CLINICAL ALGORITHM FOR THE MANAGEMENT OF PATIENTS WITH INJURIES TO THE CHEST WALL
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CLINICAL ALGORITHM CLINICAL ALGORITHM FOR THE MANAGEMENT FOR THE MANAGEMENT OF PATIENTS OF PATIENTS WITH INJURIES TO THE WITH INJURIES TO THE CHEST WALL CHEST WALL Next step in the algorithm
description
CLINICAL ALGORITHM FOR THE MANAGEMENT OF PATIENTS WITH INJURIES TO THE CHEST WALL. Next step in the algorithm. IS PT INTUBATED ?. NO. YES. Monitor: pain management in consultation with multidisciplinary team secretion viscosity and ensure adequate humidification CLINICAL GUIDELINE. - PowerPoint PPT Presentation
Transcript of CLINICAL ALGORITHM FOR THE MANAGEMENT OF PATIENTS WITH INJURIES TO THE CHEST WALL
CLINICAL ALGORITHM CLINICAL ALGORITHM FOR THE MANAGEMENT FOR THE MANAGEMENT
OF PATIENTS OF PATIENTS WITH INJURIES TO THE WITH INJURIES TO THE
CHEST WALLCHEST WALL
Next step in the algorithm
IS PT INTUBATED ?IS PT INTUBATED ?
YESNO
Monitor:Monitor:pain managementpain management in consultation with in consultation with multidisciplinary teammultidisciplinary team
secretion viscosity and ensure adequate secretion viscosity and ensure adequate humidificationhumidification
CLINICAL GUIDELINECLINICAL GUIDELINE
Next step in the algorithm
Initiate therapy to includeInitiate therapy to includePosition pt in high sitting progressing to chairPosition pt in high sitting progressing to chairLocalized DBELocalized DBEShoulder ROMShoulder ROMSuctionSuction
EXPERT OPINIONEXPERT OPINION
FrequencyFrequencyInitiate program ASAP after placement of ICDInitiate program ASAP after placement of ICDPatients seen two times / dayPatients seen two times / day
RECOMMENDATION 1RECOMMENDATION 1
Previous step in the algorithm
Monitor pain managementMonitor pain management in in consultation with multidisciplinary teamconsultation with multidisciplinary team
CLINICAL GUIDELINECLINICAL GUIDELINE
Next step in the algorithm
Assessment of pt asAssessment of pt as
alert alert
hemodynamically stablehemodynamically stable
presenting with unilateral damage to chest presenting with unilateral damage to chest wallwall
RECOMMENDATION 2RECOMMENDATION 2
Next step in the algorithmPrevious step in the algorithm
Discuss with multidisciplinaryDiscuss with multidisciplinary team the team the possibility of CPAP intervention (at least 6 possibility of CPAP intervention (at least 6 hours/day)hours/day)
RECOMMENDATION 2RECOMMENDATION 2
Next step in the algorithm
Initiate therapyInitiate therapy to include: to include:DBE;DBE;Shoulder ROMShoulder ROMAmbulationAmbulationDirected coughDirected cough
FrequencyFrequencyInitiate program ASAP after placement of ICDInitiate program ASAP after placement of ICDPatients seen two times / dayPatients seen two times / day
RECOMMENDATION 1RECOMMENDATION 1
Previous step in the algorithm
