The emergency department nurse would expect which patients to arrive by ambulance with pneumatic antishock garments (PASGs) in place? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. A patient with part of a fence post impaled in the abdomen
2. A patient whose intestines have eviscerated through an infected surgical wound
3. A patient whose blood pressure is 84/58 mmHg and who has suspected pelvic fractures
4. A patient suspected of intraperitoneal hemorrhage with systolic blood pressure of 58 mmHg
5. A patient who has a compound fracture of the left lower leg.
3,4
Rationale 1: PASGs are contraindicated if there is an object impaled in the abdomen.
Rationale 2: Evisceration of abdominal organs is a contraindication for the use of PASGs.
Rationale 3: Suspected pelvic fractures with hypotension are an indication for the use of PASGs.
Rationale 4: A patient with a suspected intraperitoneal hemorrhage or with a systolic BP of less than 60 mmHg is a candidate for PASGs.
Rationale 5: Isolated lower extremity fractures are not indications for use of PASGs.
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