Mrs Aileen Jones a 67 year old lady with a known medical history of a 6 cm Abdominal Aortic Aneurysm (AAA), collapses in the casualty department that…

Mrs Aileen Jones a 67 year old lady with a known medical history of a 6 cm Abdominal Aortic Aneurysm (AAA), collapses in the casualty department that you are working at. You are the first person on the scene.

Your observations:

She is pale and non- responsive, and clammy. There is irregular agonal breathing.

Following the latest Australian Resuscitation guidelines

Part A

What is your first intervention after the above?

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Part B

To clear any secretions from an unconscious client’s airway, what actions will you perform to ensure clear passage of air.

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Part C

You notice another nurse rush to press the code blue button.

After clearing the client’s airway, you look listen feel for respirations for 10 seconds.

After again checking for signs of life, you are sure that this person has no respirations.

What are your immediate interventions?

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Part D

The resuscitation team arrive with the emergency trolley. What is the next step in the chain of survival?

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Part E

Generally where will this item be found?

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Part F

The resuscitation team forms groups. One person places defibrillator pads, while a doctor and an assistant place a large bore intravenous cannula into the clients arm.

Simultaneously another team are inserting an Endotracheal tube with the use of a laryngoscope.

When doing routine checks on the emergency trolley, what should you test with the laryngoscope?

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Fortunately Aileen responds to the efforts of the staff. The doctor suspects that May is having a significant haemorrhage from her AAA, and takes the appropriate blood pathology from her, including a cross-match, and Full blood count and urea and electrolytes. The operating theatre is warned that Aileen is on her way up. A venturi mask is attached to the endotracheal tube with oxygen attached running at 15 L/min.

Part G

What are some of the indications for a blood transfusion?

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