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 – 7 Jan 2026
Concepts Covered:
- Labor and Delivery
- Neurologic and Cognitive Disorders
- Medication Administration
- Hematologic Disorders
- Shock
- Emergency Care of the Trauma Patient
- Labor Complications
- Renal Disorders
- Urinary Disorders
- Fetal Development
- Pregnancy Risks
- Central Nervous System Disorders – Spinal Cord
- Peripheral Nervous System Disorders
- Terminology
- Shock
Study Plan Lessons
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Nursing Care Plan (NCP) for Attention Deficit Hyperactivity Disorder (ADHD)
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Coagulopathies, Medication-Induced (Coumadin, Platelet Inhibitors, Heparin, HIT) for Progressive Care Certified Nurse (PCCN)
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Bleeding for Certified Emergency Nursing (CEN)
Preterm Labor for Certified Emergency Nursing (CEN)
Renal Calculi for Certified Emergency Nursing (CEN)
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Alpha-fetoprotein (AFP) Lab Values
02.15 Hypovolemic Shock for CCRN Review
Interventional Radiology