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AAHI_S1_2021_Card set 2 (Escalation criteria)

Tafe Teachers SB Assessment and care planning English 7 cards

Cards in this deck (7)

  1. 1Escalation criteria (MET): Respiratory Rate1. Equal to, or below 8
    2. Equal to, or above 35
    (varies with facility)
    3. Also: RR is ineffective (shallow, irregular, periods of apnoea)
  2. 2Escalation criteria (MET): Oxygen saturation1. When a NRBM is in use
    1. SpO2 to < 90% without response to oxygen
  3. 3Escalation criteria (MET): Heart rate1. HR 39 or below
    2. HR = or >140 or above
  4. 4Escalation criteria (MET): Neurological status1. Patient is having a seizure
    2. Any acute, rapid change in GCS or
    3. Decrease in GCS by 2 points or more
  5. 5Escalation criteria(MET): Blood pressure1. Systolic BP 89 mmHg or below
    2. A drop in normal BP trend, associated with symptoms (dizziness, light-headedness, nausea, chest pain, dyspnoea, tachycardia)
  6. 6Escalation criteria (MET): Airway1. Any threat to airway
    a. Vomitus
    b. Respiratory secretions
    c. Food or fluid
    d. Acute bronchoconstriction
    e. Acute allergy (associated with respiratory distress)
    f. Sedated or obtunded patient who can no longer protect their own airway (occluding tongue)
  7. 7Escalation criteria: Code Blue1. Unconscious with ineffective breathing
    2. Unconscious with absent breathing

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Assessment and care planning Flashcards on AAHI_S1_2021_Card set 2 (Escalation criteria), created by Tafe Teachers SB on 10/07/2019.
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  • Created by Tafe Teachers SB · Mar 20, 2019
  • Copied by Tafe Teachers SB · Jul 3, 2019
  • Copied by Tafe Teachers SB · Jul 10, 2019
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