circulation deterioiration

Question 1

look; (6)

Answer 1

• capillary refill
• if have catheter, urine output
• blood pressure
• temperature
• haemorrage
• insensible loss ie sweat/ water vapour (if higher resps)

Question 2

how to do capillary refill.

Answer 2

Press for 5 and should come back in two seconds.

Question 3

what does it mean if the cap refill is slow?

Answer 3

dehydrated

Question 4

what does it mean if cap refill is fast?

Answer 4

• sepsis, due to vasodilation.

- fluid overload.

Question 5

why look for urine output?

Answer 5

as kidneys get 1/4 of the blood so shows good cardia output.

Question 6

feel; (2)

Answer 6

• pule. Rate. rhythm. (weak/thready or bounding?) and depth.

- clamy.. therefore temperature.

Question 7

what should the rate of the pulse be and according to who.

Answer 7

51-90 according to royal college of physicians,

Question 8

what does a weak/ thready pulse mean?

Answer 8

dehydrated?

Question 9

what does a bounding heart rate mean?

Answer 9

• sepsis

- fluid overload.

Question 10

what should blood pressure be? systolic and dystolic

Answer 10

111–219 systolic

70-80 dystolic. According to royal college of physicians

Question 11

whats wrong with NEWS systolic?

Answer 11

dont score unless over 219. but 140 classed as high bp.c

Question 12

is there a problem with, and what could it mean?
hr= 120
bp=100/70

Answer 12

yes. Systolic lowerr than heart rate. could mean hypovolaemia

Question 13

what do they need if hypovolaemic?

Answer 13

crystalloids or colloids. (fluids)

Question 14

what is target temperature?

Answer 14

36.1-38 according to royal college of physicians.

Question 15

what happens if someone is pyrexic?

Answer 15

heart rate speeds up and then metabolism so therefore needs oxygen, glucose and colloids or crystalloids (fluids)