Unconsciousness Patient Care, Definition, Causes of Unconsciousness Complications of Unconsciousness, Unconsciousness Signs and Symptoms, Medical Management,, Nursing Management, all Information about Unconsciousness meaning Discussed Below,
Unconsciousness A State of the mind in which The individual is 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,
Cerebro vascular accident (CVA),
infections e,g: meningitis, encephalitis,
Diabetes mellitus e.g.: hyperglycemia, hypoglycemia,
Poisons, e.g. Endosulphon, organophosphorus,
Carbon monoxide gas,
Cardiovascular problems e.g. Heart attack,
Unconsciousness Patient Nursing Management
a. Loosen Clothing at Neck, Chest, and Waist.
b. If the weather is cold wrap the blankets around the patient’s body.
c. If breathing has stopped or is about to stop, turn casual into the required posture and start CPR (artificial respiration).
d. Breathing may be noisy or quiet, if not noisy, let the casualty lie on his back. Raise the shoulders slightly with 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 the casualty to a three-quarter-prone position and support in this position with pads, (in a stretcher case, raise the foot of the 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 harmful 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, and do not leave the casualty until he passed on to medical hands
k. No form of drink should be given in this condition.
l. It is best to send the casualty to a healthier place on a stretcher.
m. On return to consciousness, wet the lips with water
n. If there are no thoracic or abdominal injuries sips of water also can be given.
Unconsciousness Patient Nursing care includes
Check for airway an adequate airway must be maintained all the time,
Clothes must be loosened to allow easy movements of the abdomen and chest
Sometimes frequent suction may be required for removing any secretion in the pharynx.
Unconsciousness Patent Position
The patient must be nursed in the left lateral position or Sims position, or prone position
Observation and charting,
Observe the airway for any secretions are present if present remove secretions,
Monitor vitals e.g; Temperature, pulse, and respiration will be recorded every off-on hour,
Monitor input and output
A urine analysis chart will be maintained for those who are suffering from renal failure, Diabetic mellitus,
Protect from flies and mosquitoes,
Care of pressure sore:-
The bed linen must keep clean and dry,
Use safety devices like a water bed, air bed, pillows, side rails,
Maintain electrolyte balance and water balance
Give parenteral line fluids and nutrition e.g: TPN (Total parenteral nutrition),
Naso gastric tube feeding e.g: high protein liquid diet, fruit juices, water,
Monitor Foley’s catheter e.g.: urine color and 24-hour volume,
Check for abdominal distension,
Check for urinary retention,
If the patient is constipated a glycine suppository may be ordered by the physician,
Does not live with unconscious patients,
Do not give food and drinks,
Assess for Glasgow coma scale to Patient Know the Conscious Level,
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