Intussusception for Certified Emergency Nursing (CEN)
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Study Tools For Intussusception for Certified Emergency Nursing (CEN)
Intussusception Pathochart (Cheatsheet)
Example Care Plan_Intussusception (Cheatsheet)
Intussusception (Image)
Intussusception (Picmonic)
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Outline
Intussusception
Definition/Etiology:
- Bowel segment telescopes into an adjacent bowel segment
- More common in pediatric patients but can also happen in adults!
- Kids = Infections, anatomical factors, idiopathic. Most common under 18 months of age
- Adults = Mass, post-surgical adhesions, G/J tube
Pathophysiology:
- Bowel segment slides in on itself which can disrupt blood flow, causes necrosis and/or sepsis.
- With the diminished blood supply, tissue in the intestines dies. This may progress to a perforation, which is a common cause of peritonitis
Clinical Presentation:
- Abdominal Pain- (kids and babies may draw their knees up)
- N/V
- Bloody stool – RED CURRANT JELLY
- *SAUSAGE SHAPED MASS* (upon visualization or palpation)
- Bloating
Collaborative Management:
- Abdominal CTAbdominal US (usually used more in pediatric
patients) - Abdominal X-ray
- Labs
- NPO status
- Surgical intervention for adults
- Enema in children/surgery if ineffective
- Pain management
- Antiemetic
- Fluids
Evaluation | Patient Monitoring | Education:
- Treatment is effective when adults are in the OR and children’s symptoms have resolved with no interception present on the US.
- Children have about a 10% recurrence rate in the first 24 hours.
Linchpins: (Key Points)
- Most common in children <18 months old
- Children get enemas/adults get surgery
- Red currant jelly stool
- Sausage shaped mass
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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:
- Brill, A., & Lopez, R. A. (2022). Intussusception in adults. In StatPearls [Internet]. StatPearls Publishing.
- Jain, S., & Haydel, M. J. (2022). Child intussusception. In StatPearls [Internet]. StatPearls Publishing.
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Certified Emergency Nursing (CEN)
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Endocarditis for Certified Emergency Nursing (CEN)
Heart Failure for Certified Emergency Nursing (CEN)
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Thromboembolic Disease- Deep Vein Thrombosis (DVT) for Certified Emergency Nursing (CEN)
Cardiovascular Trauma for Certified Emergency Nursing (CEN)
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Aspiration for Certified Emergency Nursing (CEN)
Asthma for Certified Emergency Nursing (CEN)
Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)
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Pleural Effusion for Certified Emergency Nursing (CEN)
Pneumothorax for Certified Emergency Nursing (CEN)
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
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Increased Intracranial Pressure (ICP) for Certified Emergency Nursing (CEN)
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Transient Ischemic Attack (TIA) for Certified Emergency Nursing (CEN)
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Neurogenic Shock for Certified Emergency Nursing (CEN)
Gastrointestinal/Genitourinary/Gynecological/Obstetrical Emergencies
Acute Abdomen for Certified Emergency Nursing (CEN)
Appendicitis for Certified Emergency Nursing (CEN)
Peritonitis for Certified Emergency Nursing (CEN)
Bowel Perforation for Certified Emergency Nursing (CEN)
Bleeding for Certified Emergency Nursing (CEN)
Placenta Previa for Certified Emergency Nursing (CEN)
Cholecystitis for Certified Emergency Nursing (CEN)
Cirrhosis for Certified Emergency Nursing (CEN)
Diverticulitis for Certified Emergency Nursing (CEN)
Esophageal Varices for Certified Emergency Nursing (CEN)
Hepatitis for Certified Emergency Nursing (CEN)
Intussusception for Certified Emergency Nursing (CEN)
Obstructions for Certified Emergency Nursing (CEN)
Pancreatitis for Certified Emergency Nursing (CEN)
Gastrointestinal Trauma for Certified Emergency Nursing (CEN)
Genitourinary Infections for Certified Emergency Nursing (CEN)
Renal Calculi for Certified Emergency Nursing (CEN)
Genitourinary Trauma for Certified Emergency Nursing (CEN)
Urinary Retention for Certified Emergency Nursing (CEN)
Gynecological Infections for Certified Emergency Nursing (CEN)
Ovarian Disorders (Cyst, Torsion, Rupture) for Certified Emergency Nursing (CEN)
Sexual Assault and Battery for Certified Emergency Nursing (CEN)
Gynecological Trauma for Certified Emergency Nursing (CEN)
Abruptio Placenta for Certified Emergency Nursing (CEN)
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Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Hyperemesis Gravidarum for Certified Emergency Nursing (CEN)
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Preterm Labor for Certified Emergency Nursing (CEN)
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
Obstetric Trauma for Certified Emergency Nursing (CEN)
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Mood Disorders (Bipolar, Depression) for Certified Emergency Nursing (CEN)
Homicidal and Suicidal Ideation for Certified Emergency Nursing (CEN)
Thought Disorders (Psychosis, Schizophrenia) for Certified Emergency Nursing (CEN)
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Allergic Reactions and Anaphylaxis for Certified Emergency Nursing (CEN)
Hematologic Disorders for Certified Emergency Nursing (CEN)
Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Immunocompromise (HIV and AIDS, Oncology and Chemotherapy, Transplant Patient) for Certified Emergency Nursing (CEN)
Renal Failure for Certified Emergency Nursing (CEN)
Sepsis for Certified Emergency Nursing (CEN)
Hypovolemic and Distributive Shock for Certified Emergency Nursing (CEN)
Diabetic Emergencies for Certified Emergency Nursing (CEN)
Calcium and Magnesium Imbalance for Certified Emergency Nursing (CEN)
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Amputation for Certified Emergency Nursing (CEN)
Compartment Syndrome for Certified Emergency Nursing (CEN)
Fractures (Open, Closed, Fat Embolus) for Certified Emergency Nursing (CEN)
Avulsions and Degloving Injuries for Certified Emergency Nursing (CEN)
Wound Infections for Certified Emergency Nursing (CEN)
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
Injection Injuries for Certified Emergency Nursing (CEN)
Lacerations for Certified Emergency Nursing (CEN)
Penetrating Injuries for Certified Emergency Nursing (CEN)
Maxillofacial/Ocular Emergencies
Maxillofacial Trauma for Certified Emergency Nursing (CEN)
Increased Intraocular Pressure for Certified Emergency Nursing (CEN)
Ocular Infections (Conjunctivitis, Iritis) for Certified Emergency Nursing (CEN)
Retinal Artery Occlusion for Certified Emergency Nursing (CEN)
Retinal Detachment for Certified Emergency Nursing (CEN)
Environment/Toxicology Emergencies/Communicable Diseases
Burns for Certified Emergency Nursing (CEN)
Envenomation Emergencies for Certified Emergency Nursing (CEN)
Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)
C. Difficile for Certified Emergency Nursing (CEN)
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Tuberculosis for Certified Emergency Nursing (CEN)
Hemorrhagic Fevers for Certified Emergency Nursing (CEN)
Heat Temperature-related Emergencies for Certified Emergency Nursing (CEN)
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Ethical Dilemmas for Certified Emergency Nursing (CEN)
Discharge Planning for Certified Emergency Nursing (CEN)
End-of-Life and Palliative Care (Organ and Tissue Donation, Advance Directives, Care Withholding, Family Presence) for Certified Emergency Nursing (CEN)
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Abuse and Neglect for Certified Emergency Nursing (CEN)
Delegation of Tasks to Assistive Personnel for Certified Emergency Nursing (CEN)
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Transfer and Stabilization for Certified Emergency Nursing (CEN)
Human Trafficking for Certified Emergency Nursing (CEN)
Cultural Considerations (Interpretive Services, Privacy, Decision Making) for Certified Emergency Nursing (CEN)
Gender Equity (Inclusion, Gender Transition) for Certified Emergency Nursing (CEN)
Patient Consent for Treatment for Certified Emergency Nursing (CEN)
Risk Management for Certified Emergency Nursing (CEN)
