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 – 1 Dec 2025
Concepts Covered:
- Documentation and Communication
- Legal and Ethical Issues
- Musculoskeletal Trauma
- Perioperative Nursing Roles
- Communication
- Postoperative Nursing
- Medication Administration
- Vascular Disorders
- Respiratory Emergencies
- Emergency Care of the Cardiac Patient
- Shock
- Emergency Care of the Trauma Patient
Study Plan Lessons
The Top 5 Things You Need To Know About Documentation 2 – Live Tutoring Archive
Nursing Care Plan for Amputation
Patient Records and Care Documentation for Certified Perioperative Nurse (CNOR)
Transfer of Care Documentation for Certified Perioperative Nurse (CNOR)
Implant Records and Tracking for Certified Perioperative Nurse (CNOR)
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Vascular Disease for Progressive Care Certified Nurse (PCCN)
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Bleeding for Certified Emergency Nursing (CEN)
Hypertension for Certified Emergency Nursing (CEN)
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
Amputation for Certified Emergency Nursing (CEN)