Trauma Flashcards
what are 3 physical injuries that can occur after a blast event?
- -blast lung
- -Tympanic membrane rupture
- -abd. and head injuries
what is the tertiary phase of a blast injury?
results from pressure wave that causes victim to be THROWN
what are some injuries that can occur from a tertiary blast?
- -head injury
- -fractures, fractured skull
What is the priority of care for multiple traumas?
- -ABC’s
- -assume c-spine injury (apply cervical collar) until x-rays clear
During the assessment of an intra-abdominal injury the nurse should assess for….
referred pain (indicate spleen, liver, or intraperitoneal injury)
What should the nurse test for with an intra-abdominal injury?
- -tenderness/rebound tenderness
- -rigidity
- -spasms
- -distention
- -changes in bowels
How can an intra-abdominal injury be diagnosed?
- -CT SCAN***
- -Abd. ultrasound (FAST)
- -Peritoneal lavage
What should the nurse put on a patient that has an intra-abdominal injury?
–continuous cardiac monitor
what is the nursing management with a patient that has an intra-abdominal injury?
- -ABC’s
- -immobilize C-spine
- -NPO
- -NG tube (aspirate stomach contents)
What should be given prophylactic to a patient that has an intra-abdominal injury?
- -antibiotics
- -Tetanus
If a patients viscera is protruding, what should the nurse do?
–cover with sterile, moist saline dressing
what are some complications with a trauma patient? “TRAUMATIC”
- -Tissue perfusion problems
- -Respiratory issues
- -Anxiety
- -Unstable clotting factors
- -Malnutrition (fluids and food)
- -Altered body image
- -Thromboembolism
- -Infection
- -Coping problems
Where are pressure points to control a hemorrhage usually used?
In field, not in ED
If a patient has a crush injury, what should the nurse refrain from doing?
Inserting foley catheter (get urology consult)–>renal injury
what is the leading cause of OB trauma?
- -MVC
- -falls
- -gunshots
