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Unconsciousness Patient Nursing care

Unconsciousness Patient Care, Definition,Causes of Unconsciousness Complications of Unconsciousness,Unconsciousness Signs and Symptoms,Medical Management,,Nursing Management,all Information about Unconsciousness Discussed Below,

DEFINITION OF UNCONSCIOUSNESS PATIENT:-

Unconsciousness A State of the mind in which The individuals Not Able To respond to express His needs
Unconsciousness is a lack of awareness of one’s environment and The Inability to Respond to external Stimuli,

Causes of unconsciousness:-

Shock,
Renal failure,
Liver failure,
Heat stroke,

Head injury,
Cerebro vascular accident (CVA),

infections e,g: meningitis, encephalitis,
Diabetes mellitus e.g.: hyperglycemia, hypoglycemia,
Anesthesia,
Poisons, e.g. Endosulphon, organophosphorus,
Drugs,
Asphyxia,
Alcohols,
Carbon monoxide gas,
Epilepsy,
Brain tumours,
Cardiovascular problems e.g. Heart attack,

Nursing Management of unconsciousness patient:-

a. Loosen Clothing at Neck, Chest and Waist.
b. If the weather is cold wrap the blankets around the patient body.
c. If breathing has stopped or about to stop, turns casual in to the required posture and start CPR (artificial respiration).
d. Breathing may noisy or quiet, if not noisy, let the casualty lie on his back. Raise the shoulders slightly by a pad and turn the head to one side.
e. Watch for some time. If breathing becomes difficult, or gets obstructed, change the posture to easy breathing.
f. If breathing is noisy (i.e. the lungs are filled with secretions and the air passing through makes a bubbling noise) turn casualty to three-quarter-prone position and support in this position with pads, (in a stretcher case, raise the foot of stretcher so that lung secreting drains easily).
g. See that there is a free supply of fresh air and that the air passages are free.
h. Take the casualty away from harm full gases, if any; if inside a room, open doors and windows.
Remove false teeth.
i. Apply specific treatment for the cause of unconsciousness.
j. Watch continuously for any changes in the condition, do not leave the casualty until he passed on to medical hands
k. No form of drinks should be given in this condition.
l. It is best to send the casualty a healthier place on a stretcher.
m. On return to consciousness, wet the lips with water
n. If there are no thoracic or abdominal injury sips of water also can be given.
Nursing care includes
Air way:-
Check for air way an adequate airway must be maintained all the time,
Clothes must be loosen to allow easy movements of abdomen and chest
Sometimes frequent suction may required for removing any secretion in the pharynx.

Position of the patient:-

Patient must nursed in the left lateral position or Sims position, or prone position
Observation and charting,
Observe airway any secretions is present if present remove secretions,
Monitor vitals e.g; Temperature, pulse, respiration will be record every off-on hour,
Monitor input and output
Urine analysis chart will be maintain for who are suffering with renal failure, Diabetic mellitus,
Hygiene:-
It includes,
Oral care,
Bed bath,
Skin care,
Protect from flies and mosquitoes,
Care of pressure sore:-
The bed linen must keep clean and dry,
Use safety devices like water bed, air bed, pillows, side rails,
Nutrition:-
Maintain electrolyte balance and water balance
Give parenteral line fluids and nutrition e.g: TPN (Total parentraeral nutrition),
Or
Naso gastric tube feeding e.g: high protein liquid diet, fruit juices, water,
Elimination:-
Monitor Foley’s catheter e.g.: urine color and 24 hours volume,
Check for abdominal distension,
Check for urinary retention,
If the patient is constipated a glycine suppository may be ordered by the physician,
Note:-
Don not live unconsciousness patient,
Do not give food and drinks,
Assess for Glasgow coma scale to Patient Know the Concious Level,

NOTE:
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  1. Nice post and eloquent description

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