This involves using the Alert, Voice responsive, Pain responsive, or Unresponsive (AVPU) assessment tool to measure the patient’s level of consciousness as well as the Glasgow Coma Score (GCS). Rose was alert and responded to voices, her pupils reacted to light and responded to pain stimuli when the pressure was applied to her toes. Rose’s blood sugar level was also tested and this was within the normal range 4-7mmol/L, with GCS 15/15. Rose’s observations were reviewed and reassessed every 30 minutes to an hour and, by the time she was taken for surgery, her observations had improved and were as follows....
This involves using the Alert, Voice responsive, Pain responsive, or Unresponsive (AVPU) assessment tool to measure the patient’s level of consciousness as well as the Glasgow Coma Score (GCS). Rose was alert and responded to voices, her pupils reacted to light and responded to pain stimuli when the pressure was applied to her toes. Rose’s blood sugar level was also tested and this was within the normal range 4-7mmol/L, with GCS 15/15. Rose’s observations were reviewed and reassessed every 30 minutes to an hour and, by the time she was taken for surgery, her observations had improved and were as follows.
This involves examining Rose’s body after gaining her consent. During this assessment, it is essential to respect the patient’s dignity. Curtains were closed during the examination and ensured that the patient’s heat loss was minimized. Rose’s skin was intact, and before her surgery, the color of her hands had returned from pale to normal pink and felt warm on touch as a result of her vitals improving.
Rose had an ultrasound which enabled the status of the pregnancy to be understood. The ultrasound was able to determine that she was carrying a seven-week and four-days-old ectopic embryo and that the tube was showing the early signs of a full rupture. This condition required immediate surgical intervention via laparotomy. This allowed the embryo to be removed and the tube to be repaired.
This care study directs a guideline that can be applied to future related nursing practice procedures. Nurses should always ensure prioritization of care prior procedures to enable reduce the number of mortality rate that is caused by the late intervention of care. The use of the ABCDE assessment tool, along with GCS and AVPU is key in this objective as it stipulates the stepwise nursing care management especially in triaging emergency patients with life-threatening conditions.
