Triage
I am performed after the primary survey has been completed. I include a history and physical, diagnostics/labs, wound care and insertion of drainage tubes, emotional support/comfort, and assist with impending referrals.
What is secondary survey?
I am a core temperature <35 C or <95 F. My symptoms include shivering, impaired judgement, dysarthria, and drowsiness.
What is hypothermia?
I am an inter-professional team that consists of respiratory therapist, critical care nurse, hospitalist and other healthcare providers as indicated.
What is the Rapid Response Team (RRT)?
I am a complication of shock where small clots form throughout the blood stream, which can cause hypoxia and anaerobic metabolism. With the increase in blood clots, platelets and other clotting factors are depleted, increasing bleeding risk.
What is is Disseminated Intravascular Coagulation (DIC)?
We are the two types of transfusions.
What are standard and autologous?
We are levels of the 3-Level System or triage.
What are emergent, urgent, and nonurgent?
I am an elevated body temp >104 F with mental status changes and abnormal electrolytes. I am a medical emergency!
What is heat stroke?
What is patient is suicidal?
We are the four types of shock.
What are cardiogenic, hypovolemic, obstructive, and distributive?
I am the UNIVERSAL DONOR.
What is blood type O-?
We are the ABCDE Principles.
What is airway, breathing, circulation, disability, and exposure?
We are the nursing actions for animal bites.
What is clean with soap and water, antibiotic ointment/bandage, tetanus/rabies vaccination as indicated, and antibiotics for deeper wounds?
Nurses should be able to recognize cues of this issue and must report, by law, if it is suspected.
What is physical violence?
We are two priority nursing interventions/treatment for all types of shock.
What are monitor oxygen status and monitor signs of circulation (skin color, temperature, moisture, cap refill, and turgor)?
I can occur immediately or be present during later transfusions and occur from transfusion blood products that are not compatible with the patient's blood type or Rh factor.
What is acute hemolytic transfusion reaction?
I am the triage system used during mass casualty situations.
What is the Tag System (black, red, yellow, green)?
I am the leading cause of injury and death in the USA. Naloxone can be used to reverse if caused by opiate/heroin overdose.
What is opioid poisoning?
We are common nursing actions for snake/spider bites.
What is monitor tissue for edema, pain management, no ice, tourniquets, heparin or steroids for the first 6-8 hours, and antivenom as indicated?
I am a type of distributive shock caused by an exposure to an allergen resulting in an antibody reaction causing massive vasodilation.
What is anaphylactic shock?
I am the IV smallest IV gauge for a blood transfusion.
What is 18 g?
I am the goal during mass casualty events.
What is move patients away from the incident, to places where care can be provided?
What is the first nursing action if poisoning is identified?
What is call Poison Control?
I am the first steps to take in the case of sudden cardiac arrest.
What is assess for unresponsiveness and if no pulse or respirations call for help and start CPR?
I am a complication of shock that is a medical emergency in which two or more organ systems are not functioning well enough to meet the needs of the body.
What is Multiple Organ Dysfunction Syndrome (MODS)?
I am a transfusion reaction that usually occurs within 2 hours and results from the development of anti WBC anibodies.
What is febrile transfusion reaction?