Exam (elaborations)
N450 Emergency & Disaster Nursing (1)
- Course
- Institution
N450 Emergency & Disaster Nursing (1)
[Show more]
Seller
Follow
modockochieng06
Content preview
N450 Emergency & Disaster NursingTriage - ANS-French "to sort" Works on the premise that pts who have threat to life must be
treated before other pts.
Emergency Severity Index (ESI) - ANS-A five-level triage system that incorporates concepts of
illness severity and resource utilization to determine who should be treated first.
The four categories to sort pts. on the Emergency Severity Index (ESI) - ANS-1) ABCs
(unstable, threatened, stable)
2) Life threat or organ threat (obvious, likely but not always obvious, unlikely but possible, No)
3) How soon pt should be seen by HCP (immediate, 10 min, up to 1 hr, could be delayed)
4) Expected resource intensity (EKG, Labs, Xray, IV Fluids)
What surveys are used for all trauma pts - ANS-Primary & Secondary Survey
What surveys are used for non-trauma pts - ANS-Primary survey followed by focused
assessment
Primary survey - ANS-Focuses on airway, breathing, circulation, disability,
exposure/environment control.
It serves to identify life threatening condition so that the appropriate interventions can be
initiated
At any point during this time if you find life threatening conditions START INTERVENTIONS
IMMEDIATELY.
External hemorrhage during primary survey - ANS-In this case, <C> stands for catastrophic
hemorrhage. Must be controlled first. Apply direct pressure w/ sterile dressing.
Primary survey: What is A? - ANS-Alertness & Airway: Determine LOC by pt's response &/or
painful stimuli.
AVPU: Alert, Responsive to Voice, Responsive to Pain, Unresponsive.
Patients at risk for airway compromise - ANS-drowning, seizures, anaphylaxis, foreign body
obstruction, cardiopulmonary arrest
S&S of a compromised airway - ANS-Dyspnea, inability to speak, gasping (agonal) breaths,
foreign body in airway, trauma to face/neck.
, Ways to open airway - ANS-Head tilt-chin lift and jaw thrust, suctioning, removal of foreign body,
insertion of nasopharyngeal or oropharyngeal airway, intubation, emergency cricothyroidotomy
or tracheotomy.
Ventilate pt w/ 100 O2, bag-valve-mask (BVM), before tracheotomy.
What survey: What is B? - ANS-Breathing: Adequate airflow through upper airway DOES NOT
ensure adequate ventilation.
S/S of dyspnea - ANS-paradoxic or asymmetric chest wall movement, decreased or absent
breath sounds on the affected side, visible wound to the chest wall, cyanosis, tachycardia,
hypotension.
Conditions that affect breathing - ANS-Fractured ribs, pneumothorax, penetrating injury, allergic
reactions, pulmonary emboli, asthma attacks.
Primary survey: What is C? - ANS-Circulation: Effective circulatory system includes the heart,
intact blood vessels, & adequate blood volume.
Check CENTRAL pulse (e.g., carotid) because peripheral pulses may be absent d/t
injury/vasoconstriction.
Assess skin for color, temp & moisture.
**Altered mental status & cap refill >3 seconds - common sign of shock
Uncrossed blood: Use O-
Primary survey: What is D? - ANS-Disability: Conduct brief neuro exam. Assess LOC using
Glasgow Coma Scale (GCS) (not for intubated or aphasic pts). Check pupils for size, shape,
equality & reactivity.
Glascow Coma Scale (GCS) - ANS-
Primary survey: What is E? - ANS-Exposure & Environmental Control: Remove clothing to do
assessment (may have to cut off clothing).
Do not remove impaled objects.
Use warming blankets, overhead warmers, warmed IV fluids to limit heat loss, prevent
hypothermia & maintain privacy.
Primary survey: What is F? - ANS-Facilitate Adjuncts & Family: Obtain full vitals after pt is
exposed.
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 modockochieng06. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now