Nurses Note

🫁 LRTS – Lower Respiratory Tract Symptoms | Nursing Study Notes
Lower respiratory tract symptoms can indicate a range of respiratory conditions, including bronchitis, pneumonia, asthma and COPD.
🩺 Key Nursing Points: ✅ Recognise cough, sputum, wheezing and breathlessness. ✅ Assess respiratory rate, SpO₂ and work of breathing. ✅ Monitor vital signs and calculate NEWS2. ✅ Perform respiratory assessment and auscultation. ✅ Administer prescribed treatment and monitor response. ✅ Recognise red flags and escalate deterioration promptly.
🚨 Remember: LRTS does not always mean infection. Identifying the underlying cause is essential for safe patient care.
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❤️ ASYSTOLE — Nursing Quick Revision
🚨 Asystole is a life-threatening cardiac arrest rhythm with no organised electrical activity and no pulse.
📉 ECG Features
• Flat or nearly flat ECG line
• No identifiable QRS complexes
• Non-shockable rhythm
⚠️ Reversible Causes — 4 Hs & 4 Ts
🔹 Hypoxia, Hypovolaemia, Hypo-/Hyperkalaemia, Hypothermia

🔹 Tension pneumothorax, Tamponade, Toxins, Thrombosis
🩺 Emergency Management
✅ Call the resuscitation team immediately.

✅ Start high-quality CPR (30:2 until an advanced airway is established).

✅ Give adrenaline 1 mg IV/IO as soon as possible, then every 3–5 minutes.

✅ Reassess rhythm every 2 minutes.

✅ Identify and treat reversible causes.
💡 Remember: Asystole = NO SHOCK! Focus on CPR, adrenaline and reversible causes.
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