The document discusses the circulatory system in mammals, including the different types of blood vessels (arteries, veins, capillaries) and their structures and functions. It also covers the exchange of substances between blood and tissues that occurs in capillaries, as well as the formation and movement of tissue fluid and its collection by lymphatic vessels. Key points include:
- Arteries carry oxygenated blood away from the heart and have thick muscular walls to withstand high blood pressure.
- Veins return deoxygenated blood to the heart and have thinner walls with valves to prevent backflow.
- Capillaries are the smallest vessels and facilitate rapid exchange of substances through their thin, porous walls.
This document discusses how to assess and describe rashes, including key factors in the patient history and physical exam. It provides case studies on common rashes such as measles, chickenpox, meningococcal disease, and anaphylaxis. The document emphasizes that most rashes are not serious but can be anxiety-provoking. It provides tips on characterizing rashes and determining when isolation may be necessary. Treatment is often supportive with focus on identifying any infectious causes or allergic reactions.
Hemostasis is the maintenance of blood flow is fluid state within the vascular system, the major components of hemostasis are vascular system, platelets, coagulation factors, inhibitors of coagulation and fibrinolytic system. details are given
This document discusses haemostasis (arrest of blood loss), thrombosis (pathological formation of blood clots), and factors that influence clotting. It also outlines different types of clots and emboli. Three main ways drugs can affect clotting are by impacting blood coagulation, platelet function, and fibrin removal. Specific drugs are highlighted that impact the coagulation cascade, platelet activation, and fibrinolytic system. These include heparins, warfarin as blood thinners, antiplatelet drugs like aspirin, and fibrinolytic drugs like streptokinase and tissue plasminogen activator. Their uses, mechanisms of action, properties and monitoring are described.
Normal hemostasis involves three key steps: vessel constriction and formation of a platelet plug to stop bleeding (primary hemostasis), activation of the clotting cascade and deposition of fibrin to stabilize the platelet plug (secondary hemostasis), and dissolution of the fibrin clot and removal of the plug (tertiary hemostasis). Bleeding disorders can result from abnormalities in blood vessels, platelets, or clotting factors. Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disorder where autoantibodies cause accelerated platelet destruction, which can lead to dangerous bleeding especially intracerebral hemorrhage when platelet counts fall below 20,000.
Emergency Nursing of the Trauma PatientKane Guthrie
1) ED nurses should have a sound knowledge of trauma care as EDs are seeing more trauma presentations who are spending more time in the ED.
2) The ABCDE (Airway, Breathing, Circulation, Disability, Exposure) approach is key for assessing and treating trauma patients in the ED to prevent death, which can occur within hours from hemorrhagic shock or weeks from sepsis.
3) A full trauma assessment from head to toe is important to identify injuries and provide interventions like splinting fractures, inserting chest tubes, or preparing for emergency surgery. Serial monitoring of vital signs and investigations helps guide treatment effectiveness.
The document summarizes several updates to the 8th edition of ATLS (Advanced Trauma Life Support) guidelines compared to the 7th edition, including:
1) Additional guidance on assessing and managing difficult airways, including use of the LMA, carbon dioxide detectors, laryngeal tube airways, and gum elastic bougies.
2) Updates to fluid resuscitation guidelines for hemorrhagic shock based on new evidence, including use of warmed fluids and a more cautious approach to fluid administration before hemorrhage is controlled.
3) Expanded guidance on angioembolization, thoracotomy indications, and evaluation of pelvic fractures, brain injuries, and cervical spine injuries.
The document discusses the circulatory system in mammals, including the different types of blood vessels (arteries, veins, capillaries) and their structures and functions. It also covers the exchange of substances between blood and tissues that occurs in capillaries, as well as the formation and movement of tissue fluid and its collection by lymphatic vessels. Key points include:
- Arteries carry oxygenated blood away from the heart and have thick muscular walls to withstand high blood pressure.
- Veins return deoxygenated blood to the heart and have thinner walls with valves to prevent backflow.
- Capillaries are the smallest vessels and facilitate rapid exchange of substances through their thin, porous walls.
This document discusses how to assess and describe rashes, including key factors in the patient history and physical exam. It provides case studies on common rashes such as measles, chickenpox, meningococcal disease, and anaphylaxis. The document emphasizes that most rashes are not serious but can be anxiety-provoking. It provides tips on characterizing rashes and determining when isolation may be necessary. Treatment is often supportive with focus on identifying any infectious causes or allergic reactions.
Hemostasis is the maintenance of blood flow is fluid state within the vascular system, the major components of hemostasis are vascular system, platelets, coagulation factors, inhibitors of coagulation and fibrinolytic system. details are given
This document discusses haemostasis (arrest of blood loss), thrombosis (pathological formation of blood clots), and factors that influence clotting. It also outlines different types of clots and emboli. Three main ways drugs can affect clotting are by impacting blood coagulation, platelet function, and fibrin removal. Specific drugs are highlighted that impact the coagulation cascade, platelet activation, and fibrinolytic system. These include heparins, warfarin as blood thinners, antiplatelet drugs like aspirin, and fibrinolytic drugs like streptokinase and tissue plasminogen activator. Their uses, mechanisms of action, properties and monitoring are described.
Normal hemostasis involves three key steps: vessel constriction and formation of a platelet plug to stop bleeding (primary hemostasis), activation of the clotting cascade and deposition of fibrin to stabilize the platelet plug (secondary hemostasis), and dissolution of the fibrin clot and removal of the plug (tertiary hemostasis). Bleeding disorders can result from abnormalities in blood vessels, platelets, or clotting factors. Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disorder where autoantibodies cause accelerated platelet destruction, which can lead to dangerous bleeding especially intracerebral hemorrhage when platelet counts fall below 20,000.
Emergency Nursing of the Trauma PatientKane Guthrie
1) ED nurses should have a sound knowledge of trauma care as EDs are seeing more trauma presentations who are spending more time in the ED.
2) The ABCDE (Airway, Breathing, Circulation, Disability, Exposure) approach is key for assessing and treating trauma patients in the ED to prevent death, which can occur within hours from hemorrhagic shock or weeks from sepsis.
3) A full trauma assessment from head to toe is important to identify injuries and provide interventions like splinting fractures, inserting chest tubes, or preparing for emergency surgery. Serial monitoring of vital signs and investigations helps guide treatment effectiveness.
The document summarizes several updates to the 8th edition of ATLS (Advanced Trauma Life Support) guidelines compared to the 7th edition, including:
1) Additional guidance on assessing and managing difficult airways, including use of the LMA, carbon dioxide detectors, laryngeal tube airways, and gum elastic bougies.
2) Updates to fluid resuscitation guidelines for hemorrhagic shock based on new evidence, including use of warmed fluids and a more cautious approach to fluid administration before hemorrhage is controlled.
3) Expanded guidance on angioembolization, thoracotomy indications, and evaluation of pelvic fractures, brain injuries, and cervical spine injuries.
Timothy Enfinger completed a 95-hour Occupational Safety and Health Professional Program through OSHAcademy, earning a 3.80 GPA. The program included courses in safety management, hazard analysis, personal protective equipment, emergency planning, and other topics. Steven Geigle, the director of OSHAcademy, confirmed Timothy's successful completion of the program and over 700 hours of training in occupational safety and health courses.
Timothy Enfinger completed 132 hours of study in the Occupational Safety and Health Professional Development Certificate Program from OSHAcademy, earning 13.2 CEUs. OSHAcademy, located in Portland, Oregon, provides online safety training that meets OSHA and ANSI standards. Steven Geigle, the director and instructor of OSHAcademy, certified that Timothy Enfinger demonstrated academic excellence in occupational safety and health.
The Council for Accreditation in Occupational Hearing Conservation (CAOHC) establishes standards for occupational hearing conservation programs. This certificate certifies that Timothy S. Enfinger successfully completed the CAOHC's requirements and coursework, and is therefore a Certified Occupational Hearing Conservationist as of April 24, 2015, with certification expiring on April 24, 2020.
Timothy Enfinger completed a 95-hour Occupational Safety and Health Professional Program through OSHAcademy, earning a 3.80 GPA. The program included courses in safety management, hazard analysis, personal protective equipment, emergency planning, and other topics. Steven Geigle, the director of OSHAcademy, confirmed Timothy's successful completion of the program and over 700 hours of training in occupational safety and health courses.
Timothy Enfinger completed 132 hours of study in the Occupational Safety and Health Professional Development Certificate Program from OSHAcademy, earning 13.2 CEUs. OSHAcademy, located in Portland, Oregon, provides online safety training that meets OSHA and ANSI standards. Steven Geigle, the director and instructor of OSHAcademy, certified that Timothy Enfinger demonstrated academic excellence in occupational safety and health.
The Council for Accreditation in Occupational Hearing Conservation (CAOHC) establishes standards for occupational hearing conservation programs. This certificate certifies that Timothy S. Enfinger successfully completed the CAOHC's requirements and coursework, and is therefore a Certified Occupational Hearing Conservationist as of April 24, 2015, with certification expiring on April 24, 2020.