NSE 203 Final ReviewStudy online at deteriora-tion not promptly recognized canincrease pt morbidity mortality2.barrier to recog-nizing respond-ing to clinical de-terioration stems from ...practice variations among HCP3.consequences of not recognizing patient

NSE 203 Final ReviewStudy online at https://quizlet.com/_asg4xb1.clinical deteriora-tion not promptly recognized canincrease pt morbidity & mortality2.barrier to recog-nizing & respond-ing to clinical de-terioration stems from ...practice variations among HCP3.consequences of not recognizing patient deteriora-tionincreased mortality, resuscitation, implementation of higher lvl of care & pro-longed hospital admission4.What is part of an ABCDE assess-ment?1) airway2) breathing3) circulation4) disability5) environment & exposure5.priority things to look for in pt air-way?- any blocked or threatened airways- pt LOC- lzF3&-li0&aven&lS3&20lvvavv-aFS0/F nFmv06ag40vS&n 3&D6.if you suspect neurological trau-ma when assess-ing airway you ...start w/ triple airway maneuver!!7.Triple airway ma-noeuvrechin lift, jaw thrust, patient oxygen1 / 24

NSE 203 Final ReviewStudy online at https://quizlet.com/_asg4xb8.what does vital sign instability & visible patient de-terioration tend to occur?in most pts from 6-24 hrs before cardiac arrest9.clinical deteriora-tionpatient compromising *hemodynamic stability, marked by physiological decom-eaFvlSn3FP0loo3-elFna 0z20vEz+aoSn.a03&03z+aoSn.a0/F nFmvr10.dynamic statevariations in physiological parameters11.decompensationinability to maintain homeostatic fxn physiologically or psychologically12.what are indica-tors of clinical de-terioration- sudden and/or unstable changes in vital signs (RR, BP, HR, O2) - for expert nurses, their intuition helps them determine if a patient looks right- skin color changes- decreased LOC13.assessments to recognize deterio-rationABCDENEWS2FAST14.signs during pri-mary survey that e.pdL&lxilO/eizmly associated w/ death* ...- partial airway obstruction- poor peripheral circulation- greater than expected drain Buid loss- decreased UO- decreased GCS- abnormal RR- new pain - low O2sat & low BP- alteration in mentation15.NEWS2 akanational early warning score2 / 24

NSE 203 Final ReviewStudy online at https://quizlet.com/_asg4xb16.purpose of NEWS2- improve detection of & response to clinical deterioration in patients w/ acute illness- provide *standardized approach* to care of deteriorating patient- clear communication- identify a *score* for urgent clinical response17.what does the NEWS2 score mean?*l0RnmR0MHONf0vo3&aP0n aFSn/av0l0vnoT0elSnaFS0?R30nv0 aSa&n3&lSnFm0s0&adEn&av0*urgent clinical review*18.what does NEWS2 score evaluate?- RR- O2 Sat- systolic BP- HR- LOC or new confusion- temp19.what to do if NEWS score is greater or equal to 3discuss w/ duty nurse/senior colleague, & complete a *sepsis screen for signs of infection*20.what to do if NEWS score is greater or equal to 6immediate discussion w/ ACT advanced practitioner or ACT dr21.low risk, ward-based response3 / 24

NSE 203 Final ReviewStudy online at https://quizlet.com/_asg4xbNEW score 0-4, clinical risk & re-sponse22.NEW score of 3, clinical risk & re-sponselow-medium, urgent ward-based response23.NEW score of 5-6, clinical risk & re-sponsemedium, key threshold for urgent response24.NEW score of 7+, clinical risk & re-sponsehigh risk, urgent or *emergency response*25.what is FAST used for?to identify most common signs of stroke (ischemic, hemorrhagic or mini)26.if a patient shows a FAST symptom ...emergency action is required . Call 911 (outside), or stroke team (inside)27.what does FAST stand for?F(acial dropping)A(rm weakness)S(peech slurred/jumbled)T(ime to call 911 or help right away)28.interpersonal vio-lence includes- intimate partner violence- sexual violence- child maltreatment/abuse- elder abuse- RE-lF0S&l