Page 398 - 2021 IDMT Digital
P. 398

ACUTE MOUNTAIN SICKNESS
          Introduction:
            •  6HYHULW\ GHSHQGV on UDWH RI DVFHQW DQG DOWLWXGH DWWDLQHG
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  &DUGLQDO V\PSWRP LV KHDGDFKH IROORZHG E\ IDWLJXH  GL]]LQHVV DQG DQRUH[LD
          Objective:
            •  3K\VLFDO ([DP
                 o  3DWLHQW DSSHDUV VLFN  PLOG VZHOOLQJ LQ WKH KDQGV  IHHW DQG IDFH DURXQG WKH H\HV
          Assessment:
            •  'LIIHUHQWLDO
                  o  (DUO\ +$&(  VLJQLILFDQW DWD[LD  FDQ¶W GR KHHO WR WRH ZDON , VZHOOLQJ RI WKH RSWLF
                    QHUYH
                  o  ,QWR[LFDWLRQ  KLVWRU\ RI LQJHVWLQJ PHGLFDWLRQV  GUXJV RU DOFRKRO
                  o  &DUERQ PRQR[LGH SRLVRQLQJ  KLVWRU\ RI H[SRVXUH WR WR[LF IXPHV  FKHUU\ UHG VNLQ
                    FRORU
                  o  +\SRWKHUPLD  ODFN RI KHDGDFKH DQG QDXVHD  GHFUHDVHG ERG\ WHPSHUDWXUH
          Plan:
            •  6WRS DVFHQW  GHVFHQG WR ORZHU DOWLWXGH RU DFFOLPDWH DW VDPH DOWLWXGH XQWLO V\PSWRPV
               UHVROYH
            •  /RZ IORZ R[\JHQ
            •  $FHWDPLQRSKHQ  16$,'V  =RIUDQ DV QHHGHG IRU PLOG V\PSWRPV
            •  $FHWD]RODPLGH DQG GH[DPHWKDVRQH IRU VHYHUH V\PSWRPV
            •  'HVFHQW LV WKH EHVW WUHDWPHQW IRU DOO DOWLWXGH LOOQHVVes
          Patient Education:
            •  (DUO\ UHFRJQLWLRQ RI WKH V\PSWRPV RI K\SR[LD DOORZV for HDUO\ LQWHUYHQWLRQ DQG
               DYRLGV SHUIRUPDQFH GHFUHPHQW

          Preceptor Directive:
            •  Red Directive: Immediate Evacuation; Contact Preceptor ASAP

























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