18 nr 341 week 7 exam three study guide chapters 19
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NR 341
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NR 341 Week 7 Exam Three Study
Guide (Chapters 19, 20, 6, 17, 13, 21,
18)
NR 341 Week 7 Exam Three Study Guide (Chapters 19, 20, 6, 17, 13, 21, 18)
Chapter 19 Trauma and Surgical Management
• Introduction
• Trauma demographics
• Systems approach to trauma care o Trauma system
Levels of trauma care
Trauma continuum
Injury prevention
Trauma team concept
Prehospital care and transport
Trauma triage
Disaster and mass casualty management
• Mechanism of injury o Blunt trauma o Penetrating
trauma o Blast injuries
• Emergency care phase o Initial patient assessment o
Primary and secondary survey
• Resuscitation phase o Establishing airway patency
, o Maintaining effect breathing o
Maintaining circulation o Diagnostic testing
o Adequacy of resuscitation o Fluid
resuscitation o Assessment of neurological
disabilities o Exposure and environmental
considerations
• Assessment and management of specific organ injuries o
Thoracic injuries
Cardiac tamponade
Cardiac contusion
Aortic disruption
Tension pneumothorax
Hemothorax
Open pneumothorax
Pulmonary contusion
Rib fractures and flail chest o Abdominal injuries o Musculoskeletal injuries
Complications
• Compartment syndrome
• Rhabdomyolysis
• Venous thromboembolism
, • Fat embolism syndrome
• Critical care phase o Damage-control surgery
o Postoperative management
• Special considerations and populations o
Alcohol and drug abuse o Family and patient
coping
• Rehabilitation
Chapter 20 Burns
• Introduction
• Review of anatomy and physiology of the skin o Effects of
aging
• Mechanisms of injury o Thermal injury o Chemical injury o
Electrical injury o Inhalation injury
Carbon monoxide and cyanide poisoning
Injury above the glottis
Injury below the glottis
• Burn classification and severity o Depth of injury
o Extent of injury
• Physiological response to burn injury o Cardiovascular
response o Host defense mechanisms o Pulmonary response o
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