Stages of Dying
A scopolamine patch can help with what stage of dying?
Middle and Late
Scopalamine patches, atropine drops, liquid morphine. Tylenol suppository. Ativan, Haldol if agitated. REPOSITION also.
Complication of fractures associated with long bones which increases mortality and morbidity
Fat Embolism
sprain: orthopedic condition in which a ligament is torn or stretched
strain: muscle or tendon is torn or stretched
Wet Secreations is conducive to what stage of dying
Late
name ABCD of the primary survey
airway, breathing, circulation, disability, exposure/environment
c-spine precautions
ventilation
bleeding
prevent hypothermia
True or False: You must maintain ventilatory support for vital organ retrieval
True (per your power point)
*Note we transplant cadaver kidney, pancreas, intestines, corneal, skin, bones*
what does RICE stand for?
rest, ice, compression, elevation
Modality used to position bones to maintain structural alignment
traction
The patient's pain is unrelieved by both pharmacological and non pharmacological measures. The care team would consult which speciality to assist in this patient's care?
Palliative Care: focuses on pain management and maximization of quality of life for patient.
The focuses assessment of sonography trauma is part of which assessment?
secondary (FAST exam)
DECREASE IN BODY TEMP, CONFUSION, PULSE IRREGULARITY IS WHICH STAGE OF DYING?
EARLY, MIDDLE, LATE?
True or False:
a durable power of attorney can change a patient's code status at any time?
True.
Name the triad of death
coagulopathy, metabolic acidosis, hypothermia
When family and Nursing/medical staff do not agree on specific actions and the client is unresponsive who should be consulted on the case?
Ethics committee
The nurse understand damage control surgery is performed for which of the following reasons?
a. control hemorrhage
b. prevent renal failure
c. prevent contamination
d. avoid further surgery
e. control hypoxia
A & C
Damage control surgery (DCS) is done to control bleeding, prevent contamination, and perform temporary wound closureas necessary.
name medications that can help with hyperactive delirium
Haloperidol, lorazepam, midazolam
frequent hand washing, avoiding crowds, washing raw fruits and veggies, contacting healthcare provider of temp is 38 (100.4). what precaution?
neutropenic precautions
dyspnea, edema of the neck and face, poor perfusion, low cardiac output are all signs of
supernal vena cava syndrome: commonly found in chest tumors, lung cancer, and lyphoma. tumor involved lymph compress the super vena lava which causes a reduction in return of blood flow to the heart.
chemotherapy, corticosteroids, cateter directed thrombolytics, stenting
s/s: headache, aloc, prominent dvd, visual disturbance
WHAT IS DOUBLE EFFECT?
permissible to perform an action with a good intended outcome, even if it will cause a foreseen but unintended bad outcome
Define Flail Chest
paradoxical chest wall movement. on inhalation the damaged area. moves inward, on exhalation the damaged area moves outward.
what is the difference between palliative care and hospice?
palliative: pain, full treat if wishes, does not need to be on hospice
hospice: <6m
Compression of the median nerve, leading to sensory and motor dysfunction
carpal tunnel syndrome
Name the 6 P's of compartment syndrome
Pain
Paresthesia
Pressure
Pallor
Paralysis
Pulselessness
Name Disease processes that would benefit from palliative care
END STAGE COPD, HF, LIVER FAILURE
a patient spontaneously opens their eyes, is confused, but has no motor response what is the GLASGOW
9