Evaluation Of A Triage Room

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Triage night shift Sitting at triage, this particular night was busy but not chaotic when a father and son approached to be assessed; pt had been unwell with his asthma for the day and had been following his asthma plan but was not responding to the treatment dad stated pt has unstable asthma and has one presentation to intensive care unit pt was alert orientated talking in full sentences but had wide spread wheeze bilaterally saturations 98% room air mild work of breathing noted. Started treatment in triage room ventolin (five milligrams bronchodilator that relaxes smooth muscles) and atrovent (five micrograms bronchodilator for bronchospasm) nebulizer given with good effect patient was given a category 3 to be seen in half an hour.…show more content…
The patient was intubated and two more two minute cycles were performed when the patient had return of spontaneous circulation. On auscultation patient had a small amount of air entry and not responsive. Art line and central venous catheter inserted pathology and regular arterial blood gases performed. Medication that were given to this patient were continual sulbutamol nebulizer and as well as an infusion, hydrocortisone (steroid) adrenalin infusion, potassium intravenously as life in the fast lane (2016) states that “hypokalaemia will occur with continuous beta-agonist use” and magnesium this “Involve a combination of smooth muscle relaxation,” life in the fast lane (2016). I cannot tell you in what order these medications were given as it was a very intense and stressful resus but well run and great outcome in the end. This patient was transferred to intensive care and later flown out to metropolitan hospital for extensive medical support, and later made a full recovery. I always
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