Care of Critically ill patient

The following is a hand on care for the critically ill patient, it might be like check list for nurses who want to refresh their knowledge.

Hair:
Hair must be nearly combed, and must prevent from pediculosis.

Eye:
If patient unconscious, and eye kept open it should be closed with eyepad,

Nose:
Ryles Tube care must be given, and adequate hydration and feed must be given. Minimum 200 ml fluid like milk, tender coconut water, rice kanchi should be given ever 3 hour.

Mouth:
Daily mouth care should be give twice for the critical care patient.

ET suctioning:
If endo tracheal tube was in position, frequent through suctioning should be done.

Tracheotomy Care:
If tracheotomy has performed, suctioning and deflation and inflation must be done hourly. Also tracheotomy dressing to be applied.

Chest:
Chest physiotherapy to be done in postural drain manner.

Extremities:
Upper and lower extremities physical exercise should be done.

Pubic:
If catheter inserted, catheter care should be given.

Back:
Hourly positioning should be done to prevent bed sore.

Venflon:
Venflon should be changed every alternative days also if builder occur immediately it should be changed.

Blood Investigation:
Blood sugar,
Serum Electrolytes,
Liver function test
And other needed test to be done.

XRay
Chest X-ray to be taken to rule out pulmonary infections.

Drugs
Drugs should be given in correct time.


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