care of unconcious patient whole datailed ppt

1. CARE OF UNCONCIOUS
PATIENT

2. INTRODUCTION
Unconsciousness is a state in which a
person is not awake and is not aware of
their surrounding or their own actions, it
can result from various medical conditions
or severe illness.

3. DEFINITION
Unconciousness is a state in which a
person unarousable and unresponsive
coma is a deepest state of
unconsciousness.

4. CAUSE
• Trauma
• Stroke
• Infection
• Hyperglycemia / hypoglycemia
• Meningitis

5. NURSING MANAGEMENT OF UNCONSCIOUS PATIENTS
Assessment of airway , breathing and circulation
• Ensure the patient airway is open
• Check for adequate breathing and support ventilation if
necessary
• Monitor circulation and maintain adequate blood
pressure and heart rate

6. POSITIONING
• Place the patient in the recovery position (on their
side) to prevent aspiration.
• Ensure the head is positioned to maintain an open
airway.
• Elevate head of bed to 30 degree angle or place
client lateral or semi prone position

7. VITAL SIGNS MONITORING
• Regularly monitoring and record vital signs (temperature,
pulse, respiration, blood pressure and oxygen saturation)
• Manage temperature with antipyretics and cooling
measures.

8. NEUROLOGICAL ASSESSMENT
• Use the Glasgow Coma Scale (GCS) to assess
the level of consciousness.
• Monitor pupil size and reaction to light.
• Take measure to prevent increase intra cranial
pressure .

9. MAINTAIN AIRWAY PATENCY
• Suction the airway as needed remove secretions.
PROVIDE OXYGEN THERAPY
• Administer supplemental oxygen to maintain
adequate oxygenation

10. FLUID AND ELECTROLYTE BALANCE
• Monitor fluid intake and output and maintain the proper intake
output chart hourly.
• Administer intravenous fluids and electrolytes as prescribed.
• Assess the hydration status .
• Diuretics may be prescribed to correct fluid overload and reduce
edema .

11. NUTRITIONAL SUPPORT
• Provide the total parenteral nutritional (TPN)
• Intravenous fluid should be provided.
• Give high calorie , high protein and vitamin which diet in the liquid
form .
• Give the nasogastric feeds in every 3-4 hourly provided.

12. PREVENT PRESSURE ULCERS
• Regularly reposition the patient to prevent
pressure sores
• Special mattresses or airbeds to be used .
HYGIENE AND SKIN CARE
• The nurse should provide intervention for all
self care need including bathing , hair care , skin
and nail care .
• Proper assessment of the condition of the skin
must be done when giving a bath .

13. • Involving the family in self care needed .
• Provide bed bath daily.
• Change clothes every day and whenever needed
ORAL HYGIENE
• A chlorhexidine based solution is used.
• Airway should be removed when providing oral care. It
should be cleaned.
• Minimum 2-4 hourly oral care to reduce the potentially
of infection from micro-organism.

14. EYE CARE
• In assessing the eyes, observe for sign of irritation, corneal dying.
• Gentle cleaning with gauze and 0.9% sodium chloride should be
sufficient to prevent infection.
• Artificial tears can also be applied as drop to help moisten the eyes.
• Tape can be used to close the eyes.

15. NOSE CARE
• Cleaning of the nasal mucosa with gauze and water.
• Nasogastric tube placement damage to the nasal
mucosa .
EAR CARE
• Clean around the aural canal, although care must be taken
not to push anything inside the ear.

16. • Prevent Infection
Use aseptic techniques for all invasive Procedures.
Monitor of signs of infection and administer antibiotics as
prescribed.
• Bowel and Bladder Management
Monitor bowel movements and Urine output .
Provide catheter care.

17. Sensory stimulation
• Provide sensory stimulation, such as talking to the Patient,
• Encourage family members to interect with the Patient.
Safety Measures
• Implement fall Prevention strategies, Use bed rails and
ensure the environment is safe.
• Adequate support to limb and head must be given
when moving or turning an unconscious patient.
• Assess the need for restrain.
• Allow a family member to stay with the client.

18. • Family Support and Education
• Educate the family about the Patient's condition and care
needs.
• Provide emotional support and involve them in the care
Process as appropriate.
• Documentation
• Document all care Provided including assessmente
interventions and Patient responses .
• Ensure accurate and timely record to facilitate continuity
of case.

19. THANK YOU