Shock
These are manifestations seen in shock
What are low BP, tachycardia (except in neurogenic shock), hypoxemia, metabolic acidosis, MAP below 65 mm Hg, dysrhythmias, liver and GI function decline, decreased LOC, increased cap refill time, decreased urine output, etc....?
These are signs of inhalation injury
What are carbonaceous/sooty sputum, smoky smell to the breath, singed nose and facial hair, hoarseness, wheezing, drooling, stridor?
These are interventions following a snake bite
This is the main reason we use decontamination protocols following exposure to specific agents
Care for a client with carbon monoxide poisoning
What is fresh air, high flow O2, hyperbaric chamber once in the hospital.
These are the steps of the 1-hr Sepsis Bundle
What are measure lactate, remeasure if greater than 2 mmol/L; obtain blood cultures; administer broad-spectrum antibiotics; begin rapid administration of crystalloid 30 mL/kg; Start vasopressors if needed?
This is the TBSA of a client who sustained burns to the anterior torso and front of right leg
What is 27%?
This is the treatment for a client exposed to inhalation anthrax
What is administer ciprofloxacin (or other effective antibiotic)?
This is the priority treatment of a client exposed to carbon monoxide
What is remove the client from the area of CO and administer oxygen at 100%?
Treatment of anaphylactic reaction
What is stop the infusion, give epi, O2, IV fluids, antihistamine/steroids (if needed), document reaction and new allergy in the chart, allergy bracelet.
These are causes of cardiogenic shock
What are MI, HF, cardiomyopathy, dysrhythmias, valvular rupture/stenosis?
These are the priority treatments of clients with burn injuries
What is establish an airway and start IV fluid resuscitation?
These are interventions for a client exposed to sarin gas and other nerve agents
What are seizure precautions, supportive care, meds, decontaminate with soap and water or saline for at least 20 minutes. Do not use plastic airway devices
These are the five rights of delegation
What are right task, circumstance, person, communication/directions, and supervision/evaluation?
Care for frostbite
What is re-warming with warm water, elevating extremity to prevent compartment syndrome?
This medication would be administered to a client in cardiogenic shock to increase MAP and cardiac output
What is norepinephrine (Levophed) first; 2nd-line is dobutamine?
These are signs that fluid resuscitation has been effective
What are increased BP, decreased HR, increased UOP?
These are manifestations of internal bleeding
What are decreased BP, increased HR, abdominal bruising/distention, decreased H&H, decreased LOC, etc.?
This is where you look to find the scope of practice for RNs, LPNs, and APs
What is your state Nurse Practice Act?
Care for sexual assault victim
SANE nurse assessment, obtain history of the incident, don't ask to repeat the information, go as fast as client needs to go, no wiping down or showering prior to exam, photos not always required?
These are nursing interventions to implement to prevent neurogenic shock from occurring
What are immobilize the spine if spinal cord injury and elevate HOB if client received spinal anesthesia?
What is 13.5%?
This is the priority assessment of a client brought to the ED with multiple injuries
What is airway? Then breathing, circulation, disability (neuro), and exposure
A client is assessed following a mass casualty incident and presents with a broken arm. Radial pulses are present and cap refill is <3 secs. What color tag should this client receive?
What is green?
Manifestations of heat exhaustion
Dehydration, elevated temp, confusion, hypernatremia?