Ch 09: Bleeding

Question 1

Hemorrhage

Answer 1

A large amount of bleeding occurring in a short time

Question 2

Blood Facts

Answer 2

8% of body mass

5L

Question 3

Blood Components

Answer 3

Plasma
Platelets
Leukocytes
Erythrocytes

Question 4

Leukocyte

Answer 4

White Blood Cell

Question 5

Erythrocyte

Answer 5

Red Blood Cell

Question 6

Signs and Symptoms of Severe External Bleeding

Answer 6

• Blood spurting or flowing freely from a wound

- Blood that fails to clot after measures to control bleeding

Question 7

Care for Severe External Bleeding

Answer 7

• Using a gloved hand, apply direct pressure with a sterile dressing
• Patient in comfortable position and resting
• Snugly apply a pressure bandage around the dressing
• Do not remove the first few layers of dressing to avoid peeling off any clotting
• If bleeding continues, apply a tourniquet

Question 8

Tourniquet

Answer 8

A tight band placed around an arm or leg to constrict blood vessels enough to stop blood flow

Question 9

How to Apply A Tourniquet

Answer 9

• Asses distal circulation
• Apply tourniquet 5 - 10 cm (2-4 inches) above the injury, and above any joint in range
• Document the time it was applied, and any times it was tightened or released
• Reasses distal circulation

-If using a blood pressure cuff, inflate to approximately 30 mmHg above systolic blood pressure

Question 10

Internal Bleeding

Answer 10

The escape of blood from arteries, veins of capillaries into spaces in the body.

Question 11

Signs and Symptoms of Internal Bleeding

Answer 11

• Discoloration of the skin; Contusions
• Soft tissues are tender, swollen or firm
• Anxious or restless
• Tachycardia that is weak
• Tachypnea
• Skin is cool or moist with cyanosis
• Nausea / Vomiting
• Excessive Thirst (Polydipsia)
• Declining LOC
• Hypotension

Question 12

Care for Internal Bleeding

Answer 12

Mild:
-Apply cold to the area

Severe:

• Patient in position of comfort with legs slightly elevated
• Administer Oxygen
• Advanced medical care