EMERGENCY ROOM NURSING & TRIAGE NURSING FINAL EXAM PREP
4 views 0 purchase
Course
NURSING
Institution
NURSING
EMERGENCY ROOM NURSING & TRIAGE
NURSING FINAL EXAM PREP 2022/2023
On the Glasgow Coma Scale, what is the level that a patient must be
intubate?
• A patient score of 8 or less requires intubation
(check)
**anything less than 9 = respiratory effort not adequate
Heat Stroke vs. Heat Exhaust...
EMERGENCY ROOM NURSING & TRIAGE
NURSING FINAL EXAM PREP 2022/2023
On the Glasgow Coma Scale, what is the level that a patient must be
intubate?
• A patient score of 8 or less requires intubation
(check)
**anything less than 9 = respiratory effort not adequate
Heat Stroke vs. Heat Exhaustion (signs and symptoms)
• Heat Exhaustion: a condition whose symptoms may include heavy
sweating and a rapid pulse, a result of your body overheating
-Signs & Symptoms: faintness or dizziness; nausea or vomiting; heavy
sweating often accompanied by cold, clammy skin; weak, rapid pulse;
pale or flushed face; muscle cramps; headache; weakness or fatigue.
Heat Stroke:a condition caused by your body overheating, usually as a
result of prolonged exposure to or physical exertion in high
temperatures. This most serious form of heat injury, heatstroke can
occur if your body temperature rises to 104 F (40 C) or higher.
-Signs & Symptoms: confusion; dark-colored urine (a sign of
dehydration); dizziness; fainting; fatigue; headache; muscle or
abdominal cramps; nausea, vomiting, or diarrhea
SANE priorities
• Ensure that the patient feels safe and secure
SANEs will document the account of the assault, perform necessary
medical exams, testing and treatment, then collect crucial, time
sensitive evidence
Provide preventative treatment for HIV, STDs, and pregnancy
These nurses are always on call
Depression prioirities
• Safety!
Respiratory Distress Treatment Priorities- when do you intubate and when
do you use a non-rebreather?
, • You intubate when the patient is unable to maintain adequate
respirations
You use non-rebreathers in all other situations
Trauma assessment-index of suspicision
• ABCDE assessment
Stabilize cervical spine is trauma is suspected (always suspect this
until either confirmed by CT scan)
index of suspicion- suspecting the patients injuries or pathology based
on the mechanism of injury
Antidotes for OD posioining
• Tylenol OD- Mucomyst (acetylcysteine solution)
Toilet bowl cleaner-
Baby Aspirin OD- Sodium bicarbonate
Gasoline-
Blood Pressure pills-
Acidic vs. Basic Emergency Treatment Plan in the ED (initial priorities)
...
When do you give ipecac, milk, activated charcoal?
• Ipecac induces vomiting and should be given when the poison is not
caustic
Milk- can be given pre hospital to neutralize acidic poisons (but you
must call poison control first)
Activated charcoal decreased the absorption of the poison and can be
given PO, through an NG tube, or through a rectal tube within 60
minutes of poison ingestion
Chest Pain Priorities
• ECG
IV access
Pain Management (nitroglycerin and then morphine if the nitro doesn't
work)
Stat labs (Troponins & CPK)
Stat chest x-ray
, Triage Color Codes-Who are the sickest vs the stronger, Who stays at the
scene and who gets medical treatment/transferred?
• Green = good --> these patients can walk to a designated area
(2) Red = life threatening --> these people receive attention second
(3) Blue = life threatening injury more severe than red --> these
people receive care third (because they are not expected to survive
their injuries)
(4) Black = dead --> these ones you deal with last
Triage Color Codes- what color represents the worst or best patient?
• Green (minor injury) or yellow (non-life-threatening injury) tag
indicates noncritical injury
Red tag indicates life-threatening injury
Blue tag indicates those who are worse and are expected to die --> for
these patients if you see they aren't breathing you do a head tilt, chin
lift and walk away
Black tag identifies the dead
What is the purpose of the Office of Emergency Operation Plan? Critical
Incident Stress Management Team? What are their roles and
responsibilities?
• Office of Emergency Operation Plan: details policies and procedures
applicable to the management of all-hazard events to include natural
disasters, accidents, and terrorist or significant criminal incidents. The
scope of the plan extends from pre-incident preparedness, prevention,
and mitigation, to response and recovery activities.
Incident Stress Management Team: an intervention protocol developed
specifically for dealing with traumatic events. It is a formal, highly
structured and professionally recognized process for helping those
involved in a critical incident to share their experiences, vent
emotions, learn about stress reactions and symptoms and given
referral for further help if required. It is not psychotherapy. It is a
confidential, voluntary and educative process, sometimes called
'psychological first aid'.
Terrorist Potential- assessment of the patient signs and symptoms; PPE;
priorities; etc.
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 muriithi. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $28.49. You're not tied to anything after your purchase.
