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MedSurg Chapter60:3

Noninflammatory Intestinal Disorders:3

QuestionAnswer
Abdominal Trauma Injury to structures located between the diaphragm and pelvis; blunt or penetrating force to abdomen
Causes of Abdominal Trauma-Blunt Motor Vehicle AccidentsFallsAggravated AssaultsContact Sports
Causes of Abdominal Trauma-Penetrating Gunshot woundsStabbingImpalement with an objects
Most common injured site LIVER- in both blunt and penetrating traumaSpleen- most commonly injured organ in blunt abdominal trauma
Priority Nursing Assessment Mental StatusVital SignsSkin perfusion- most reliable clinical guide in assess hypovolemic shock
Shock Mild Shock- Pale, Cool, and Moist skinModerate Shock- Diaphoresis is more marked and urine output ceasesSevere Shock-Changes in mental status- manifested by agitation, disorientation, recent memory losss
Cullen's Sign Ecchymosis around the umbilicus- may signify internal bleedingEcchymosis in distribution of lap seat shoud be reported to the health care provider immediate-occult injury to bowel
Turner's sign Ecchymosis on either flank- May indicate retroperitoneal bleeding into abdominal wallAusculate for bruits- indicate renal artery injury
Ballance's Sign Resonance over right flank with the client lying on the left side; ruptured spleen
Kehr's Sign Left shoulder pain resulting from diaphragmatic irritation, may be present with splenic injury
Emergency Care: Abdominal Trauma Placement of at least two large-bore IV catheters in UPPER extremitiesAnalgesics are NOT prescribed during this time
Created by: keisha12_18
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