By Pam Moule, John Albarran
Resuscitation is a necessary ability for nurses in each region of scientific perform. functional Resuscitation: attractiveness and reaction is a beginner's consultant to useful resuscitation, which displays present guidance and advancements in resuscitation and should let scholars and newly certified employees to improve key resuscitation wisdom and talents.
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Extra info for Practical Resuscitation Moule
Nitroglycerine (GTN) spray, to dilate the coronary arteries. Aspirin 300 mg orally. Diagnosis Diagnosis is by history, assessment of risk factors, clinical examination and thorough investigations. The commonest and most important investigation is the electrocardiogram (ECG). 20 MOU2 10/28/04 12:47 PM Page 21 Recognising the Sick Patient This should be performed as soon as possible, as treatment decisions are heavily influenced by it. Electrocardiogram Electrocardiographic changes can be detected after only 30–60 seconds of ischaemia (Edwards 2002), although they may develop later or return back to baseline (Albarran & Kapeluch 2000).
A normal ECG does not exclude AMI and some ‘abnormalities’ can occur normally. If symptoms are sufficiently serious to warrant an ECG, then they are also sufficiently serious for it to be interpreted immediately. 2. 3 depicts a 12-lead ECG showing the characteristic ST elevation in the leads looking at the inferior surface of the heart. Biochemical markers When cardiac cells are damaged, intracellular proteins leak out and can be detected in the blood. The most important and accurate of these are the cardiac troponins (Harrison 1999).
Jevon, P. & Ewens, B. (2001) Assessment of a breathless patient. Nursing Standard 15 (16), 48–55. Jones, I. (2003) Acute coronary syndromes: identification and patient care. Professional Nurse 18 (5), 289–92. I. R. (2003) Comprehensive Coronary Care, 3rd edn. Baillière Tindall, Edinburgh. , Hodgetts, T. & Castle, N. (2001) Time to put the R back in TPR. Nursing Times 97 (40), 32–3. McArthur-Rose, F. (2001) Critical care outreach services and early warning scoring systems: a review of the literature.
Practical Resuscitation Moule by Pam Moule, John Albarran