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RAPID RESPONSE - JH
ACUTE OR SIGNIFICANT CHANGES
| Question | Answer |
|---|---|
| RAPID RESPONSE - RESPIRATORY CHANGES | *RESP LESS THAN 12 OR GREATER THAN 28*SOB - NEW ONSET*INCREASED BREATHING PATTERN*DECREASED O2 SATURATION |
| RAPID RESPONSE - CARDIAC CHANGES | *PULSE > 130 OR < 40 BPM*BP < 90 OR > 170*NEW ONSET CHEST PAIN |
| RAPID RESPONSE - FLUID STATUS | * INPUT GREATER THAN OUTPUT (MORE THAN 500ML)* CRACKLES* OUTPUT LESS THAN 50 ML |
| RAPID RESPONSE - LOC/CHANGES IN MENTAL STATUS | * LETHARGIC* INCREASED CONFUSION - UNKNOWN CAUSE* NEW ONSET AGITATION* RESTLESS |