NUR 211 MEmerg
1. As usual, gonna do his videos, then kaplan stuff I guess, then reading
Answer
I would also recommend going back to my 114-Med Emergency - Hicks content quizlets, it
has stuff on ICP, and the 114-ME-nurse sarah stuff has stuff on burns
2. Exemplars
Answer
Traumatic Brain Injury Spinal Cord Injury
Aneurysms Advanced burns Sepsis
Unintentional injury or trauma
3. Objectives (burns)
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-classification of burn injuries
-prioritize nursing care and responsibilities for burn shock
-rule of nines in caring for a burn patient
-baxter parkland fluid resuscitation formula
-surgical and medical management for a patient during the resuscitative, reparative and
rehabilitative phase of a burn to include frost bite
-nursing care and responsibilities for a patient during the resuscitative, reparative and
rehabilitative phase of a burn to include frostbite
4. Meds
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Dilaudid - hydromorphone
Morphine Toradol Fentanyl Versed Ativan mupirocin mafenide
silver sulfadiazine
solu-medrol
,5. Objectives (neuro)
Answer
- management for ischemic stroke, hemorrhagic stroke, and cerebral aneurysm
--ICP and factors that cause increase and decrease in ICP
-care and responsibilities for a patient with an ICP monitoring device
-surgeries used for a patient with ischemic stroke, hemorrhagic stroke, cerebral aneurysm
(clipping and coiling), and increased ICP
-NIH stroke scale and understand nursing care and prioritization for a "low" score and a "high
score"
-neurological deficits post stroke
-assessing a patient with a traumatic brain injury
-Differentiate between primary brain injury and secondary brain injury
-Discuss and apply the Glasgow coma scale
-Understand CSF production, reabsorption, and function
-Understand the concept of brain herniation
-care and responsibilities for herniation syndrome
-importance of and technique used for serial neurological assessments in a patient with a brain
injury or altered LOC (don't memorize all the cranial nerves)
-Understand how to obtain cerebral perfusion pressure and prioritize nursing care based on
cerebral perfusion pressure
6. Objectives (Spinal Cord)
Answer
-Understand the motor function, sensory function, respiratory function, bowel and bladder
function, and rehabilitation potential for patients with spinal cord injuries at levels C1-C4, C5,
C8, or T6-T12.
-plan of care and education interventions for patients with spinal cord injuries at levels C1-C4,
C5, C8, or T6-T12
-care and responsibilities for a patient with autonomic dysreflexia
-care and responsibilities for a patient with neurogenic shock
-primary and secondary spinal cord injuries to develop a plan of care for a patient with a spinal
cord injury
-bowel and bladder retraining to develop an appropriate plan of care for a patient with a spinal
cord injury
-care and responsibilities for spinal cord injury patients with various assistive/sta- bilization
devices (roto rest bed, halo vest, cervical traction, hand splints, and foot splints)
-care and responsibilities for a patient (before, during and after) the following diagnostic
, procedures
Answer
CSF analysis, electromyography, nerve conduction study
7. Burns
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Complications
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Infection, shock (hypovolemic and septic), cardiac arrhyth- mias, disability, organ damage
(rhabomayalosis)
8. Stages of Burns
-emergent
-acute
-rehabilitative
where each happen, what sort of things get done
Answer
Stages of burns
Answer
-Emergent/resuscitative
--onset of burn and field care
--what type of burn (chem, heat, etc), remove the source of burn, keep vitals up, get to ED
-Acute
--ED
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fluids, vents
--ICU
Answer
fluids, vent, surgery, food, physio, wound care, meds, psych