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Emergency AssessmentMedical-Surgical Nursing-7th edition

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What are signs and symptoms of respiratory compromise (breathing)?
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Dyspnea, cyanosis, paradoxic/ asymmetrical chest wall movement, tachycardia, hypotension, and decreased breath sounds.
How is a tension pneumothorax treated in an emergency?
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Chest tube or needle decompression.
_______ should be given to every critically ill or injured patient.
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High-flow 100% O2 via non-rebreather. *If spontaneously breathing.
How is breathing supported for a patient with a life-threatening condition?
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Ambu/BVM at 100% O2.
How is patient circulation assessed in an emergency?
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Assessing central pulses (carotid and femoral); skin color, temp., moisture, cap refill, and mental status. Decreased cap refill and decreased LOC = shock.
What are signs and symptoms of an obstructed airway?
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Dyspnea, no vocalization, foreign body, face/neck trauma (edema).
Nearly all immediate trauma deaths occur due to _______.
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airway obstruction
Assessing a patient's airway includes...
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cervical spine stabilization/ immobilization.
_______ is a triage system that incorporates illness severity and resource utilization (i.e. EKG, labs, IVs) to determine priority.
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Emergency Severity Index (ESI)
If a patient has a foreign body in them, what should you do?
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Leave it alone!
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What emergency? Tracheal deviation away from wound. Decreased CO. JVD. Absent breath sounds on injured side.
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Tension pneumothorax.
A decreased CVP indicates...
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hypovolemia (normal is 2-12)
What is required when a patient dies in the ER?
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Call to coroner and KODA. *Tissue and organs can be harvested after death.
How is cardiac tamponade treated?
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Pericardiocentesis (JVD) (cardiac enlargement with silhouette on x-ray with mediastinum)
Pain upon _______ is a sign of a pelvic fracture.
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rocking
Pulseless extremities should be _______ and is considered a time sensitive vascular or orthotic emergency.
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realigned and splinted
_______ prophylaxis is administered during the secondary survey if needed.
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Tetanus, immunoglobulin (if really dirty), and antibiotics if open wound.
What emergency? Paradoxical chest movement, several rib fractures. Inward movement on inspiration, outward on expiration.
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Flail chest
Bowel sounds in the chest can indicate...
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Diaphragmatic rupture
What is the major complication of nasal intubation?
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Increased risk of sinus infection.
_______ is the preferred procedure for securing an unprotected airway in the ER to decrease risk of aspiration and airway trauma.
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Rapid Sequence Intubation
  
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