Lacerations for Certified Emergency Nursing (CEN)
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Outline
Lacerations
Definition/Etiology:
- Laceration – a cut in the skin. Usually from a sharp object such as glasses.
- Can be linear or jagged
- Caused by trauma.
Pathophysiology:
- Caused by trauma
- Can be anything from a paper cut to getting cut with a knife
Clinical Presentation:
- Presentation different depending on what structures were affected and cause
- May be bleeding
- May be an aged laceration
Collaborative Management:
- Stop bleeding
- Determine age of laceration
- Determine mechanism
- Determine damage to underlying structures
- Imaging to determine if FB is present
- Irrigate/clean
- Pain management
- Tdap
Evaluation | Patient Monitoring | Education:
- Pain management
- Monitor for infection
- Educate on wound care
- Possible antibiotic therapy
- Discuss follow up
Linchpins: (Key Points)
- Stop the bleed
- Eval the damage
- Prevent infection
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:
- Lacerations. Lacerations | Johns Hopkins Medicine. (2019, November 19). Retrieved October 23, 2022, from https://www.hopkinsmedicine.org/health/conditions-and-diseases/lacerations
- 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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