By Pam Moule, John Albarran
Resuscitation is an important ability for nurses in each quarter of scientific perform. useful Resuscitation: attractiveness and reaction is a beginner's advisor to sensible resuscitation, which displays present instructions and advancements in resuscitation and should allow scholars and newly certified employees to advance key resuscitation wisdom and abilities.
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Extra resources for Practical Resuscitation: Recognition and Response
Example text
Unfortunately deterioration often goes unnoticed or is treated inappropriately (McQuillan et al. 1998). This recognition has led to a number of initiatives (DoH 2000b): • education, especially for ward-based staff (Smith et al. 2002); • support for general wards from critical care units (Coombs & Dillon 2002); • systems for calling specialist clinicians before cardiac arrest. 34 MOU2 10/28/04 12:47 PM Page 35 Recognising the Sick Patient A delay by nursing staff in informing medical staff of deterioration in a patient’s condition is a common feature of avoidable cardiac arrests (Hodgetts et al.
However, there are problems associated with the use of pulse oximeters in ill patients. • There is often peripheral shutdown which makes the readings inaccurate. • Cardiac rhythm abnormalities, such as atrial fibrillation, can alter readings. 27 2 MOU2 10/28/04 12:47 PM Page 28 2 Practical Resuscitation • Oxygen saturation is not a reliable indicator of oxygen transport. Its values should be assessed in the light of other observations (Casey 2001). • Pulse oximetry will not detect rising carbon dioxide levels and so a high SaO2 can offer a false sense of security.
Allan, A. et al. (1998) Confidential inquiry into quality of care before admission to intensive care. British Medical Journal 316, 1853–8. Moore, T. (2004) Pulse oximetry. In: Moore, T. & Woodrow, P. (Eds) High Dependency Nursing Care. Routledge, London. National Institute for Clinical Excellence (2002a) Guidance on the Use of GlycoproteinIIa/IIIb Inhibitors in the Treatment of Acute Coronary Syndromes. National Institute for Clinical Excellence, London. National Institute for Clinical Excellence (2002b) Guidance on the Use of Drugs for Early Thrombolysis in the Treatment of Acute Myocardial Infarction.