chapter 6-1 - ABDOMINALTRAUMA ABDOMINAL TRAUMA OBJECTIVES...

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    ABDOMINAL TRAUMA
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ABDOMINAL TRAUMA OBJECTIVES Upon completion of this lecture, the learner should be able to: I. Identify the common mechanisms of injury associated with abdominal trauma. 2. Describe the pathophysiologic changes as a basis for signs and symptoms. 3. Discuss the nursing assessment of patients with abdominal trauma.
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ABDOMINAL TRAUMA OBJECTIVES 4. Based on the assessment data, identify appropriate nursing diagnoses and expected outcomes associated with patients with abdominal trauma. 5. Plan appropriate interventions for patients with abdominal trauma. 6. Evaluate the effectiveness of nursing interventions for patients with specific types of abdominal injuries.
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INTRODUCTION Epidemiology : Abdominal injuries rank third as a cause of traumatic death preceded by head and chest injuries.
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The abdomen is vulnerable to injury since there is minimal bony protection for underlying organs. The retropentoneal location of certain organs and vascular structures (e.g., vena cava, aorta, pancreas, and duodenum) these structures are less frequently injured. The physical examination of the abdomen may not be successful in identifying intra-abdominal pathology; therefore, a description of the mechanism of injury is important. Mechanisms of Injury and Biomechanics
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Mechanisms of Injury and Biomechanics The most common mechanism of blunt abdominal injury is a motor “vehicle crash.Firearms, stabbings, and physical assaults are associated with penetrating abdominal trauma. Injuries to the abdomen can result from acceleration, deceleration, or a combination of both forces. Crushing forces may compress the duodenum or the pancreas against the vertebral column.
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Mechanisms of Injury and Biomechanics During energy transfer, abdominal structures attached by either ligaments or blood vessels may be stressed at their attachment points Safety restraint devices, particularly three-point safety belts, provide significant protection; however, if they are improperly positioned, they can cause deceleration injuries to the lower abdomen.
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chapter 6-1 - ABDOMINALTRAUMA ABDOMINAL TRAUMA OBJECTIVES...

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