05.04 Ruptured Spleen for CCRN Review

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Laura Gasparis Vonfrolio
PhD,RN,CCRN
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Outline

Nursing Points

General

  1.   Ruptured spleen
    1.   Spleen’s role is to:
      1. Helps maintain fluid balance
      2. Removes damaged RBCs
      3. Involved in immune response
      4. Not vital organ
    2. Symptoms
      1. Kehr’s sign is a positive symptom of a ruptured spleen
        1. Left shoulder pain
        2. Present in 55% of cases
      2. Saegassers sign is another symptoms of a ruptured spleen
        1. Produces pain in neck
  2. High Risk of Ruptured Spleen
    1. Mononucleosis and sickle-cell patients are high risk for ruptured spleen

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