Notas del episodio

🚑 Trauma Shock & Thorax Emergencies

I) 🩸 Hemorrhagic (Hypovolemic) Shock

Patho: Acute blood loss ↓preload → ↓SV/CO; early tachycardia + vasoconstriction; prolonged hypoperfusion → lactic acidosis; lethal triad = 🧊 hypothermia + 🩸 coagulopathy + acidosis. Fluids/Blood:

  • Warm crystalloids (1 L adult, 20 mL/kg peds) → avoid excess; consider permissive hypotension.
  • MTP: pRBCs/Plasma/Plts (warm). O neg for childbearing-age females; AB plasma if unknown type.
  • TXA: within 3 hrs (bolus then 8-hr infuse).
  • Calcium: guide by ionized Ca²⁺. No vasopressors first-line. Team: MD leads definitive bleed control (OR/angio); RN gets 2 large-bore IVs/IO, gives warmed fluids/blood ... 
 ...  Leer más
Palabras clave
Nursing MedicalNursing School RNNCLEX PrepHealth AssessmentPharmacology ReviewAnatomy & PhysiologyHead to toe assessmentPathophysiologyPatient assessmentMedical-surgical nursingER / trauma nursingCritical care nursingNursing tips & tricksNursing exam reviewNursing educationNursing studentsNursing podcastNursing lecturesNursing review courseNursing fundamentalsNursing clinicalsPharmacology dosing