What are the initial assessment priorities for a patient with blunt abdominal trauma?
What are the initial assessment priorities for a patient with blunt abdominal trauma?
Setting priorities As always, your primary priorities are to maintain the patient’s airway, breathing, and circulation. Next, perform a rapid neurologic examination and assess him head to toe to identify obvious injuries and signs of prolonged exposure to heat or cold.
Which of the following is most important when caring for the abdominal trauma patient?
Assessment of hemodynamic stability is the most important initial concern in the evaluation of a patient with blunt abdominal trauma.
How do you manage abdominal trauma?
Management may involve nonoperative measures or surgical treatment, as appropriate. Indications for laparotomy in a patient with blunt abdominal injury include the following: Signs of peritonitis. Uncontrolled shock or hemorrhage.
Which complication is most likely to occur in blunt trauma of the abdomen?
Spleen is the most common cause of massive bleeding in blunt abdominal trauma to a solid organ. Spleen is the most commonly injured organ. A laceration of the spleen may be associated with hematoma.
What are some indications for urgent surgical intervention in blunt abdominal trauma?
Indications for urgent surgical intervention are hypotension with positive focused assessment with sonography in trauma (FAST) or diagnostic peritoneal lavage (DPL), evisceration, open pelvic fracture [7], hemodynamic instability, or diffuse peritonitis [8, 9].
What happens when a hollow organ is punctured?
Hollow organs are usually injured by a penetrating trauma. These injuries usually involve a perforation, or tear, of the organ. When a hollow organ is torn, the contents of that organ can leak into the abdominal cavity, increasing the risk of infection and potentially leading to sepsis.
What is blunt force trauma to the abdomen?
Blunt trauma refers to injury of the body by forceful impact with a dull object. With blunt force trauma, there can be internal organ injuries that are not immediately visible. Common organs that are affected include the spleen, liver, and small intestine.
What organ in the abdomen is most commonly injured by blunt trauma and can bleed profusely enough to threaten the patients life?
The liver is also vulnerable to penetrating trauma. Liver injuries present a serious risk for shock because the liver tissue is delicate and has a large blood supply and capacity. In children, the liver is the most commonly injured abdominal organ. The liver may be lacerated or contused, and a hematoma may develop.
What are the effects of blunt abdominal trauma?
Blunt abdominal trauma can cause damage to the internal organs, resulting in internal bleeding, cause contusions, or injuries to the bowel, spleen, liver, and intestines. Patients can also present with extra-abdominal injuries such as extremity injuries.
What is a nursing diagnosis for abdominal trauma?
ADVANCED CARE MANAGEMENT diruangB. Nursing DiagnosisNursing diagnosis is a unification of the problem of real or potential patients based on the data that has been collected (Boedihartono, 1994).Nursing diagnoses in patients with abdominal trauma (Wilkinson, 2006) are:1. Damage to skin integrity related to puncture injury.2.
What to do with a blunt abdominal injury?
Treatment of patients with blunt abdominal injury requires the routine ABCs (Airway, Breathing, and Circulation). Once the airway is protected, it is mandatory to protect the cervical spine. After the primary survey is complete, patients who are hypotensive require aggressive fluid resuscitation.
What causes blunt abdominal injury ( Bai ) in children?
Blunt abdominal injury (BAI) is common and usually results from motor vehicle collisions (MVC), falls and assaults. In children (less than or equal to 14 years of age), blunt abdominal trauma is the second most frequent cause of mortality preceded by head injuries.
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