Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Module 7 > UNIT 2: Care of the Emergency patient > Flashcards

UNIT 2: Care of the Emergency patient Flashcards

1
Q

As an ER nurse what is our scope of practice?

A
  1. Recognize life threatening illness or injury
  2. An emergency is whatever the patient or family considers it to be. It is not our choice what makes an emergency
  3. The emergency nurse has special training, education, experience and expertise in assessing and identifying care problems in crisis situations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What should we know about ER triaging?

A
  1. Process of rapidly determining a patients acutity
  2. Represents a critical assessment skill
  3. The triage system identifies and categorizes so the most critical are treated first
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is our primary assessment as and ED nurse?

A

Simply put it is our A (with cspine stabilization, BCDE(enviroment)

This is when we determine what is going to kill our patient the fastest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is our secondary assessment as and ED nurse

A

Our full HEAD TO TOE. Looking for anything and everyhting… talking to EMS, starting vitals..

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Add slide 7 after talking to Elizabeth

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What should we know about death in the ED?

A
  1. Must recongize the importance of hopstial rituals in preparing the breaved to grieve.
  2. Determine if the patient could be a candidate for non-heart beating donation– percurment officer will talk with family.
  3. Medical exmainer is called with any patient that dies suddenly in the ED. Keep anythin invasive in the patient but do your best to clean up and make presentable.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are some gerontologic considerations for emergency care?

A

Elederly are at high risk fo rinjury r/t
1. Decreased visual acuity and peripheral vision
2. Hearing loss
- Esp. high frequency sounds
3. Pre-existing disease and mediction use
4. Dementia and cognitve impairment- dont assume they have dementia right off the bat… try and confirm.. could be hypoxia related… try oxygen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is heat exhaustion?

A
  1. Prolonged exposure to heat
  2. Occurs when the body is unable to cool itself.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are s/s of heat exhustion?

A

Symptoms may be vague
1. Determined by temperature–to be heat exhuastion temp must be between 99.6-105.8
1. Fatigue, n/v and extreme thirst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What causes heat exhautstion?

A
  1. Dehydration
  2. Extreme or strenous activity in hot humid weather
  3. can also be sedntary patients
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How is heat exhustion treated?

A
  1. cool fluids po if possible otherwise IV
  2. Remove constrictive clothing,
  3. monitor labs: abgs
  4. Monitor cardiac rhythm
  5. Will be given nomral saline
  6. Observe for 3-4 hours if no better consider admitting.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are your s/s of a heat stroke?

A
  1. Anxiety-confusion
  2. skin hot & dry
  3. Impaired sweating
  4. Listlessness
  5. Cerebral edema- seizures, delirum, coma
  6. Increased body temp ABOVE 105
  7. Increased pulse and resp rate
  8. HYPOtension
  9. Na and K depletion
  10. Nuero- hullucinations- loss of muscle coordination
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Death from a heat stroke is directly related too

A

Pt body temp remains elevated.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How do we manage heat stroke

A
  1. Cooling
  2. rest
  3. fluid and electrolytes
  4. Remove constrictive clothes
  5. fan
  6. ice pack in groin and arm pits
  7. wet sheet

Aggressive temp reduction until core temp reaches 102

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What do we need to be careful of when cooling a heat stroke patient?

A
  1. Shivering: increases core temp and complicates cooling efforts. TREATED with IV chlorprmaizne
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What med is used to prevent shivering in a heat stroke patient?

A
  1. IV chlorpromazine
17
Q

What do we want to monitor our heat stroke patient for?

A
  1. Montor for signs of rhabdomyolysis, myogloburia, and dissemiated intravascular coagulation
    • CK-MB improtant lab
    • Rhabdo whill have tea colored pea
18
Q

What do we need to know about a frost bite injury?

A
  1. Damage to the skin from freezing (ice crystals in the tissue)
  2. Superficial frost bite
  3. Injured tissue is friable
  4. Rewarming requires medical control
  5. Thawing frozen tissue is EXTREMELY painful

Vasocontriction occurs and decreases blood blow. Depth depends on the ambient tmep and how long they were exposed

19
Q

Treatment for frostbite includes?

A
  1. Rewarming w/pain meds on board
  2. removing wet/dry clothing
  3. GIVE tetnus shot
  4. monitor
  5. May or may not have antibiotic
20
Q

What should you never do to a frostbite injury?

A

Do not rub or lay heavy blankets could cause blankets to sheer skin off.. can use a bed cradle to drap blankets over

21
Q

What are the different levels of hypothermia?

A
  1. Mild hypothermia: 93-95 f
  2. Moderate hypothermia: 86-93 f
  3. Severe hypothermia: less than 86
  4. Death usually occurs when core temp is below 78f
22
Q

How do we treat mild hypothermia

A

Passive or active external remwarming
1. Bear hugger, warm air blower

23
Q

How do we treat mod to severe hypothermia?

A

Active core rewarming
1. Enema with warm water, warm saline down NG, warm IV fluids

AFTER DROP- occurs once you have rewarmed the patinet and they have reached 95 and everything starts working again. The cold blood from the core will circulate and the cold from the periphery will come to hear making them cold again. So you may have to warm them again.

24
Q

What is a submersion injury?

A

Person becomes hypoxic due to submersion in water

25
Q

What is a drowining?

A

Death from suffocation after submersion in water

26
Q

What is IMmersion syndrome?

A

Occurs when immersion in cold water, which leads to stimulation of the vagus nerve and potentially fatal dysrhythmias

27
Q

What is a near-drowining?

A

Survival from potential drowning.

28
Q

How long should you keep a near drowing patient?

A

4-6 hours beacuse they could develope pulmonary edema

29
Q

How do we treat submersion injuries?

A
  1. A with cspine stabilization BCD
  2. Establish airway

xray and foley are not priority

30
Q
A

Module 7 (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions