Trauma and Chest Injury Management
21 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following factors does NOT affect the severity of deceleration injuries?

  • Direction of impact
  • Duration of hospitalization (correct)
  • Area of distribution
  • Initial speed
  • What is the recommended nursing intervention for the prevention of traumatic and surgical wound infection?

  • Avoiding contact with any fluids
  • Administering prophylactic antibiotics (correct)
  • Frequent dressing changes without sterile technique
  • Immediate suturing of all wounds
  • Which nursing management approach is crucial for a patient with a traumatic brain injury?

  • Encouraging maximum physical activity
  • Immediately starting physical therapy
  • Providing unrestricted sensory stimulation
  • Regular monitoring of neurological status (correct)
  • What is a significant complication associated with large bone fractures, particularly the femur?

    <p>Compartment syndrome (C)</p> Signup and view all the answers

    What is a primary nursing implication for managing crush injuries?

    <p>Assessment for compartment syndrome (C)</p> Signup and view all the answers

    What metabolic condition can result from rhabdomyolysis due to crush injuries?

    <p>Hyperkalemia (C)</p> Signup and view all the answers

    Which complication is associated with open fractures and soft tissue injuries?

    <p>Infection (C)</p> Signup and view all the answers

    What type of traumatic brain injury results from the brain moving within the skull due to high-energy impact?

    <p>Coup-contrecoup (A)</p> Signup and view all the answers

    During the management of crush injuries, which of the following can cause renal failure?

    <p>Decreased blood flow to kidneys (A)</p> Signup and view all the answers

    Which type of brain injury is characterized by brief changes in level of consciousness without necessarily losing it?

    <p>Concussion (B)</p> Signup and view all the answers

    What is a common overlap symptom between traumatic brain injury (TBI) and PTSD in military personnel?

    <p>Memory loss (B)</p> Signup and view all the answers

    What is a complication of compartment syndrome associated with crush injuries?

    <p>Hypoxia of tissues (A)</p> Signup and view all the answers

    What type of injury occurs primarily due to penetrating trauma or physical impact to the head?

    <p>Traumatic Brain Injuries (C)</p> Signup and view all the answers

    Which of the following is a common physical effect of traumatic brain injury?

    <p>Loss of energy (B)</p> Signup and view all the answers

    What cognitive symptom might someone experience after a traumatic brain injury?

    <p>Difficulty making decisions (B)</p> Signup and view all the answers

    Which behavioral effect could signify the impact of traumatic brain injury on a person?

    <p>Easily getting frustrated (A)</p> Signup and view all the answers

    What should individuals avoid to aid in the management of traumatic brain injury symptoms?

    <p>Consuming alcohol (D)</p> Signup and view all the answers

    What is a recommended step for managing symptoms of traumatic brain injury?

    <p>Write things down or use electronic reminders (B)</p> Signup and view all the answers

    Which of the following should be recognized as a trigger for worsening traumatic brain injury symptoms?

    <p>Specific environmental situations (D)</p> Signup and view all the answers

    What impact can caffeine have on symptoms of traumatic brain injury?

    <p>It could increase symptoms (D)</p> Signup and view all the answers

    What is one effect of traumatic brain injury related to vision?

    <p>Blurry eyesight (D)</p> Signup and view all the answers

    Flashcards

    Thoracic Injuries: Pneumothorax Types

    Pneumothorax is a lung injury due to air in the pleural space. Different types include: simple (chest tube), open (cover wound, chest tube), and tension (needle decompression, chest tube).

    Compartment Syndrome (Possible Cause):

    A serious condition where pressure builds up in a confined muscle space, often caused by large bone fractures, like femur.

    Deceleration Injuries, Severity Factors:

    The severity of deceleration injuries depends on the initial speed, distance/time, direction of impact, area of impact distribution, and restraints.

    FAST Exam Relevance:

    A focused abdominal sonography for trauma (FAST) is crucial for suspected intra-abdominal hemorrhage by detecting blood in the peritoneal space.

    Signup and view all the flashcards

    Flail Chest Definition:

    A type of chest injury involving fractured ribs causing paradoxical chest movement; leads to decreased lung capacity and atelectasis (collapsed lung).

    Signup and view all the flashcards

    Unstable Injury Signs

    These are signs indicating a potentially life-threatening condition requiring immediate attention. They include significant blood loss and damage to internal organs within the abdomen.

    Signup and view all the flashcards

    Open Fracture Infection Risk

    Open fractures, where the bone breaks through the skin, pose a high risk of infection due to exposure to bacteria.

    Signup and view all the flashcards

    Debridement: Cleaning a Wound

    This is a surgical procedure to remove damaged tissue, debris, and potentially infected material from a wound, improving healing prospects.

    Signup and view all the flashcards

    Crush Injury Complications

    Severe injuries caused by crushing forces can lead to a host of complications, including muscle breakdown (rhabdomyolysis) and compartment syndrome.

    Signup and view all the flashcards

    Rhabdomyolysis: Muscle Breakdown

    This condition involves the breakdown of muscle tissue, releasing harmful substances into the bloodstream.

    Signup and view all the flashcards

    Traumatic Brain Injury (TBI)

    This occurs when external force causes damage to the brain, often through penetrating or blunt trauma.

    Signup and view all the flashcards

    TBI: Concussion

    A concussion is a mild TBI causing temporary changes in consciousness or mental function.

    Signup and view all the flashcards

    TBI: Diffuse Axonal Injury

    This type of TBI involves widespread damage to nerve fibers in the brain, potentially leading to long-term neurological issues.

    Signup and view all the flashcards

    TBI Physical Effects

    Physical symptoms after a Traumatic Brain Injury (TBI) can include headaches, difficulty speaking, blurry vision, hearing problems, and fatigue.

    Signup and view all the flashcards

    TBI Cognitive Effects

    Cognitive changes after TBI can involve difficulty concentrating, attention problems, forgetfulness, decision-making issues, and repeating things.

    Signup and view all the flashcards

    TBI Behavioral Effects

    Behavioral changes after TBI may include increased anger and frustration, impulsive actions, concentration difficulties, alcohol or drug use.

    Signup and view all the flashcards

    TBI Symptom Management: Sleep

    Getting enough sleep is crucial for TBI recovery as it helps the brain heal and improve cognitive function.

    Signup and view all the flashcards

    TBI Symptom Management: Reminders

    Use written or electronic reminders to compensate for memory difficulties after TBI.

    Signup and view all the flashcards

    TBI Symptom Management: Routine

    Establishing a regular daily routine can help structure your day and manage TBI symptoms.

    Signup and view all the flashcards

    TBI Symptom Management: Decision Making

    Seek advice from trusted individuals when making decisions after TBI to ensure you receive support and guidance.

    Signup and view all the flashcards

    TBI Symptom Management: Triggers

    Recognize situations that worsen your TBI symptoms by keeping a record and avoiding them.

    Signup and view all the flashcards

    Study Notes

    Trauma Injuries

    • Objectives:
      • Describe pathophysiology and nursing implications for crush injuries and compartment syndrome.
      • Describe nursing care for prevention and treatment of traumatic and surgical wound infection, and secondary trauma.
      • Describe nursing management of patients with traumatic brain injury.
      • Discuss the role of nutrition in critically injured patients.

    Thoracic/Chest Injuries

    • Pneumothorax:
      • Simple: chest tube needed.
      • Open: cover wound, then chest tube.
      • Tension: needle decompression, then chest tube.
    • Fractured Ribs:
      • Flail chest: paradoxical chest movements, decreased vital capacity, atelectasis.
    • Contusions:
      • Heart: tamponade, dysrhythmias, decreased cardiac output (CO).
      • Lungs: hemothorax.

    Abdomen Injuries

    • Blunt versus penetrating: Lacerated liver, ruptured spleen, mesenteric artery tears, diaphragm rupture, urinary bladder rupture, great vessel tears, renal or pancreas injury, and stomach or intestine rupture are possible injuries. If intra-abdominal hemorrhage is suspected, a focused abdominal sonography for trauma (FAST) can determine the presence of blood in the peritoneal space (hemoperitoneum).

    Deceleration Injuries

    • Factors affecting severity: initial speed, distance and time, direction, and area of distribution.
    • Possible injuries: brain, organ, and knee injuries.
    • Restraint injuries, including seatbelt sign.

    Large Bone Fractures

    • Femur: open versus closed, blood loss, compartment syndrome.
    • Pelvis: open versus closed, stable versus unstable, blood loss, intrabdominal injury.

    Infection

    •  Open fractures and soft tissue injuries are relevant.

    Crush Injuries

    • May accompany fractures.
    • Compartment syndrome.
    • Rhabdomyolysis (increased lactic acid leading to metabolic acidosis; increased myoglobin leading to renal failure, crystallization of myoglobin in renal tubules).
    • Toxic effect of myoglobin on renal tubules.
    • Elevated potassium (K+).
    • Prolonged immobility; compromised circulation and secondary pressure are factors.

    Traumatic Brain Injuries

    • Caused by outside mechanical forces transmitted to the brain, this includes penetrating trauma and blunt trauma.
    • Examples of mechanisms such as: hitting windshield in MVC, sports injuries, falling, gunshot wounds (GSW), and blasts.
    • Blasts in war zones are a significant cause in active-duty military personnel.

    Diffuse Injury

    • Concussion: brief loss of consciousness or changes in LOC.

    Diffuse Axonal Injury

    • Focal injury; contusion (bruising/edema); focal neurologic deficit.
    • Coup-contrecoup: brain movement inside the skull; high-energy or high-impact mechanisms are implicated.
    • Skull fracture.

    Traumatic Brain Injury (TBI) - Ambulatory and Home Care

    • Acute rehabilitation, motor and sensory deficits, communication issues.
    • Memory and intellectual functioning, nutrition, bowel and bladder management, seizure disorders.
    • Mental and emotional difficulties, progressive recovery, and family participation and education.

    Traumatic Brain Injury (TBI) – Military Personnel

    • TBI symptoms often overlap with PTSD symptoms.
    • Difficulties in determining the underlying cause.
    • Possible symptoms include: headaches, difficulty speaking, blurry eyesight, and/or trouble hearing.

    Traumatic Brain Injury (TBI) – Cognitive Effects

    • Difficulty concentrating, trouble with attention, forgetfulness, difficulty making decisions, and repeating things.

    Traumatic Brain Injury (TBI) – Behavioral Effects

    • Becoming angry easily, getting frustrated easily, acting without thinking, having trouble concentrating, drinking more alcohol, and using illegal drugs.

    Traumatic Brain Injury (TBI) – Steps in managing TBI symptoms

    • Get enough sleep, write things down, establish a regular routine, check with someone you trust when making decisions, avoid alcohol and caffeine, cold medications for nasal congestion.

    Traumatic Brain Injury (TBI) – Recognize triggers

    • Keep a record of situations that worsen symptoms.
    • Hobbies and recreational activities.
    • Talk to others, friends, and loved ones.
    • Symptoms will improve with time.

    Nutrition

    • Hypermetabolism of stress.
    • Facial/Abdominal trauma.
    • Wound healing.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    This quiz covers essential nursing concepts related to trauma injuries, including the pathophysiology and management of crush injuries, compartment syndrome, and traumatic brain injuries. Additionally, it explores various thoracic and abdominal injuries, their nursing implications, and strategies for preventing infections in critically injured patients.

    Use Quizgecko on...
    Browser
    Browser