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Rapid Response
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Staff Concerned/Worried
The patient does not look act right. Instinct that patient is beginning a downward spiral even if non of the physiological triggers have yet occurred.
Change in RR
Less than 8 or greater than 30
Change in Oxygenation
Pulse Oximeter decreased below 90%
Labored Breathing
The patients breathing becomes labored.
Change in Heart Rate
Less than 40 bpm
Greater than 120 bpm
Change in Blood Pressure
systolic below 90 mmHg
rises above 200 mmHg
Hemorrhage
The patient developes uncontrolled bleeding from site or port
Decreased LOC
The patient becomes somnolent difficult to arouse, confused, or obtuned
Onset of agiation/delirium
the patient becomes agitated or delirious
Seizure
The patient has a seizure
Other Alterations in Conciousness
Any other changes in mental status or CNS status such as sudden blown pupil, onset of slurred speech, onet of unilateral limb or facial weakness
Author
RosieHernandez
ID
111537
Card Set
Rapid Response
Description
Rapid Response
Updated
2011-10-24T00:42:54Z
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