Question

External bleeding, by its' obvious nature, is easy to identify; internal bleeding is much less so. Because the skin is not broken and blood not obvious, detection of internal bleeding can be difficult.

Complete this assignment by providing a minimum of 5 sentences per question listed below. Use the text, PowerPoint slides and any other valid resources as your guide. Each question is worth a total of 10 points for an assignment total of 30 points.

Considering the information you have read regarding internal bleeding, answer the following:

1) What are 4 of the possible causes of internal bleeding?

2) List 4 of the signs of internal bleeding.

3) What are 4 of the 5 steps you would perform (in order) to care for a victim of internal bleeding?

Answer 1

4 possible cause of internal bleeding are:-

1. Blunt trauma

2. Fracture

3. Bleeding after any surgery

4. Any pathological/medical conditions

1. Blunt trauma:- In this bleeding occur due to external force to the organ.. ..when injury occur outside the body its not necessary that the bleed occur from outside it can be internal bleed due to the force. .. For eg. Football hit to abdomen it may compress the inside organ like spleen or liver and if the hit force is hard then the lining of the organ may be torn and cause the internal bleed.

2. Fracture:- Bleeding also occur with broken bones.. In the bones there are blood production occur in bone marrow, So the bones have rich blood supply if any injury occur to bone it can cause loss of one unit blood. .. 1 unit blood contain 350-400ml of blood. .so it is also a cause of internal bleeding.

3. Bleeding after surgery:- This is the main and most common cause of internal bleeding. .. .in surgery the surgoen make a cut on the area.. When the operation near to completion the surgeon make tries to control the bleeding by suturing or using staples. ..Cautery cab be used to burn the blood vessels to prevent from bleeding. .. Many time bleeding occur due to dislodge of sutures and scalps leads to bleed. .. And due to spasm of blood vessels the bleeding occur.

4. Pathological conditions:- Many disease can also lead to internal bleeding. These are:- blood vessel rupture, aneurysms, hypertension, esophageal varices, Peptic ulcer. .. .. Others are, prostate cancer, carcinoma of bladder, heoatoma, liver cancer, vitamin k deficiency and hemophilia and malaria. .Viral disease:- viral hemorrhagic fever, Such as Ebola, dengue virus they are main causes of internal bleeding.

  Signs of internal bleeding:-

1. Pain

2. Light-headedness, dizziness

3. Shock

4. Unconciousness

1. Pain:- When injury occur to any area it causes pain. .. In internal bleeding pain occur mostly when the injury occur to abdomen or any organ profrated or rupture then pain get more worsen. For eg: appendicities pain is very severe but it worsen when the appendix ruputre inside.. So, Pain occur in internal bleeding when the organ is torn or ruptured cause bleed and pain.

2. Lightheadedness,Dizziness:- This occur mainly due to altering in mental function.. .when bleeding occur to brain or in sunarachnoid space. .. Due to this the brain did not get proper ciculation and it leads to alter in mental function and also patient complaint of headache, dizziness, syncope, fatigue etc.

3. Shock:- Shock can also occur if the internal bleeding is increased shock occur due to decrease in the tissue perfusiom the blood supply to the organ is reduced and the increse in bleeding alter the homeosatsis of the body lead to shock. .signs and symptom. Of shock:- hypotension, tachycardia, tachypenea, cold and clammy skin etc.

4. Unconciousness:- It occur when excessive blood is loosed the patient may go to unconcious stage if the bleeding ia profouse or no measure is taken to stop the bleeding it leads to unconciousness and can also lead to death if bleeding will not be stoped by the time.

HOW TO STOP INTERNAL BLEEDING

1. ABC:- Maintain first airway of client.

Check for breathing pattern

Maintain the circulation of the patient.

• If patient is unconcious and unresopnsive begins the CPR(cardio pulmonary resuscitation)
• If concious- lie the casualty down and raise the legs.

2. Fluid replacement therapy:- I/V fluids and blood transfusion may be given to prevent or correct the blood pressure or to maintain the tissue perfusion of organs.

3. Positioning:- Leg elevation should be necessary and it should be at heart level for proper venous return and to maintain the circulation.

4. Viatal sign monitoring:- Pulse., Blood pressure, respiration should be continue asses for preventing the patient from. Shock

• Reassures the client and stay calm.
• Keep the patient warm to prevent from shock.
• Treat other injury as appropraite.

Do not give anything to eat or drink as they may require surgery.

5. Surgery:- Definitive treatment of internal bleeding is surgery. .. To. Treat and repair the underline cause and stop the bleeding.