ABCDEFG Algorithm Look A Airway

Text Version- ABCDEFG Algorithm stick out A Airway B Breathing C CirculationFor any signs of personal line of creditway obstruction For evidence of rim/neck/swelling/haematoma For hostage of artificial airway Look At the chest wall movement, to see if it is normal and symmetrical To see if the enduring is using their neck and shoulder muscles to breathe (accessory muscles) At the long-suffering to measure to measure their respiratory rate Look At the come up discolour for pallor and peripheral cyanosis At the capillary refill meter At the patients telephone exchange venous pressure and vena jugularis venous pressure Look At the level of consciousness For seventh cranial nerve symmetry, abnormal movements, seizure activity or absent limb movements At pupil size, equality and reaction to light Listen For noisy living e. g. gurgling, snoring or stridor obtain For the presence of air movement For security of artificial airway looking at For the position of the trachea to s ee if it is central For surgical emphysema or crepitus If the patient is diaphoretic (Sweaty) Listen To the patient talking to see if they can complete full sentences For noisy eupneic e. g. stridor, wheezingListen To the patient for complaints of dizziness and headaches For patients blood pressure and tone sounds Feel Your patients hands and feet to see if they are immediate or refrigerant Your patients peripheral pulses for presence, rate, quality, regularity and equality. Feel For patients response to outside stimuli For muscle power and long suit D Disability Listen To patients response to external stimuli and pain For slurred speech For patients orientation to person, bespeak and time. E F Exposure Fluids G Glucose Give type O present your patient Call for help if you cant manage neer leave a deteriorating patient without a priority management and canvass plan Look Listen Feel For any bleeding e. g. nvestigate wounds and drains For air leaks in drains The patients abd omen that may be hidden by go to sleep clothes For bowel sounds Look Listen Feel At the reflection and fluid graphs, noting the fluid For patients complaints of thirst The skin turgor comment and output At losses from all drains and tubes At the amount and colour of the patients urine and urinalysis results Look Listen Feel At blood glucose levels For patients complaints of thirst If the patient is diaphoretic, (sweaty, cold or clammy) For signs of low glucose, including confusion and For patients orientation to person, stupefy and time decreased conscious state At medication chart for insulin and oral hypoglycaemics Based on your assessment (above) decide an appropriate oxygen flow rate or percentage.If in doubt commence on 4L/min on a Hudson mask and increase as indicated by oxygen saturation or patient condition. Position your patient to optimize their breathing-usually this is as upright position as possible and as tolerated by the patient. Place the patient in the left late ral position if they are unconscious but have adequate breathing and circulation and where there is no evidence of spinal injury Establish IV If not present, +/- fluids inventory and communicate clearly all treatment provided, outcomes of treatment implemented what allot is still required The plan should include expected outcomes and when the patient willing be reviewed again.