EMD Self Assessment
3 ways to determine the TBSA rule of nine palmer method, lunds and browder method
Acute subdural hematoma manifestations Symptomatic with in 24-48 hours and the same as epidural hem
slower onset because of venous return
Acute subdural hematoma Onset 24-48 hours
After a few days of the precipitating event, what are low grade fever, tachycardia, increasing cardiac contractility Inc
some other S&S of MODS neutrophils and dyspnea, increase o2 consumption
mental status changes hyperglycemia, needs PEEP with in 7-10 d
and creatinine levels increase, polyuria
All shock is caused by inadequate tissue perfusion
Assessment of pupillary response unilateral = compressed CN 3
Fixed = midbrain damage (not a good sign)
Pinpoint = pons damage
basilar skull fracture occurs in bones over the base of the frontal lobe and temporal
, EMD Self Assessment
Besides a hyperbaric chamber how would you admin o2 100% O2 with a non-rebreather
to a client with CO poisoning
biggest NI to do for a patient with CO poisoning Assess for hypoxemia, oxygenate
Bleeding from a Epidural hematoma is usually continuous and a large clot forms which separates the dura from
The Brocas area is affected by traumatic brain injury will speaks word salad but can understand clearly
have what type of manifestations in the patient?
Cardiovascular interventions during hospitalization monitor for cardiac dysrhythmias, S&S of shock, assess fracture
bleeding, asses for DVT, monitor for orthostatic HTN when repo
Central herniation displacement of the diencephalon through the tentorial notch
Cerebral edema is Fluid in the brain
Characteristic of 2end degree wet blisters red in color affects the dermis and epidermis AKA p
burn
, EMD Self Assessment
Characteristics for 4th degree burns dermis epidermis and Sub Q is destroyed reaching muscles and
Characteristics od 3rd degree damage to the dermis and epidermis reaching to the sub Q Dry
black, red, white, brown, painless, pressure (can cause contract
hypertrophic scarring
Characteristics of 1st degree red, painful heals quick superficial
Chemical burns should be irrigated until 20 minutes or the burn sensation continues after the 20 minute m
Chemical burns should be irrigated untill 20 minutes or until the burning sensation stops after the minute
Chronic Subdural Hematoma is most common in An Older adult client and alcoholics because of atrophy of the
causes stretching of the veins
Chronic Subdural Hematoma onset weeks or months
Chronic Subdural Hematomas manifestations Gradual neurologic deterioration s/a drowsy, incoherent, inatten
changes.
, EMD Self Assessment
Classification of the subdural hematoma is based on how fast manifestation occur
clients who experience slow blood loss can Tolerate the blood loss better then a client with rapid blood los
Clients with a traumatic brain injury usually have injury to C-Spine heart, lungs, facial structures, abdomen, bones
other areas like what?
A client with a C7 injury is still able to Lift the shoulders
Clinical Manifestation of early complete transection of immediate paralysis below the level of injury, hypotension, loss
SCI control
colloids are contraindicated in what 2 conditions Burns and septic shock RT capillary damage
Contusion can be from contrecoup injuries which is an effected area of the brain that is on the opposite side on PO
A contusion is A direct injury to the brain itself
Cushing Triad increase systolic pressure with widening pulse pressure and bra
3 ways to determine the TBSA rule of nine palmer method, lunds and browder method
Acute subdural hematoma manifestations Symptomatic with in 24-48 hours and the same as epidural hem
slower onset because of venous return
Acute subdural hematoma Onset 24-48 hours
After a few days of the precipitating event, what are low grade fever, tachycardia, increasing cardiac contractility Inc
some other S&S of MODS neutrophils and dyspnea, increase o2 consumption
mental status changes hyperglycemia, needs PEEP with in 7-10 d
and creatinine levels increase, polyuria
All shock is caused by inadequate tissue perfusion
Assessment of pupillary response unilateral = compressed CN 3
Fixed = midbrain damage (not a good sign)
Pinpoint = pons damage
basilar skull fracture occurs in bones over the base of the frontal lobe and temporal
, EMD Self Assessment
Besides a hyperbaric chamber how would you admin o2 100% O2 with a non-rebreather
to a client with CO poisoning
biggest NI to do for a patient with CO poisoning Assess for hypoxemia, oxygenate
Bleeding from a Epidural hematoma is usually continuous and a large clot forms which separates the dura from
The Brocas area is affected by traumatic brain injury will speaks word salad but can understand clearly
have what type of manifestations in the patient?
Cardiovascular interventions during hospitalization monitor for cardiac dysrhythmias, S&S of shock, assess fracture
bleeding, asses for DVT, monitor for orthostatic HTN when repo
Central herniation displacement of the diencephalon through the tentorial notch
Cerebral edema is Fluid in the brain
Characteristic of 2end degree wet blisters red in color affects the dermis and epidermis AKA p
burn
, EMD Self Assessment
Characteristics for 4th degree burns dermis epidermis and Sub Q is destroyed reaching muscles and
Characteristics od 3rd degree damage to the dermis and epidermis reaching to the sub Q Dry
black, red, white, brown, painless, pressure (can cause contract
hypertrophic scarring
Characteristics of 1st degree red, painful heals quick superficial
Chemical burns should be irrigated until 20 minutes or the burn sensation continues after the 20 minute m
Chemical burns should be irrigated untill 20 minutes or until the burning sensation stops after the minute
Chronic Subdural Hematoma is most common in An Older adult client and alcoholics because of atrophy of the
causes stretching of the veins
Chronic Subdural Hematoma onset weeks or months
Chronic Subdural Hematomas manifestations Gradual neurologic deterioration s/a drowsy, incoherent, inatten
changes.
, EMD Self Assessment
Classification of the subdural hematoma is based on how fast manifestation occur
clients who experience slow blood loss can Tolerate the blood loss better then a client with rapid blood los
Clients with a traumatic brain injury usually have injury to C-Spine heart, lungs, facial structures, abdomen, bones
other areas like what?
A client with a C7 injury is still able to Lift the shoulders
Clinical Manifestation of early complete transection of immediate paralysis below the level of injury, hypotension, loss
SCI control
colloids are contraindicated in what 2 conditions Burns and septic shock RT capillary damage
Contusion can be from contrecoup injuries which is an effected area of the brain that is on the opposite side on PO
A contusion is A direct injury to the brain itself
Cushing Triad increase systolic pressure with widening pulse pressure and bra
