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High Respiratory Rate Alerts Leading to Detection of Pulmonary Embolism and to Timely Activation of RRT

About the Patient:

An 88 year old male hospitalized for orthopedic surgery.

EarlySense Indication:

On the 4th day of the hospitalization at 6 AM:
High RR alerts (32 Br/min)
and increased HR

Assessment:

Hypotension (84/57 mmHg)
SpO2 was 96%.

Response:

RRT was activated.

Pulmonary embolism was suspected and diagnosed.

Outcome:

The patient was transferred to the ICU to continue monitoring and treatment

 

Surg. Dep., Netherlands

Multiple High RR Alerts Leading to Diagnosis of Plural Effusion and ICU Transfer

About the Patient:

A 40 year old female. Mental health patient,  with history of recurrent Plural Effusion and Hypertension, was admitted due to Lithium toxicity.

EarlySense Indication:

Multiple High RR Alerts (40-53 Br./min)

Assessment:

A nurse assessed the patient, and noticed she was using accessory muscles. Manual count confirmed high RR measurements. RRT was called according to “Between the Flags” (BTF) policy.

Response:

The Physician assessed the patient and concluded high RR was as a result of anxiety. IV sedatives were administered. RR remained high, a chest X-Ray revealed Plural Effusion.

Outcome:

The patient was transferred to the ICU for drainage, and returned to the ward after one day. She was sent back to the ICU after high RR alerts the following night, since fluids continued to accumulate.

 

Med. Dep., NSW Australia

High Heart Rate Alert Leading to Identification of Supraventricular Tachycardia (SVT) and to Timely Intervention and Transfer

About the Patient:

A 53 year old female, status post hemicolectomy.

EarlySense Indication:

On the first night of the hospitalization at 12:53 AM: High HR alert (191 BPM)

Assessment:

Tachycardia of 190-200 BPM was confirmed.

Response:

MD was called.
EKG showed SVT.
Continuous EKG monitoring was applied.
Adenosine was given, leading to HR reduction.
The patient was transferred to the ICU.

Outcome:

The patient stabilised. Five days later the patient was discharged to her home.

 

Med-Surg Dep., CA, USA

High HR Alerts, and Increasing HR Trend Leading to Diagnosis of High Fever in non-communicative Patient

About the Patient:

A 35 year old Male with Brain Damage due to heavy metal poisoning in early childhood, was admitted with PEG (Percutaneous Endoscopic Gastrostomy), in a non-communicative condition.

EarlySense Indication:

Multiple High HR Alerts (129-134 BPM) and Increasing HR Trend.

Assessment:

A nurse assessed the patient.
Body Temp. was 38.4 ᵒC/ 101.12 ᵒF.
Physician was informed, Blood work was ordered.

Response:

IV Sulbactam & Ampicillin was administered.

Outcome:

The patient’s temperature has decreased.

 

Post-Acute Care Dep., Nursing Home, NY, USA

High Heart Rate Alerts Leading to Identification of Pain in a Non-Communicative Patient

About the Patient:

An 85 year old non-communicative female with dementia admitted with hairline fracture of the right shoulder.

EarlySense Indication:

On the 6th day of hospitalization, at 11:20 AM: High HR Alerts (140 BPM) and increased RR (30 Br/min)

Assessment:

The patient was unable to verbalize her needs, but appeared to be uncomfortable.
A physician recognized inadequate pain control.

Response:

The patient’s pain control medication was upgraded.

Outcome:

The patient became more comfortable.
HR and RR decreased.

 

Post-Acute Care Dep., Nursing Home, NY, USA

Respiration Rate Alerts and Heart Rate Trend Monitoring Leading to Change in Medical Management

About the Patient:

A 77 year old female with history of diabetes, CHF and peripheral vascular disease, admitted due to CHF exacerbation, pneumonia, and gangrene of foot, calf and leg.

EarlySense Indication:

On the second day of the hospitalization, at 8 AM: High RR alert (32 Br/min) and increased HR.

Assessment:

Trends showed elevated HR.
Chart review revealed that medications had been on hold since previous shift.

Response:

Metoprolol and Furosemide were given.

Outcome:

The patient stabilized

 

Med-Surg Dep., MA, USA

Bed Exit Alerts Preventing Falls in High Risk Patient

About the Patient:

A 90 year old female, hospitalized at the surgical department for dynamic hip screw operation. The patient had delirium and was considered to be in danger of falling.

EarlySense Indication:

Bed Exit alerts

Assessment:

The patient was trying to leave the bed.

Response:

The nurses assisted the patient and prevented her from falling.

Outcome:

The patient was safely hospitalized and treated.

 

Surg. Dep., Netherlands