- Airway ---- threatened / obstructed
- Breathing---Respiratory rate kurang 8x/mnt atau lebih dari 30x/menit
- O2 Saturation---- kurang dari 90 percent
- Circulation---- heart rate kurang dari 45x/menit atau lebih dari 130x/menit
- Systolic BP---- less than 90 or more than 200 mmhg
- Neurological ---- seizures, decrease level of consciousness
- Urine output---- less than 200 mls per 8 hours
- BSL---- less than 3
whilst you find patient's condition deteriorates further as above, you require immediately help.
get the doctor in-charge or senior staff to reassess the patient.
All the deteriorating criteria mentioned above can virtually cause the death if respond is unable to stabilise within 1 hours, to prevent death, escalation extremely required.
Written by Riss
Good posting...!
ReplyDeletesalam kenal dari rekan sejawat di ujung timur Nusantara (Papua).
Tukeran Link ya...
Blog-ku: http://keperawatanku.blogspot.com