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All Emergencies - Basic life support principles:
- Maintain an airway
- Assess breathing
- Monitor circulation
Monitor and record all vital signs. |
Nausea |
Treat nausea under sedation as hypotension until proven otherwise. |
Hypotension Under Sedation |
Signs/symptoms: Definition: Decrease of BP below 30% of patient's guideline. |
Diagnosis:
- Check pulse if BP reading questionable
- Treat sudden mental status change or nausea as a sign of low BP until proven otherwise
- Patient with normal EKG and lower graph indicates pulseoxy plethysmogram- reflects tissue perfusion
- Note pulse regularity and oxygen saturation
- If EKG shows QRS complex stopped intermittently, there could be a block
Treatment:
- If IV is started, administer fluid challenge (IV fluid bolus). Open flow rapidly until blood pressure increases.
- If pulse < 60, treat both bradycardia & hypotension with atropine
- - 0.5 mg q3-5 minutes x 4, maximum 2.0 mg.
- If pulse > 60, treat with ephedrine 10 mg q3-5 min x 5
- If hypotension persists, call 911
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