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M.H.R School Of Nursing > Chest Injury > Flashcards

Flashcards in Chest Injury Deck (30):
1

2+ ribs fx in 1+place; no longer attached to the thoracic cage.

Flail chest

2

Pt. breathes in, the intact chest wall expands & injured part is sucked in. Pt exhales: the chest wall moves in and the flail section moves out.
Usual cause: blunt trauma

Flail chest

3

Usual cause of Flail Chest and Rib Fractures

blunt trauma

4

Fx of ribs 1-3 take significant --> increased risk to

CNS, tracheobronchial, and vascular injuries

5

Most common ribs fractured

Ribs 5-9
-->Pos. laceration from fragments and jagged edges

6

On Scene Tx of Open Pnuemothorax

sterile occlusive dressing, 1-side untapped

7

Becks Triad

Decreased BP,
Muffled heart sounds
Distended neck veins

8

Acute widespread process of impaired cellular metabolism.

Shock (general)

9

Imbalance btwn supply & demand of O2 & nutrients

Shock (general)

10

Low Blood Flow Shocks

Cardiogenic
Hypovolemic

11

Left Sided Systolic Cardiogenic Shock-->

decreased systemic circulation

12

SCI @ T5 or above-->loss of SNS compensation/ vasoconstriction-->massive vasodilation leading to pooling of blood in vessels

Neurogenic Shock

13

Systemic inflammatory response to infection

Sepsis

14

Sepsis + hypotension despeite fluid resuscitation & inadequate tissue profusion

Septic Shock

15

Leading cause of death in non-coronary ICU

Septic Shock

16

4 stages of shock continuum

Initial
Compensatory
Progressive
Irreversible

17

Early S/S of Compensatory Stage of Shock

∆ in L.O.C. including: Restless, irritability, apprehension

18

HR Progressive stage shock

Tachycardia 100-150 bpm

19

Trauma Triad of Death

greatest risk of death in the first 24h d/t Hypothermia, Acidosis, Coagulopathy

20

MSOF

Multi-System Organ Failure aka MODS

21

MODS

Multi Organ Dysfunction Syndrome aka MSOF

22

Hallmark manifestation of overt GI bleeding

Hematemesis

23

Hematochezia

maroon-colored stools

24

Classic response to metabolic stress

use of protein for fuel

25

Prevacid, Nexium, Protonix

Proton pump inhibitors

26

Acute Gastrointestinal Ulceration=

Medical emergency
If unrecognized/TX too late = GI hemorrhage → hypovolemia

27

produce diffuse mucosal oozing

Stress ulcers

28

Zantac, Pepcid, Tagamet

H2 histamine blockers

29

Stress Ulcer onset

2-10d

30

black, tarry stool

Melena
Chronic