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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Decompression sickness: a guide for emergency nurses.

Stephen McGhee1, Juan Manuel Gonzalez2, Carmen Rosa Presti3

  • 1School of Nursing and Health Science, University of Miami, Florida, United States.

Emergency Nurse : the Journal of the RCN Accident and Emergency Nursing Association
|November 6, 2019
PubMed
Summary
This summary is machine-generated.

Decompression sickness (DCS) is a serious condition from compressed air exposure. Prompt recognition, high-flow oxygen, and hyperbaric recompression are crucial for effective emergency nursing management.

Keywords:
clinical skillsemergency careemergency servicesnursing careoxygen therapy

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Area of Science:

  • Emergency Medicine
  • Physiology
  • Toxicology

Background:

  • Decompression sickness (DCS) is a potentially fatal condition linked to diving and occupational compressed air exposure.
  • Understanding DCS pathophysiology and types is vital for effective patient care.

Purpose of the Study:

  • To provide emergency nurses with an overview of DCS.
  • To outline essential principles for recognizing and managing DCS in the emergency department.

Main Methods:

  • Literature review on DCS pathophysiology, clinical presentation, and treatment protocols.
  • Emphasis on emergency nursing responsibilities in DCS management.

Main Results:

  • DCS requires prompt identification of signs and symptoms.
  • Initial management includes high-flow oxygen administration.
  • Referral for hyperbaric recompression is a critical step.

Conclusions:

  • Emergency nurses play a critical role in the early management of DCS.
  • Adherence to optimal treatment protocols, including oxygen and recompression, improves patient outcomes.