Bleeding for Certified Emergency Nursing (CEN)
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Included In This Lesson
Study Tools For Bleeding for Certified Emergency Nursing (CEN)
Bleeding Precautions (Mnemonic)
Bleeding Complications (Minor) (Mnemonic)
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!!
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:
- Facts about blood. Facts About Blood | Johns Hopkins Medicine. (2019, November 19). Retrieved October 23, 2022, from https://www.hopkinsmedicine.org/health/wellness-and-prevention/facts-about-blood
- Johnson, A. B., & Burns, B. (2020). Hemorrhage. In StatPearls [Internet]. StatPearls Publishing.
Adaptive Brain SIMCLEX Study Plan – 3 Oct 2025
Concepts Covered:
- Peripheral Nervous System Disorders
- Musculoskeletal Trauma
- EENT Disorders
- Integumentary Disorders
- Factors Influencing Community Health
- Perioperative Nursing Roles
- Intraoperative Nursing
- Medication Administration
- Musculoskeletal Disorders
- Hematologic Disorders
- Emergency Care of the Trauma Patient
- Shock
Study Plan Lessons
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Bell’s Palsy
Nursing Care Plan for Fractures
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Surgical Wound Classification Documentation for Certified Perioperative Nurse (CNOR)
Environmental Stewardship (Waste Minimization) for Certified Perioperative Nurse (CNOR)
Environmental Cleaning (Spills, Room Turnover, Terminal Cleaning) for Certified Perioperative Nurse (CNOR)
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Functional Issues (Immobility, Falls, Gait Disorders) for Progressive Care Certified Nurse (PCCN)
Wounds (Infectious, Surgical, Trauma) for Progressive Care Certified Nurse (PCCN)
Pressure Injuries (Ulcers) for Progressive Care Certified Nurse (PCCN)
Coagulopathies, Medication-Induced (Coumadin, Platelet Inhibitors, Heparin, HIT) for Progressive Care Certified Nurse (PCCN)
Wound Infections for Certified Emergency Nursing (CEN)
Bleeding for Certified Emergency Nursing (CEN)