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