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.
DRN 401, Week 8
Concepts Covered:
- Adult
- Shock
- Cardiac Disorders
- Emergency Care of the Cardiac Patient
- Fundamentals of Emergency Nursing
- Lower GI Disorders
- Disorders of the Adrenal Gland
- Disorders of the Thyroid & Parathyroid Glands
- Substance Abuse Disorders
- Communication
- Legal and Ethical Issues
- Immunological Disorders
- Vascular Disorders
- Gastrointestinal Disorders
- Noninfectious Respiratory Disorder
- Integumentary Disorders
- Musculoskeletal Trauma
- Central Nervous System Disorders – Brain
- Emergency Care of the Trauma Patient
- Urinary System
- Disorders of Thermoregulation
- Cardiovascular
- Shock
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Gastrointestinal
- Upper GI Disorders
- Multisystem
- Neurological
- Renal
- Respiratory
- Respiratory System
- Emergency Care of the Neurological Patient
Study Plan Lessons
Advanced Cardiovascular Life Support (ACLS)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
3rd Degree AV Heart Block (Complete Heart Block)
Abuse and Neglect for Certified Emergency Nursing (CEN)
Acute Abdomen for Certified Emergency Nursing (CEN)
Acute Coronary Syndrome for Certified Emergency Nursing (CEN)
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Alcohol Withdrawal (Addiction)
Aggressive & Violent Patients
Advocacy & Moral Judgement for Progressive Care Certified Nurse (PCCN)
Allergic Reactions and Anaphylaxis for Certified Emergency Nursing (CEN)
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Appendicitis for Certified Emergency Nursing (CEN)
Asthma for Certified Emergency Nursing (CEN)
Avulsions and Degloving Injuries for Certified Emergency Nursing (CEN)
AVPU Mnemonic (The AVPU Scale)
Bleeding for Certified Emergency Nursing (CEN)
Bowel Perforation for Certified Emergency Nursing (CEN)
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
Cardiogenic Shock and Obstructive Shock for Certified Emergency Nursing (CEN)
Cardiopulmonary Arrest for Certified Emergency Nursing (CEN)
Cardiovascular Trauma for Certified Emergency Nursing (CEN)
Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)
Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Compartment Syndrome for Certified Emergency Nursing (CEN)
02.01 Hypertensive Crisis for CCRN Review
02.02 Cardiomyopathy for CCRN Review
02.14 Shock Stages for CCRN Review
02.18 Cardiovascular Practice Questions for CCRN Review
03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review
03.02 Diabetes Insipidus for CCRN Review
03.04 DKA vs HHNK for CCRN Review
05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review
06.01 Organ Failure, Dysfunction & Trauma for CCRN Review
06.02 Poisoning for CCRN Review
06.03 Multi-System CCRN Important Points for CCRN Review
07.09 Meningitis for CCRN Review
07.10 Neurologic Review questions for CCRN Review
09.01 Acute Renal Failure Overview for CCRN Review
09.05 Chronic Renal Failure for CCRN Review
10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review
10.02 Breath Sounds for CCRN Review
Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)
Toxic Ingestion, Inhalation, Overdose for Progressive Care Certified Nurse (PCCN)