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 – 17 Sep 2025
Concepts Covered:
- Delegation
- Perioperative Nursing Roles
- Communication
- Documentation and Communication
- Postoperative Nursing
- Fundamentals of Emergency Nursing
- Medication Administration
- Basics of NCLEX
- Urinary Disorders
- Shock
- Emergency Care of the Trauma Patient
Study Plan Lessons
Accountability and Assistance for Personal Limitations for Certified Perioperative Nurse (CNOR)
Patient Status Communication for Certified Perioperative Nurse (CNOR)
Transfer of Care Documentation for Certified Perioperative Nurse (CNOR)
Patient Status Evaluation (Transfer of Care) for Certified Perioperative Nurse (CNOR)
Patient Communication Techniques for Certified Perioperative Nurse (CNOR)
HCIR Management (Healthcare Industry Representative) for Certified Perioperative Nurse (CNOR)
Communication of Patient Outcomes (Continuum of Care) for Certified Perioperative Nurse (CNOR)
Conflict Management (Patient, Perioperative Team, Family) for Certified Perioperative Nurse (CNOR)
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Healthcare-Acquired Infections: Catheter-Associated Bloodstream Infections (CAUTI) for Progressive Care Certified Nurse (PCCN)
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Bleeding for Certified Emergency Nursing (CEN)