Adult Medical Emergencies Handbook - download pdf or read online

By Graham Robert Nimmo

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Clinical decision making Team work Task Mx Situation Awareness Critical Thinking 4. Differential diagnosis/ definitive diagnosis Immediate, medium term and long term treatment adult medical emergencies handbook | NHS LOTHIAN: UNIVERSITY HOSPITALS DIVISION | 2009/11 41 Immediate investigations are those which will influence the acute management of the patient and include; • • • • • • • • Arterial blood gas Glucose Potassium Haemoglobin Clotting screen (where indicated). Twelve lead ECG. CXR (where indicated).

36 adult medical emergencies handbook | NHS LOTHIAN: UNIVERSITY HOSPITALS DIVISION | 2009/11 GOOD PRACTICE FOR DISCHARGING PATIENTS • Discharge is an extremely important part of patient care. • Planning of discharges should begin early in the patient’s admission. A patient’s suitability for discharge will depend on: • Medical Condition: is the patient stable and can further investigation or treatment be completed as an out‑patient? • Functional Ability: is the patient independent or dependent on others?

2. If required, administer antipyretic/antihistamine. 3. If no clinical improvement within 30 minutes or if signs and symptoms worsen, treat as Category 2. CATEGORY 2: MODERATELY SEVERE 1. Stop the transfusion. 9%. 2. 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).

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Adult Medical Emergencies Handbook by Graham Robert Nimmo


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