Giới thiệu tóm tắt prn tạm dừng: bất cứ sự thay đổi nào trong tình trạng lâm sàng hoặc các dấu hiệu quan trọng: đánh giá: điều tra và kết quả: quản lý kịp thời prn: thông tin, thoải mái, và trấn an prn bệnh nhân. Hãy coi chừng sớm gán khó thở / điểm yếu / parathesia một nguyên nhân tâm lý. | The Gist of Emergency Medicine 39 Brief pause prn any change in the clinical status or the vital signs assessment investigations and available results timely management prn inform comfort and reassure the patient prn. Beware of prematurely attributing dyspnea weakness parathesia to a psychogenic etiology. 10 Finish the primary survey an abbreviated complete physical assessment plus foley catheter prn urethra ok obtain a spontaneously voided specimen first if feasible micro gross hematuria urinalysis measure urine output nasogastric cribiform plate ok orogastric tube prn acute gastric dilation mast prn if not already applied during the ABC s gram stains of buffy coat and cultures prn other stains tetanus toxoid prn tetanus immune globulin prn antibiotics prn often . cultures first prn analgesics prn early prn often . flow sheets prn . glasgow scale vital signs fluid input output and other assessments investigations and therapeutic interventions . Monitor the central venous pressure PCWP prn. Other points type and amount of ng drainage bile only swallowed blood from epistaxis hemoptysis continuous or intermittent gastric suction zantac . stress ulcer prophylaxis gross or micro hematuria no red cells myoglobinuria red cell casts nephritis on anticoagulants trauma or renal bladder tumor UTI renal calculus minimum urine output 1cc kg hr for children to 50 cc hr for adults instill xylocaine jelly into the urethra prior to catheterizing males obtain toxic screens on gastric aspirate and urine prn use an infusion pump prn . dopamine and give prophylactic low dose heparin . 5000 units . q12h if appropriate. Multiple trauma patients require the following portable x-rays others prn skull cervical spine chest abdomen and pelvis. CT Scan MRI . shaken baby syndrome retinal hemorrhages . Last meal keep NPO Be on the look out for the abuse psychological physical sexual and neglect of children women the handicapped and the elderly discrepancies in the .
