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Injection Injuries for Certified Emergency Nursing (CEN)

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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CCRN Review

Concepts Covered:

Cardiovascular
Emergency Care of the Cardiac Patient
Cardiac Disorders
Circulatory System
Shock
Shock
Disorders of the Posterior Pituitary Gland
Endocrine
Disorders of Pancreas
Hematology
Gastrointestinal
Upper GI Disorders
Liver & Gallbladder Disorders
Newborn Complications
Multisystem
Neurological
Nervous System
Central Nervous System Disorders – Brain
Renal
Respiratory
Urinary System
Respiratory System
Noninfectious Respiratory Disorder
Immunological Disorders
Emergency Care of the Neurological Patient
Microbiology
Emergency Care of the Trauma Patient
Medication Administration
Respiratory Emergencies

Study Plan Lessons

01.01 CCRN Test Overview for CCRN Review

02.01 Hypertensive Crisis for CCRN Review

02.02 Cardiomyopathy for CCRN Review

02.03 Swan-Ganz Catheters for CCRN Review

02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review

02.05 Calculating PAWP on PEEP for CCRN Review

02.12 Myocardial Infarction- Inferior Wall for CCRN Review

02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review

02.14 Shock Stages for CCRN Review

02.15 Hypovolemic Shock for CCRN Review

02.16 Cardiogenic Shock for CCRN Review

02.17 Septic Shock 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

03.03 Hypoglycemia for CCRN Review

03.04 DKA vs HHNK for CCRN Review

04.01 Hematology for CCRN Review

04.02 Hematology Review Questions for CCRN Review

05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review

05.02 Liver Overview and Disease for CCRN Review

05.03 Jaundice for CCRN Review

05.04 Ruptured Spleen 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

07.01 CVA (Cerebrovascular Accident/Stroke) for CCRN Review

07.02 Neuro Anatomy for CCRN Review

07.03 Uncal Herniation for CCRN Review

07.04 Supratentorial Herniation and Glasgow Coma Scale for CCRN Review

07.05 Supratentorial Herniation: Cushings Triad for CCRN Review

07.06 Increased Intracranial Pressure (ICP) for CCRN Review

07.07 Cerebral Perfusion Pressure for CCRN Review

07.08 Basilar Skull Fracture 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

09.02 Acute Tubular Necrosis for CCRN Review

09.03 Acute Renal (Pre-Renal vs Renal) Failure for CCRN Review

09.04 Continuous Renal Replacement Therapy for CCRN Review

09.05 Chronic Renal Failure for CCRN Review

09.06 Renal Practice Questions for CCRN Review

10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review

10.02 Breath Sounds for CCRN Review

10.03 Acute Respiratory Failure for CCRN Review

10.04 Pulmonary Question Review for CCRN Review

Cardiogenic Shock For PCCN for Progressive Care Certified Nurse (PCCN)

Cardiomyopathies (Dilated, Hypertrophic, Restrictive) for Progressive Care Certified Nurse (PCCN)

Envenomation Emergencies for Certified Emergency Nursing (CEN)

Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)

Infection or Inflammation? The Quick & Dirty on CBCs – Live Tutoring Archive

Infection or Inflammation? The Quick & Dirty on CBCs 2 – Live Tutoring Archive

Injection Injuries for Certified Emergency Nursing (CEN)

Mannitol (Osmitrol) Nursing Considerations

Nursing Care Plan (NCP) for Migraines

Respiratory Depression (Medication-Induced, Decreased-LOC-Induced) for Progressive Care Certified Nurse (PCCN)

Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)

Shock Module Intro

Toxic Ingestion, Inhalation, Overdose for Progressive Care Certified Nurse (PCCN)