Injection Injuries for Certified Emergency Nursing (CEN)
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Outline
Injection Injuries
Definition/Etiology:
Injection Injury – caused by Paint Gun/Grease Gun. When injected into the skin, release their substances into the body, usually past the skin.
Pathophysiology:
Paint and oil are toxic to skin and tissues so can begin causing immediate tissue injury and eventual necrosis
Clinical Presentation:
- History of using paint/grease gun
- Pain
- Edema
- Wound with injected material
- Paresthesia
Collaborative Management:
- Surgical Intervention ASAP!
- Imaging
- Labs
- Pain management
- Prep for OR
Evaluation | Patient Monitoring | Education:
- Monitor pain
- Monitor area for color and sensation
Linchpins: (Key Points)
- Injection Injuries = paint/grease gun
- OR needed STAT
- Tissue death/necrosis
- Often underestimated
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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:
- Dailiana, H. Z., Kotsaki, D., Varitimidis, S., Moka, S., Bakarozi, M., Oikonomou, K., & Malizos, N. K. (2008). Injection injuries: seemingly minor injuries with major consequences. Hippokratia, 12(1), 33.
- Sanford, S. (2020, June 26). Management of high-pressure injection injury of the hand in the emergency department. Practice Essentials, Epidemiology, Prognosis. Retrieved October 24, 2022, from https://emedicine.medscape.com/article/826620-overview
- Sheehy, S. B., Hammond, B. B., & Zimmermann, P. G. (2013). Sheehy’s manual of emergency care. 7th ed. / St. Louis, Mo., Elsevier/Mosby.
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