Question

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what action a nurse should take if evisceration occur? prioritize the action

what could be the reason for asystole if the patient is still talking?

Answer 1

Ans) Sequence wise action taken by nurse if evisceration occurs:

1) The nurse should first place saline-soaked sterile dressings on the open wound to prevent tissue drying and possible infection.

2) Then the nurse should call the physician and take the client's vital signs as the dehiscence needs to be surgically closed, so the nurse should never try to close it.

Aystole represents the final rhythm often that is, cardiac function has diminished until electrical and functional cardiac activity finally stop and the patient dies.

Reason for asystole if patient still talking.

The SA node creates an electrical differential using electrolytes like potassium, sodium and calcium .

These electrolytes all have specific electrical charges that pass through your cell walls using channels named after the electrolyte- sodium channels, calcium channels etc. Potassium generally lies inside of your cell before it contracts; sodium and calcium generally reside outside the cell.

- When you have a blood pressure (if you didn’t you would quickly be dead), sodium is naturally forced inside your cell. This also causes potassium to be forced out of your cell creating an electrical potential. Once that potential gets high enough, it opens up calcium channels which are voltage regulated.

- When the calcium channels are opened up, sodium and calcium rush inside the cell creating just the right amount of charge.

- Once that charge is reached, the heart sends out its shock, known as depolarization.