Lecture Notes: Emergency Care Nursing

Introduction

• Professor D's Channel: Welcome to the session on emergency care nursing via Kahoot quiz.
• Support Request: Like, subscribe, visit nexusnursinginstitute.com for resources, tutoring, and more.
• Super Thanks: Acknowledgment of appreciation gifts from viewers.

Key Topics in Emergency Care Nursing

Anaphylaxis

• Treatment: Epinephrine is the drug of choice.
  • Epinephrine: Causes vasoconstriction, raises blood pressure.
• Other Drugs:
  • Pseudoephedrine: For asthma, heart failure, rhinitis.
  • Antihistamine: Blocks H1 receptor for allergies.
  • Corticosteroids: Decreases inflammation, used as adjunct.
• Body System Involved: Integumentary system primarily, but respiratory system is most concerning.

Systemic Inflammatory Response Syndrome (SIRS)

• Symptom: Leukocytosis (increased WBCs).
• Characteristics: Exaggerated immune response; heart rate, temperature, and WBCs go up.

Sickle Cell Crisis

• Triggers: Not triggered by metabolic or respiratory alkalosis.
  • Known Triggers: Cold temperature, infection, high altitude.
• Patient Education: Stay hydrated, carry water to avoid dehydration.

Spinal Cord Injury

• Intervention: Use of indwelling catheter due to areflexic bladder.

Cranial Nerve Disorders

• Cranial Nerve V (Trigeminal): Associated with facial pain, jaw pain, one-sided drooping.

Temporal Arteritis

• Treatment: Steroids to address inflammation.
• Concerns with Steroids:
  • Stomach ulcers, hyperglycemia, osteoporosis, risk of infection.

Cluster Headaches

• Common Symptoms: Tearing (unilateral pain, typically behind the eye or at temples).

Drug Overdoses and Treatments

• Alpha Adrenergic Antagonist Overdose: Symptoms include warm flushed skin due to vasodilation.
• Opioid Overdose: Bradycardia, bradypnea, hypotension, meiosis.
• Calcium Channel Blocker Overdose: Successful treatment indicated by increased blood pressure.

Conclusion

• Encouragement to engage with content via comments for potential part two.
• Participation review for live Kahoot session.