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NUR 213 > Emergency management, violence, PTSD, Communication - Unit 4 exam > Flashcards

Emergency management, violence, PTSD, Communication - Unit 4 exam Flashcards

1
Q

What mass casualty color code would this be?

Shock

A

red

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2
Q

All of the following are S/S of what?

  • Re-experience the traumatic event
  • Flashbacks
  • Sustained high level of anxiety or arousal
  • General numbing of responsiveness
  • Intrusive recollections or nightmares
  • Amnesia to certain aspects of trauma
  • Depression
  • Survivors guilt
  • Anger
  • Substance abuse
  • Relationship problems
  • Suicidal thoughts
A

PTSD

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3
Q

What mass casualty color code would this be?

Hemorrhage

A

red

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4
Q

What is a hallmark sign of a tension Pneumothorax

A

Tracheal deviation to the unaffected side

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5
Q

First thing to do during the decontamination process

A

Remove and bag a patients clothing.

Eliminates 60-90% of contents asap

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6
Q

S/S of a Tension Pneumothorax

A
  • Diminished breath sounds
  • Deviated trachea to unaffected side
  • Muffled heart sounds
  • Decreased CO & BP
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7
Q

Nursing priorities for suspected child abuse

A
  • STAY WITH PATIENT
  • Reporting to authorities when there is reason to suspect child abuse or neglect
  • Provide shelter and promote reassurance or safety
  • Promote trust
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8
Q

Priority levels of care

A
  1. ABC’s
  2. Sudden change in VS and LOC
  3. Unstable metabolic disorders
  4. C/O Pain (except chest pain)
  5. Complex tmnt and skills
  6. D/C teaching and referrals
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9
Q

Treatment for PTSD

A
  • Cognitive therapy
  • Prolonged exposure therapy
  • Group family therapy
  • Eye movement desensitization and reprocessing
  • Psychopharmacology
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10
Q

What mass casualty color code would this be?

Life-threatening, treatable with immediate attention

A

Red or Immediate

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11
Q

What mass casualty color code would this be?

Sprains

A

Green

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12
Q

occurs if air or blood cells collect in the pleural space and is not removed

A

Tension pneumothorax

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13
Q

What mass casualty color code would this be?

Fractures

A

Yellow

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14
Q

Ways to prevent hypothermia

A

o Remove wet clothing
o Cover with blankets
o Increase room temp
o Infuse warmed fluids
o Heat lamp

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15
Q

Clamping a chest tube can cause what?

A

A tension pneumothorax

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16
Q

What mass casualty color code would this be?

Burns <20%

A

yellow

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17
Q

What mass casualty color code would this be?

Potentially serious but stable enough to wait a short while for a medical treatment

A

yellow or delayed

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18
Q

5 rights of delegation

A
  • Right Task
  • Right Circumstance
  • Right Person
  • Right Direction/communication
  • Right Supervision/evaluation
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19
Q

What mass casualty color code would this be?

Threatened loss of limb

A

red

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20
Q

What mass casualty color code would this be?

Airway obstruction

A

Red

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21
Q

What mass casualty color code would this be?

Minor injuries can wait for longer periods of time

A

Green or minimal

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22
Q

A condition where multiple broken bone rib fragments cause chest paradoxical breathing

A

Flail chest

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23
Q

What mass casualty color code would this be?

Tension pneumothorax

A

red

24
Q

What mass casualty color code would this be?

Facial injury without airway involvement

A

Yellow

25
Q

What mass casualty color code would this be?

Full thickness burns > 50% TBSA

A

Black

26
Q

What mass casualty color code would this be?

High SCI

A

Black

27
Q

What mass casualty color code would this be?

MI

A

red

28
Q

When is someone who is being abused most in danger?

A

Period right after leaving the abuser

29
Q

What mass casualty color code would this be?

Head injury

A

red

30
Q

Nursing priorities for pt’s with PTSD

A
  • Establish therapeutic relationship encourage patient to share feelings
  • Provide safe , non threatening , routine environment
  • Assess client for suicidal ideation , take precautions as needed
  • Use multiple strategies to decrease anxiety (music, imagery, relaxation, breathing techniques )
  • If pt is a child involve caregivers in treatment
31
Q

How to treat an open pneumothorax from a GSW/stabbing

A
  • Insert chest tube
  • Only tape 3 sides of dressing over wound to prevent tension pneumo
32
Q

What does this stand for?

START

A

Simple Triage & Rapid Treatment

33
Q

What mass casualty color code would this be?

Minor burns

A

Green

34
Q

Medications to treat PTSD

A

o SSRI (first line): paroxetine , sertraline
o Tricyclic antidepressants: Amitriptyline (evlavil)
o MOA inhibitors
o Benzos, busprione , propranolol

35
Q

Communication with families in a crisis

A
  • Keep them updated
  • Allow to stay close
  • Appoint an advocate
  • Don’t use medical jargon
  • Give factual information
36
Q

S/S of PTSD

A
  • Re-expiernce the traumatic event
  • Flashbacks
  • Sustained high level of anxiety or arousal
  • General numbing of responsiveness
  • Intrusive recollections or nightmares
  • Amnesia to certain aspects of trauma
  • Depression
  • Survivors guilt
  • Anger
  • Substance abuse
  • Relationship problems
  • Suicidal thoughts
37
Q

Reasons victims stay with their abuser

A
  • Fear for their lives or lives of their children
  • Fear of retaliation by the partner
  • Fear of losing custody of their children
  • Lack of financial resources
  • Lack of a support network
  • Religious reasons
  • Having hope that the partner will change, and they can have good times again
  • Lack of attention to the danger
38
Q

Root cause analysis

A
  1. Identify problem
  2. Define problem
  3. Understand problem
  4. Identify Root cause
  5. Correct Action
  6. Monitor
    *Repeat
39
Q

What mass casualty color code would this be?

Lacerations

A

Green

40
Q

What mass casualty color code would this be?

No pulse or breathing after airway opened

A

Black

41
Q

What mass casualty color code would this be?

Ambulatory

A

green

42
Q

Maslows Hierarchy of needs

A
  • Self-actualization
  • Self-esteem
  • Love and belonging
  • Safety and security
  • Physiological needs
43
Q

Components of the primary survey of an emergent patient

A

A - Airway with C -spine
B - Breathing/ventilation
C - Circulation
D - Disability
E - Exposure/environmental

44
Q

What mass casualty color code would this be?

Torso wounds without shock

A

Yellow

45
Q

What mass casualty color code would this be?

Transcranial GSW

A

Black

46
Q

What mass casualty color code would this be?

Dead, no VS, injuries incompatible with survival

A

Black or expectant

47
Q

What mass casualty color code would this be?

Soft tissue injuries with minimal bleeding

A

Yellow

48
Q

Fast five interventions

A
  • Full set of vital signs
  • Further labs and x-rays
  • Foley Catheter
  • Facial trauma presence
  • Facilitate family presence
49
Q

How is flail chest treated

A

Intubation

50
Q

Prioritization Principals

A
  • Systemic before local
  • Acute before chronic
  • Actual problems before potential problems
  • Recognize condition changes/emergencies (unstable) vs. expected findings (stable)
51
Q

Conflict resolution steps and actions

A
  • Strive for “win-win”
  • Identify the problem or issue
  • Generate a possible solution
  • Evaluate suggested solutions
  • Choose the best solution
  • Implement the solution chosen
  • Evaluate: Is the problem resolved?
52
Q

How to treat a tension Pneumothorax

A

Needle decompression

53
Q

What does this stand for?

S.A.L.T

A

S – Sort
A – Assess
L – Lifesaving Interventions
T – Treatment and/or transport

54
Q

Mnemonic for collecting pt history during second survey

A
  • A - allergies
  • M - medications
  • P – previous medical history
  • L – last meal
  • E – event history or mechanism of injury/Any alcohol or drugs involved?
  • H - head-to-toe assessment once client is stable
55
Q

What mass casualty color code would this be?

Severe abdominal injury

A

Red

56
Q

Components of a secondary survey of an emergent patient

A

F - Fast 5
G - Give comfort measures
H - History

NUR 213 (29 decks)

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