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The patient does not look act right. Instinct that patient is beginning a downward spiral even if non of the physiological triggers have yet occurred.
Change in RR
Less than 8 or greater than 30
Change in Oxygenation
Pulse Oximeter decreased below 90%
The patients breathing becomes labored.
Change in Heart Rate
- Less than 40 bpm
- Greater than 120 bpm
Change in Blood Pressure
- systolic below 90 mmHg
- rises above 200 mmHg
The patient developes uncontrolled bleeding from site or port
The patient becomes somnolent difficult to arouse, confused, or obtuned
Onset of agiation/delirium
the patient becomes agitated or delirious
The patient has a seizure
Other Alterations in Conciousness
Any other changes in mental status or CNS status such as sudden blown pupil, onset of slurred speech, onet of unilateral limb or facial weakness
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