Gastrointestinal Trauma for Certified Emergency Nursing (CEN)

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Study Tools For Gastrointestinal Trauma for Certified Emergency Nursing (CEN)

GI Tract Anatomy (Cheatsheet)
GI Tract (Image)
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Outline

Gastrointestinal Trauma

 

Definition/Etiology:

  • GI trauma – results from blunt/penetrating injury to the abdominal cavity
  • Common causes = MVA, Stab wounds, blunt injury including falls, crushing injuries

 

Pathophysiology:

Insult can cause injury to the abdominal organs including bleeding, bruising, rupture and decreased blood flow leading to necrosis

 

Clinical Presentation:

  • Tenderness upon palpation
  • Guarding
  • Rigidity
  • Bloating
  • Bruising
  • Seatbelt sign 
  • Hypotension

 

Collaborative Management:

  • NPO
  • Imaging 
  • Labs
  • FAST exam
  • UA for hematuria

 

Evaluation | Patient Monitoring | Education:

  • Hemodynamic monitoring (watch for hypovolemic shock)
  • Pain Management
  • Monitor for additional symptoms

 

Linchpins: (Key Points)

  • Broken until proven otherwise
  • Monitor for developing symptoms
  • FAST exam

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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:

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