05.04 Ruptured Spleen for CCRN Review

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