Rasmussen College: NUR 4323 /MDC4 Final Study Guide LATEST 2021/2022,100% CORRECT
5 views 0 purchase
Course
MDC4 Final Study Guide
Institution
MDC4 Final Study Guide
Rasmussen College: NUR 4323 /MDC4 Final Study Guide LATEST 2021/2022
Exam Notes MDC4 Final
Parkland Formula
a) 4ml x % BSA x weight (kg)= volume of fluid that needs to be infused
b) ½ of the total volume of fluid in first 8 hours
c) Last half in 16 hours
MAP Calculation
a) MAP= 1/3 * SB...
rasmussen college nur 4323 mdc4 final study guide latest 20212022
Written for
MDC4 Final Study Guide
All documents for this subject (2)
Seller
Follow
paulhans
Reviews received
Content preview
Rasmussen College: NUR 4323 /MDC4 Final Study Guide LATEST
2021/2022
Exam Notes MDC4
Final
Parkland Formula
a) 4ml x % BSA x weight (kg)= volume of fluid that needs to be infused
b) ½ of the total volume of fluid in first 8 hours
c) Last half in 16 hours
MAP Calculation
a) MAP= 1/3 * SBP + 2/3 * DBP
Treatment for frostbite
a) Rewarming the skin
a. Rewarm the area using a warm-water bath for 15 to 30 minutes
b. Skin may turn soft and look red or purple
c. You may be encouraged to gently move the affected area as it
rewarms.
b) Oral pain medicine
a. The rewarming process can be painful
c) Protecting the injury
a. Once the skin thaws, loosely wrap the area with sterile sheets,
towels, or dressing to protect the skin.
b. May have to protect fingers and toes as they thaw by gently
separating them from each other
c. You may need to elevate the affected area to reduce swelling
d) Debridement (removal of damaged tissue)
a. To heal properly, frostbitten skin needs to be free of
damaged, dead or infected tissue.
e) Whirlpool therapy or physical therapy
a. Hydrotherapy can aid healing by keeping skin clean and
naturally removing dead tissue
b. Pt may be encouraged to move the affected area
f) Antibiotics
a. If the skin or blisters appear to be infected, the doctor may
prescribe oral antibiotics
,g) TPA
a. IV injection of a drug that helps restore blood flow (thrombolytic)
such as TPA.
b. TPA lowers the risk of amputation
c. These drugs can cause serious bleeding and are typically used
only in the most serious situations and within 24 hours of
exposure.
h) Wound care
i) Surgery
a. Severe frostbite patients may need surgery or amputation
to remove dead or decaying tissue.
j) Hyperbaric oxygen therapy
a. Some patients show improved symptoms after this therapy,
but more study is needed.
,Treatment and differences of heat stroke and heat exhaustion
a) Heat exhaustion
a. Symptoms
i. General weakness, increased heavy sweating, a weak
but faster HR, N/V, possible fainting, pale/cold/clammy
skin
b. Treatment
i. Stop physical activity, transfer to cool space
ii. Cooling measures (ice water bath, mist skin with water,
ice packs, special cooling blanket)
iii. Rehydration therapy
b) Heat stroke
a. Symptoms
i. Elevated body temperature above 103 F (39.4 C), rapid
and strong HR, loss or change of consciousness, hot, red,
dry, or moist skin
b. Treatment
i. Oxygen therapy, IV lines, urinary catheter, continuous
cooling (Ice bath, mist skin with water, ice packs, special
cooling blanket), benzodiazepine if shivering occurs,
monitor for multi system organ dysfunction syndrome and
electrolyte imbalances.
Priority assessment in triage
a) ABC’s
Temperature reduction strategies
a) Ice bath, mist skin with water, ice packs, special cooling blanket
Skin injury related to frostbite
a) Frostbite occurs in several stages:
a. Frostnip
i. Mild form of frostbite- does not permanently damage the
skin
ii. Continued exposure leads to numbness in the affected area
, iii. As the skin warms, the patient may feel pain and tingling.
b. Superficial Frostbite
i. Appears as reddened skin that turns white or pale
ii. The skin may begin to feel warm- a sign of serious skin
involvement
iii. If you treat frostbite with rewarming at this stage, the
surface of skin may appear mottled and you may notice
stinging, burning, and swelling
iv. Fluid-filled blisters may appear 12 to 36 hours after
rewarming the skin
c. Deep (Severe) Frostbite
i. Skin turns white or bluish grey, and the patient may
experience numbness, losing all sensation of cold, pain, or
discomfort in the affected area.
ii. Joints/muscles may no longer work
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller paulhans. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
