NUR 211 MEmerg
- As usual, gonna do his videos, then kaplan stuff I guess, then reading
Answer I would also recommend going back to my 114-Med Emergency - Hicks content quizlets, it has stuff on ICP, and the 114-ME-nurse sarah stuff has stuff on burns
- Exemplars
Answer Traumatic Brain Injury Spinal Cord Injury
Aneurysms Advanced burns Sepsis Unintentional injury or trauma
- Objectives (burns)
Answer -classification of burn injuries
-prioritize nursing care and responsibilities for burn shock -rule of nines in caring for a burn patient -baxter parkland fluid resuscitation formula -surgical and medical management for a patient during the resuscitative, reparative and rehabilitative phase of a burn to include frost bite -nursing care and responsibilities for a patient during the resuscitative, reparative and rehabilitative phase of a burn to include frostbite
- Meds
Answer Dilaudid - hydromorphone
Morphine Toradol Fentanyl Versed Ativan mupirocin mafenide silver sulfadiazine solu-medrol 1 / 3
- Objectives (neuro)
- management for ischemic stroke, hemorrhagic stroke, and cerebral aneurysm
Answer
--ICP and factors that cause increase and decrease in ICP
-care and responsibilities for a patient with an ICP monitoring device -surgeries used for a patient with ischemic stroke, hemorrhagic stroke, cerebral aneurysm (clipping and coiling), and increased ICP -NIH stroke scale and understand nursing care and prioritization for a "low" score and a "high score" -neurological deficits post stroke -assessing a patient with a traumatic brain injury -Differentiate between primary brain injury and secondary brain injury -Discuss and apply the Glasgow coma scale -Understand CSF production, reabsorption, and function -Understand the concept of brain herniation -care and responsibilities for herniation syndrome -importance of and technique used for serial neurological assessments in a patient with a brain injury or altered LOC (don't memorize all the cranial nerves) -Understand how to obtain cerebral perfusion pressure and prioritize nursing care based on cerebral perfusion pressure
- Objectives (Spinal Cord)
Answer -Understand the motor function, sensory function, respiratory function, bowel and bladder function, and rehabilitation potential for patients with spinal cord injuries at levels C1-C4, C5, C8, or T6-T12.
-plan of care and education interventions for patients with spinal cord injuries at levels C1-C4, C5, C8, or T6-T12 -care and responsibilities for a patient with autonomic dysreflexia -care and responsibilities for a patient with neurogenic shock -primary and secondary spinal cord injuries to develop a plan of care for a patient with a spinal cord injury -bowel and bladder retraining to develop an appropriate plan of care for a patient with a spinal cord injury -care and responsibilities for spinal cord injury patients with various assistive/sta- bilization devices (roto rest bed, halo vest, cervical traction, hand splints, and foot splints)
-care and responsibilities for a patient (before, during and after) the following diagnostic 2 / 3
procedures
Answer CSF analysis, electromyography, nerve conduction study
- Burns
Answer Complications
Answer Infection, shock (hypovolemic and septic), cardiac arrhyth- mias, disability, organ damage
(rhabomayalosis)
- Stages of Burns
-emergent -acute -rehabilitative
where each happen, what sort of things get done
Answer Stages of burns
Answer
-Emergent/resuscitative --onset of burn and field care --what type of burn (chem, heat, etc), remove the source of burn, keep vitals up, get to ED
-Acute
--ED
Answer fluids, vents
--ICU
Answer fluids, vent, surgery, food, physio, wound care, meds, psych
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