conscious patient
1. leaning him forward
2. palm of the hand make 5 back flows
3. make 5 abdominal thrust
4. repeat until foreign body out
unconscious patient
1. baringkan patient
2. 5 back flow, patient is standing on his side
3. 5 abdominal thrust on his abdomen
sila klik
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1. ask patient to pronate and slightly fix teh forearm.
2. place the lips of the index, middle, and ring fingers just proximal to patients wrist on the thumb side
3. push slightly at first, gradually adding pressure till feel the pulse.
4. check for regularity, if regular count the rate pulse for 15 seconds and multiply by 4.
if irregular count for 3 minute and divide by 3.
1. position patients right arm so that it is horizontal at the level of midsternum.
2. locate brachial artery at about 2cm above the cubital fossa
3. select an appropriate sized cuff.
4. inflate the cuff 20-3-mmHg more than estimated systolic blood pressure. you can estimate systolic blood pressure by palpating the brachial or radial artery pulse and inflating the cuff until you can no longer feel it.
5. place the stethoscope over the brachial artery pulse.
6. reduce pressure in cuff at rate 2-3 mmHg
7. first consistent korotkov sounds indicate systolic pressure.
8. muffling and disappearance of the korotkov sound indicate diastolic blood pressure.
9. record blood pressure as the systolic reading over teh diastolic reading.
10. if blood pressure over than 140/90 indicate night take a second reading after giving patient rest one minute.
11. if patient has a history of postural hypotension, also record the standing blood pressure.
click skill lab
Inspecting Victim
1. Personal safety : using gloves
2. Check victim or response : shaking both shoulder, ask if his okay or not, shouting out his name.
3. If the victim respond, leave in a position and try assess what is wrong with him
4. if the victim does not respond, turn the victim on the back and shout for help.
5. clear the airway for any obstruction. Maintain patient airway.
6. use either jaw thrust maneuver, head tilt chin lift of insertion of oropharyngeal airway.
7. access breathing : look, listen and feel
8. check for breathing and assess carotid pulse.
9. if no pulse or sign of life : start CPR immediately.
method 1 : Head Tilt Chin Lift
1. place your hand on his forehead, gently tilt his head back.
2. with your fingertips on other hand, under the point of patient chin, lift chin to open airway.
3. hold the airway open, put your ear to his mouth. Listen, feel, and look for breathing for no more than 10 seconds.
click head tilt chin lift
method 2 : Jaw Thrust
1. apply both your hand of 4 fingers to the angle of his mandible on both sides.
2. apply both thumbs on the chin keeping the mouth open. Then listen, feel and look for the breathing movements and sound of patient.
click jaw thrust
Method 3 : Oropharyngeal airway insertion.
1. identify need for guedel airway( if the airway is obstructed or patient is unconscious).
2. size the guedal airway measuring distance from the incisors to the angle of jaw. (2 for small adult, 3 for medium adult, 4 for large adult)
3. insert guedel airway so that its concave side faces away from the tongue.
4. insert airway into tongue to one third of its length. gently pushing airway further in it and rotate 180 degree.
5. choose appropiate sized bag-valve mask.
weight measurementBMI | Weight status |
Below 18.5 | Underweight |
18.5 – 24.9 | Normal |
25.0 – 29.9 | Overweight |
30.0 and above | obese |
MALES | FEMALES | |
LEVEL 1 | <94cm | <80cm |
LEVEL 2 | >102cm | >88cm |
Feeding of Pregnant and lactating Women
