofanairwayforasemiconsciousperson-
(CorrectAnswer)`Headtilt/chinlift,jawthrust,nasopharyngealairway
Managementofanairwayforanunconsciousperson-
(CorrectAnswer)`Headtilt/chinlift,jawthrust,oropharyngealairway(guedel's)
Managementofanairwayforanconsciouspersonwithspinalprecautions-
(CorrectAnswer)`Jawthrusttolimitspinalmovements
Differentiateheadtilt/chinliftandjawthrust-
(CorrectAnswer)`Headtilt/chinlift:usetwofingerstoliftchininanupwardsdirectionandotherhandtotiltforehe
adback
Jawthrust:usetohandsoneithersideofjawandpullupwardsextendingjawout.Usedinspinalprecautionpatie
ntsandpaediatricpatients
Pulseoximetry
Indications
Advantages
Disadvantages
LimitationsforRespiratoryFailure1and2-
(CorrectAnswer)`Indications:tomeasureoxygensaturationinpatientsandwhenusingoxygentherapytomo
nitoreffect
Advantages:cheap,easytouse,relativelyreliable,noninvasive,immediatereadings
Disadvantages:onlymeasuresoxygen,canbyinaccuratewhenusedwithnailpolishoriftheptisshivering
LimitationsforRespiratoryFailure1and2
-usefulinrespfailure1asthistypeoffailurecauseshypoxia.
-notusefulinrespfailure2asthistypeoffailurecauseshypoxiabutalsohypercapnia(highCO2)
Non-rebreatherMask
Indications
NursingConsiderations-
(CorrectAnswer)`Indications:shorttermuseinacutelyunwellordeterioratingpatients
NursingConsiderations:onlytobeusedshortterm,flowmetersetat>12L,METtobeinitiated,inflatebagpriorto
application,alternativedeviceshouldbeusedASAP
FiO1readingsanddifferingdevices-(CorrectAnswer)`RA-.21
NP1L-.24
NP2L-.28
NP4L-.34
HudsonsMask6L-.4
HudsonsMask8L-.5
HudsonsMask10L-.6
HudsonsMask12L-.6
Non-rebreather12L-.85
CorephysiologicalObservations-(CorrectAnswer)`RR
SaO2
BP
Pulse
Temp
Pain
LOC
ChangesincorephysiologicalobservationsthatwouldconstituteaMET-(CorrectAnswer)`RR>30or<8
SaO2<90
BPsystolic>140or<90
Pulse>140or<50
Temp>39
Significantchangeinpain
AlteredLOC
Otherindicatorsoutsidethecorephysiologicalobservationsthatcouldindicatedeterioration-
(CorrectAnswer)`Lossofbowelsounds
Decreaseinurineoutput
Nourineoutput
Chestpain
HighorlowBGL
Threatenedairway
WhatassessmentfindingsareincorporatedintotheABCDEprimaryassessment-(CorrectAnswer)`A-
assessairwayforpatency
B-assessbreathingbylookingforbi-
lateralchestwallmovement,listeningforbreathsoundsandfeelingforchestmovement
C-assesspatientforcirculationbycheckingpulse,capillaryrefill,colourandwarmth
D-assessingpatientsLOCusingAVPU,GCS,PEARLandpainlevels
E-exposingpatientfromheadtotoetocheckifthereareanyotherinjuries
SituationalAwarenessDefinitions
-Perception
-Comprehension
-Projection-(CorrectAnswer)`Perception:howyouviewthings
Comprehension:howyouunderstandthemeaning
Projection:howyouusewhatyoufoundinthefuture
Factorsthataffectsituationalawareness-
(CorrectAnswer)`Stress,timepressure,distractions,culture,fatigue
AlgorithmsforDRSABCD-(CorrectAnswer)`D-Dangers
R-Response(AVPU)
S-Sendforhelp
, A-Airway
B-Breathing
C-CommenceCPR
D-Defib
SecondarySurvey-(CorrectAnswer)`F-fullsetofobs,fluids
G-giveanalgesia,dotheyneedglucose?
H-headtotoeexamination,history
Managementofanairwayforasemiconsciousperson-
(CorrectAnswer)`Headtilt/chinlift,jawthrust,nasopharyngealairway
Managementofanairwayforanunconsciousperson-
(CorrectAnswer)`Headtilt/chinlift,jawthrust,oropharyngealairway(guedel's)
Managementofanairwayforanconsciouspersonwithspinalprecautions-
(CorrectAnswer)`Jawthrusttolimitspinalmovements
Differentiateheadtilt/chinliftandjawthrust-
(CorrectAnswer)`Headtilt/chinlift:usetwofingerstoliftchininanupwardsdirectionandotherhandtotiltforehe
adback
Jawthrust:usetohandsoneithersideofjawandpullupwardsextendingjawout.Usedinspinalprecautionpatie
ntsandpaediatricpatients
Pulseoximetry
Indications
Advantages
Disadvantages
LimitationsforRespiratoryFailure1and2-
(CorrectAnswer)`Indications:tomeasureoxygensaturationinpatientsandwhenusingoxygentherapytomo
nitoreffect
Advantages:cheap,easytouse,relativelyreliable,noninvasive,immediatereadings
Disadvantages:onlymeasuresoxygen,canbyinaccuratewhenusedwithnailpolishoriftheptisshivering
LimitationsforRespiratoryFailure1and2
-usefulinrespfailure1asthistypeoffailurecauseshypoxia.
-notusefulinrespfailure2asthistypeoffailurecauseshypoxiabutalsohypercapnia(highCO2)
Non-rebreatherMask
Indications
NursingConsiderations-
(CorrectAnswer)`Indications:shorttermuseinacutelyunwellordeterioratingpatients
NursingConsiderations:onlytobeusedshortterm,flowmetersetat>12L,METtobeinitiated,inflatebagpriorto
application,alternativedeviceshouldbeusedASAP
FiO1readingsanddifferingdevices-(CorrectAnswer)`RA-.21
NP1L-.24
NP2L-.28
NP4L-.34
HudsonsMask6L-.4
HudsonsMask8L-.5
HudsonsMask10L-.6
HudsonsMask12L-.6
Non-rebreather12L-.85
