Abdl Emergencies [Cen]

Front 1

tx for undiagnosed abd pain

Back 1

-keep npo
-obtain urine sample [ check for pregnancy]
cbc [? elevated wbc's]

Front 2

intestinal perforation

Back 2

-associated with free air "under" the diaphragm
-s/s: fever, tachycardia, abd pain, distention, diaphoresis
-requires emergency surgery

Front 3

plan of care for intestinal "perforation"

Back 3

-pt will require emergency surgery -npo
-ngt placed to decompress gi tract
abx given to prevent sepsis, which can be caused by leakage from the perforation

Front 4

the normal amylase level

Back 4

25-125u/L

Front 5

after onset of acute pancreatitis, elevation of amylase level seen __ to __ hours

Back 5

24-48 hours
amylase will be elevated 3-5 times above the norm.

Front 6

nsg dx for pancreatitis
volume deficit or volume excess?

Back 6

volume deficit
can result in hypovol. shock
pt is vomiting, if bleeding that can result in hemor. pancreatitis & plasma leakage into the peritoneal cav.
pt is npo [pancreas is resting]

Front 7

which type of shock decreases co and causes ineffective tissue perfusion

Back 7

hypovolemic shock

Front 8

peritoneal lavage

Back 8

-used in detecting abd injuries especially in "comatosed" pts. -they cant tell you where the pain is.
- involves the instillation & withdrawl of fluid from the abd cav.

Front 9

what is a contraindication for peritoneal lavage

Back 9

do not perform if the bladder is distended
-a foley should be inserted before the procedure

Front 10

what organ is most often injured in blunt abd injury?

Back 10

the spleen
highly vascular
the spleen is compressed against the vertebral col during trauma.