Bleeding for Certified Emergency Nursing (CEN)

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Study Tools For Bleeding for Certified Emergency Nursing (CEN)

Bleeding Precautions (Mnemonic)
Bleeding Complications (Minor) (Mnemonic)
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Outline

Bleeding

 

Definition/Etiology:

  • Bleeding – loss of blood. Big bleed = hemorrhage
  • Multiple causes, primarily trauma

 

Pathophysiology:

  • Made of Plasma, WBCs, RBC, Platelets
  • Blood has many jobs but primarily transports oxygen. Lack of oxygen leads to ischemia and tissue death. Therefore, no blood = tissue death

 

Clinical Presentation:

  • Internal vs external
  • External – hemorrhage visible
  • Internal – may have distension, bruising, pain, hemodynamically unstable. Low H&H

 

 

Collaborative Management:

  • Stop the bleed! 
  • CBC (H&H)
  • BMP (how is perfusion to the other organs? Kidneys usually take the first hit).
  • Imaging – determine cause of any internal bleeding to determine intervention

 

 

Evaluation | Patient Monitoring | Education:

  • Hemodynamic monitoring
  • Monitoring of the bleeding site
  • Watch for rebleeding

 

 

Linchpins: (Key Points)

  • Bleeding can be fatal
  • Blood carries oxygen
  • Stop the bleed!!

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Transcript

For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/

References:

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