Burns
Which type of burns effect the epidermis and dermis. This classification causes erythema, swelling, pain and blisters.
Partial-Thickness Burns (2nd Degree)
When would you notify a provider about chest tube output?
Greater than 200 ml/hr
What labs should be monitored with a patient who has a history of cirrhosis?
A patient who has developed syndrome of inappropriate antidiuretic hourmone secondary to a traumatic brain injury. What intervention would the nurse implement first?
Fluid Restriction
What medication do we administer for Diabetes insipidus?
Vasopressin
What is a priority nursing intervention for a patient who experienced electrical burns?
Cardiac Monitoring and Urine output 75 ml/hr-100 ml/hr
What is a clinical manifestation of pulmonary contusion?
Bloody Secretions
What labs are elevated in pancreatitis?
Lipase and Amalyse
A patient is able to open their eyes spontaneously, is unable to verbalize the date and is able to grip your hand on command. What is this persons GCS?
14
What medication is used to help pull ammonia into the colon to expel from the body?
A nurse is caring for a patient who enters the ED after being in a house fire. The patient has burns on the neck, chest and arms. What is the priority nursing intervention?
Intubation
Needle Decompression and Chest tube insertion.
What are the interventions for taking care of a patient with cirrhosis of the liver?
What are the nursing interventions for a patient in neurogenic shock following a spinal cord injury?
Maintain cervical collar, IV Fluids (NS or LR), Maintain MAP and HR, VTE prophylaxis
What medication can we administer for patients with an elevated ICP?
Mannitol
A burn patient who weights 220 lbs who has suffered from third degree burns over 32% of their body. How much mls of fluid will this patient require during the first 8 hours after the injury?
4ml X 100 kg X 32 = 12,800/2= 6,400
A patient is in the ICU after recovering from a humorous fracture after an ATV accident. The limb becomes pale and there is no pulse noted. What is this patient at risk for developing?
Compartment Syndrome
What finding is a priority when taking care of a patient with peptic ulcer disease?
Hematemesis
What is Cushing triads?
Widening pulse pressure, Bradycardia, Irregular Breathing
When can TPA be administered?
3.5-4 hours of onset of symptoms.
A patient received burns over both arms, abdomen, chest. What is the TBSA?
36%
What are the seven assessment pieces when performing a primary survey?
Airway, Breathing, Circulation, Disability, Exposure, Facilitate, Get
What sign is associated with peritoneal bleeding and can be a complication of acute pancreatitis?
Cullen's Sign
What is the major priority when a patient enters the ED with stoke symptoms?
Determining the onset of symptoms.
What medication drip is administered for GI bleeding in order to decrease splanchnic blood flow and portal pressure?
Octreotide