Tncc Trauma Nursing Core Course 7th Edition Ena 197 Correctly Answered Questions Latest Update

What lab studies are used to guide resuscitative efforts in shock? {Ans: - Platelet count, clotting studies - Serum lactate, anion gap, base deficit, and ABGs to assess acidosis - Toxicology screen to help assess mental status and differentiate from head injury - Calcium level when rapidly infusing large volumes of blood products ch. 7, p. 83}What are some assessment findings for patients who sustain a pancreatic injury? {Ans: - Serial serum amylase levels increasing over time may indicate but this does not constitute a definitive diagnosis - Serial abdominal exams are preformed in conjunction with serial serum amylase levels to appropriately confirm pancreatic injury - slight abdominal pain and tenderness becoming more significant within 48 hours of injury - epigastric pain radiating to back - abdominal pain tenderness on deep palpation - increasing or worsening abdominal wall muscle rigidity, spasm, or involuntary guarding ch. 12, p. 16}RUPTURED DIAPHRAGM {Ans: Assessment findings - DYSPNEA or ORTHOPNEA - DYSPHAGIA - ABDOMINAL PAIN - SHARP EPIGASTRIC or CHEST PAIN RADIATING to left shoulder (Kehr sign) - Bowel sounds auscultated in the lungs on injured side Interventions - Prepare for surgery ch. 11, p. 146}Explain OBITAL FRACTURE {Ans: -