By Graham Robert Nimmo
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Extra resources for Adult Medical Emergencies Handbook
Senior advice should be sought early. iv) What co-morbidity is present? (including drugs which blunt compensatory changes in physiology). i If the parameters are nomal is that appropriate for the clinical state of the patient? 9 BPS (mm Hg) ≥ 200 100-199 80-99 70-79 ≤ 69 ≥ 130 110-129 100-109 50-99 40-49 30-39 ≤ 29 Alert Verbal Pain None HR AVPU Response Case example Patient presents in respiratory distress. 9, BPS 160/70, HR 105, AVPU: Verbal SEWS score = 6 Patient requires increased frequency of observations and urgent medical review.
The information required must be accurately transcribed from the inpatient prescription chart and the patient’s medical notes. • The doctor responsible for the patient’s care must ensure that the Patient Discharge Information Summary is completed in adequate time, taking account of the patient’s planned time and date of discharge. • At least a seven day supply of medicines must be provided, unless a longer or shorter course of treatment is appropriate. The duration of therapy for antibiotic or steroid courses MUST be specified.
Notify the doctor and the Hospital Transfusion Laboratory immediately. 3. Send the blood unit with the giving set, freshly collected blood samples (including blood cultures) with appropriate request form to the Hospital Transfusion Laboratory for investigations. 4. Administer antipyretic/antihistamine (avoid aspirin in thrombocytopenic patients). 5. Treat as per anaphylaxis protocol: stridor, wheeze and hypotension will require treatment with oxygen and im adrenaline. Call experienced help early: ICU/Anaesthetics.
Adult Medical Emergencies Handbook by Graham Robert Nimmo