NURS 3100 Final Case Studies Correct Questions & Answers(GRADED A)

Why did the paramedic state that the cardiac monitor, IV fluid line and albuterol should be administered before removing the ATV? - ANSWER crushing injury damages muscle and blood vessels and causes release of numerous toxic substances. While the object is still crushing the muscle, the substances cannot reach the general circulation. After the crushing object is removed, the patient will be subjected to immediate hypovolemia from loss of intravascular fluids leaking through cell membranes and capillaries Albuterol is a bronchodilator. What is released in crush injury syndrome that would cause bronchoconstriction? - ANSWER When muscle cells are crushed and then the force is removed, inflammatory mediators are released in large numbers. These inflammatory mediators cause large numbers of mast cells to degranulate and release histamine and leukotrienes, which are bronchoconstrictors. Leukotrienes can also damage the lungs and liver. Prostaglandins released from mast cells can damage the lungs as well.