brought in and assessed. Then we immediately do an x-ray of their chest and pelvis while they are still in the trauma bay. The chest x-ray is the standard test for diagnosis of trauma patients in the emergency department. A chest x-ray can show pneumothorax‚ pleural effusion‚ atelectasis‚ and many other pathologies that would need attention right away. A pelvis x-ray in trauma patients is needed to prevent a delay in recognition of major pelvic fractures‚ dislocations‚ and potential pelvic bleeding
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Cystic Fibrosis is a severe inherited disease that affects 30‚000 children each year in the United States. As the disease is inherited‚ it is created by a mutated protein that regulates the equilibrium of salt in each cell. This mutated protein affects the normal function of Epithelial Cells or sweat cells and cells that line the lungs. This defected epithelial cell creates a thick and sticky mucus that can impair the flow of oxygen to the lungs. CF is a chronic disease that can affect every aspect
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Chapter 28: Nursing Management: Lower Respiratory Problems Test Bank MULTIPLE CHOICE 1. Following assessment of a patient with pneumonia‚ the nurse identifies a nursing diagnosis of ineffective airway clearance. Which assessment data best supports this diagnosis? a. Weak‚ nonproductive cough effort b. Large amounts of greenish sputum c. Respiratory rate of 28 breaths/minute d. Resting pulse oximetry (SpO2) of 85% ANS: A The weak‚ nonproductive cough indicates that the patient is unable to clear
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CARDIO Tendon xanthomata: deposition of yellowish cholesterol rich material in the tendons‚ asociared with hyperlipidaemia. Eg on knuckles Xanthelasma: cholesterol deposits around the eyes. Corneal Arcus: deposition of cholesterol/lipid in the cornea. CRP : acute phase of protein produced predominantly by the liver in response to inflammatory cytokines Chest Pain on Xray: evidence of another cause of chest pain such as air in the mediastinum (oesophageal rupture) or aortic dissection
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(for example‚ the "iron lung") that create a negative pressure environment around the patient’s chest‚ thus sucking air into the lungs. Mechanical ventilation is often a life-saving intervention‚ but carries many potential complications including pneumothorax‚ airway injury‚ alveolar damage‚ and ventilator-associated pneumonia.[citation needed] For this reason the pressure and volume of gas used is strictly controlled‚ and reduced as soon as possible.( [pic]intubation refers to the placement of a
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Perform a Casualty Assessment Introduction On the battlefield‚ rapid systematic assessment of a casualty increases the likelihood that life threatening injuries are identified and prioritized. If life threatening injuries are identified during the assessment‚ life saving treatment and interventions can be initiated immediately. As a review the A-B-C’s are the first step in an initial assessment. This handout outlines assessment techniques and reassessment interventions and how to perform
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Introduction On August 3‚ 2010‚ in Manchester‚ CT‚ a disgruntled employee shot and killed eight fellow workers and just over two years later a twenty-year-old male shot and killed twenty-six children and six staff members at Sandy Hook Elementary School in Newtown‚ CT. The increasing frequency and complexities of these incidents demonstrate the need for all emergency agencies to collaborate and train for this sad new reality of society. With the recent rise in Active Shooter Incidents (ASI) the
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PALS Helpful Hints Nov 2011 The PALS exam is a 33 question exam. Passing score is 84% or you may miss 5 questions. For those persons taking PALS for the first time or renewing with a current card‚ exam remediation is permitted should you miss more than 5 questions on the exam. Viewing the books ahead of time with the accompanying student web site www.heart.org/eccstudent located on page ii of the PALS provider manual is very helpful. This site has a pretest and other helpful tools. This
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nurse for increasing desaturation‚ at which time the patient can be intubated if he demonstrates inadequate ventilation. Choice "D" is not the best answer. Needle decompression is an emergency procedure reserved for those with suspected tension pneumothorax. A 14-16G intravenous cannula is inserted in the second intercostal space (above the third rib on the mid-axillary
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following terms: ventiliation‚ inspiration‚ expiration‚ forced expiration‚ tidal volume‚ expiratory reserve volume‚ inspiratory reserve volume‚ residual volume‚ vital capacity‚ forced expiratory volume‚ minute respiratory volume‚ surfactant‚ and pneumothorax. To describe the role of muscles and volume changes in the mechanics of breathing. To understand that the lungs do not contain muscle and that respirations are therefore caused by external forces. To explore the effect of changing airway
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