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1

Complications from burns

CONTRACTURES, infection, shock

2

When doing dressing changes for burns always remeber to use

sterile technique

3

Cherry red mucosa is a tell tale sign of

Carbon monoxide posioning

4

How would you propritize tx after a massive trauma?

1. Airway
2. Other injuries
3. Burns

5

How to prevent contractures?

ROM

6

Dietary considerations for Burn pts

High calorie high protein

7

Herniated nucleus pulposus

herniated disc

8

Pt presents with severe pain, muscle spasms, numbness/tingling, decreased reflexes, or sciatic nerve pain...What do you suspect the dx is?

Herniated disc

9

tx for herniated disc

RICE 1-2 days
heat after 2 days
medications
ultrasound tx
PT for back strengthening exercises
swimming
PT
Chiropractic care
surgery
when laying on back use pillow to elevate legs to take pressur eoff back

10

If a spinal cord injury is suspected to be incomplete you know what about their condition?

That it cannot be fully assessed until the swelling goes down

11

Complications associated with a spinal cord injury

PRIORITY IS AIRWAY
spinal shock
neurogenic shock
muscle spasms

12

What to remember when a pt is taking prednisone?

they need to be tapered off of it

13

most common muscle relaxer used amongst SCI pts.

baclofen

14

Used to help tx low blood pressure (think SCI pt's

dopamine

15

Nursing interventions for pts with a spinal cord injury

pt is a fall risk
assess bladder
prevent pressure ulcer

16

pt presents with sudden onset of HIGH BP, has a distended bladder, has a spinal cord innjury at T6...what could be the diagnosis

Autonomic dysreflexia

17

If autonomic dysreflexia is suspected what should be done FIRST

Raise the HOB

18

If a spinal cord injury is suspected what is the PRIORITY action?

Do NOT move them unless they are in immediate danger. Wait for EMS to come with stabalizing equipment

19

What is the usual first sign of infection in older adults

confusion

20

What is a major sign of parkinsons disease

resting tremor

21

A pt with parkinsons usually has trouple reading but does better writing why?

Resting tremors eases up with intentional movement

22

Nursing care for pt's with parkinsons

Fall risk
drug therapy (sinamet)
PT
A lot of emotional support
neurosurgery electrical implants to shock and block tremors

23

Drug that enhances the delivery of dopamine to the brain cells. Used to tx the symptoms of parkinsons

sinemet

24

A parkinsons comes into the ER and daughter states since taking her new meds the pt presents with GI complications, palpitations, urinary retention, behavioral changes, severe nausea, vomiting, increased gambling, sexual binge or compulsive eating or other intense urges what do you suspect?

Sinemet toxicity

25

Why should sinement pts report leasions to their PCP

it can cause a malignant melinoma

26

The spontaneous separation of an incision (often abd), involved separation of the layers beneath the skin as well

Dehiscence

27

A pt has just experiencenced dehiscence of his abd incision. What is the first thing you do?

Cover with a wet sterile dression or cloth

28

Protrusion of an internal organ through the incision

evisceration

29

Pt presents with:

T: >100.4 F <96.8 F.4 F
RR: > 20
HR: > 90
WBC: < 4,000 or >12,000 or > 10% bands
PCO2: <32 mmHg—low bc of hyperventilation

What do you suspect?

SIRS

30

Pt presents with:

T: >100.4 F <96.8 F.4 F
RR: > 20
HR: > 90
WBC: < 4,000 or >12,000 or > 10% bands
PCO2: <32 mmHg—low bc of hyperventilation
confirmed or suspected infection
Change in LOC
decreased platelets
elevated leukocytes
elevted lactate
increase in pain

sepsis