Medical Emergencies

by Diana Shenefield, PhD

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    Welcome. My name is Diana Shenefield. Today’s topic is Medical Emergencies. And as you’re thinking about medical emergencies, we’re always prepared as nurses to intervene for emergencies, so this should be a really good review. So, what do I need to know? What are my learning outcomes? I need to apply my knowledge of nursing procedures and psychomotor skills for emergencies. I need to be running through algorithms through my mind when there’s an emergency, one so I’m prepared, two so that I can intervene at a good time, but also so that I understand what’s going on in the process, and then intervene when they appear to be ready to go into emergency. A lot of what we do as nurses is we want to prevent medical emergencies. We want to pick up on signs and symptoms when a patient is going into an emergency. We want to know if they’re going into shock or cardiac arrest so that we can prevent that from happening. So a lot of our assessment and reassessment is prevention, but at times we will find ourselves in the midst of an emergency that we couldn’t prevent, and so what do I do as a nurse? So here’s one of the possible NCLEX questions you might see. What are the emergency nursing actions for a patient with a head injury due to a fall from a third-floor roof? So again, be thinking about that patient. Picture in your mind the emergency that has happened. A, would you assess respirations, assess circulation and assess level of consciousness? B, stabilize C-spine, determine responsiveness, and begin chest compressions? C, stabilize C-spine, assess airway, and assess respirations? Or D, assess airway, assess respirations, and assess circulation? So again, be thinking through your mind, what has this patient just...

    About the Lecture

    The lecture Medical Emergencies by Diana Shenefield, PhD is from the course Physiological Integrity. It contains the following chapters:

    • Medical Emergencies
    • Review of Emergency Care Procedures
    • Nursing Interventions

    Included Quiz Questions

    1. To decrease oxygen demands on the patient’s heart
    2. To sedate the patient
    3. To decrease the patient’s pain
    4. To decrease the patient’s anxiety
    1. Each rescue breath should be given over 1 second and should produce visible chest rise.
    2. One breath should be given for every 5 compressions
    3. Two breaths should be given for every 15 compressions
    4. Initially, two quick breaths should be given as rapidly as possible
    1. Umbilicus and the xiphoid process
    2. Groin and the abdomen
    3. Umbilicus and the groin
    4. Lower abdomen and the chest
    1. 30
    2. 10
    3. 20
    4. 15

    Author of lecture Medical Emergencies

     Diana Shenefield, PhD

    Diana Shenefield, PhD

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