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Utilizing Ultrasound-Guided Femoral Nerve Blocks and Fascia Iliaca Compartment Blocks for Proximal Femur Fractures in the Emergency Department

Utilizing Ultrasound-Guided Femoral Nerve Blocks and Fascia Iliaca Compartment Blocks for... EARN CE CREDIT ONLINE Go to http://www.nursingcenter.com/CE/AENJ and receive a certificate within minutes. CE Test Utilizing Ultrasound-Guided Femoral Nerve Blocks and Fascia Iliaca Compartment Blocks for Proximal Femur Fractures in the Emergency Department Test Instructions Registration deadline is March 5, 2021. approved provider of continuing nursing education by Read the article. The test for this CE activity can only be the District of Columbia, Georgia, and Florida CE Broker taken online at http://www.nursingcenter.com/CE/AENJ. #50-1223. Provider Accreditation Tests can no longer be mailed or faxed. The ANCC’s accreditation status of Lippincott Pro- Lippincott Professional Development will award 1.5 con- You will need to create (its free!) and login to your fessional Development refers only to its continuing nurs- tact hours for this continuing nursing education activ- personal CE Planner account before taking online tests. ing educational activities and does not imply Commission ity. This activity has been assigned 1.0 pharmacology Your planner will keep track of all your Lippincott Pro- on Accreditation approval or endorsement of any com- credits. fessional Development online CE activities for you. mercial product. Lippincott Professional Development is accredited There is only one correct answer for each question. Payment: The registration fee for this test is $17.95. as a provider of continuing nursing education by the A passing score for this test is 13 correct answers. If American Nurses Credentialing Center’s Commission on you pass, you can print your certificate of earned contact Disclosure Statement Accreditation. hours and access the answer key. If you fail, you have The authors and planners have disclosed that they have This activity is also provider approved by the the option of taking the test again at no additional cost. no significant relationship with or financial interest in any California Board of Registered Nursing, Provider Num- For questions, contact Lippincott Professional De- commercial companies that pertain to this educational ber CEP 11749 for 1.5 contact hours. LPD is also an velopment: 1-800-787-8985. activity. AENJ0419B CE TEST QUESTIONS General Purpose: To provide a comprehensive 6. A manifestation of local anesthetic 13. When using the ultrasound-guided overview of the use of femoral nerve blocks (FNBs) and systemic toxicity is approach to an FICB, the clinician draws an imaginary line between the fascia iliaca compartment blocks (FICBs) for relieving the a. vomiting. pain of proximal femur fractures (PFFs). b. dizziness. anterior superior iliac spine and the c. bronchospasm. a. pubic arch. Learning Objectives/Outcomes: After com- pleting this continuing education activity, you should be 7. Besides femur fractures, specific in- b. pubic tubercle. dications for both an FNB and an FICB c. pubic symphysis. able to: 1. Review the advantages and disadvantages of, as well include 14. The clinician performing an FICB a. patellar injuries. should anticipate the distribution of as the indications and contraindications for, nerve blocks for the initial pain management of patients b. tibial fractures. anesthesia to the anterior and me- c. calf abscess drainage. dial thigh to the knee as well as to a with PFFs. 2. Describe the key components of performing FNBs 8. An absolute contraindication for a section of skin on the and FICBs. PNB is a. medial leg and foot. 1. The inability to provide adequate a. coagulopathy concerns. b. anterior leg and foot. analgesia for acute pain is called b. current site infection. c. posterior leg and foot. a. polyesthesia. c. allergy to anesthetics. 15. When using the landmark approach to b. hyperesthesia. 9. PNBs have the potential to mask the an FICB, the clinician inserts a blunt c. oligoanalgesia. symptoms of which of the following needle and directs it 2. A recent systematic review by Abou- complications of fractures? a. caudad at a 45 angle. Setta et al. indicated that which of the a. compartment syndrome b. cephalad at a 30 angle. following analgesic options for PFFs b. avascular necrosis c. cephalad at a 45 angle. c. fat embolism 16. For both an FNB and an FICB, the was the most effective for reducing acute pain without the problems opi- 10. After negative aspiration just be- patient should be in which of the fol- fore performing an FNB, the clinician lowing positions? ates can cause? a. spinal anesthesia should a. prone a. inject 50–60 ml of local anesthetic. b. supine b. neurostimulation c. peripheral nerve blocks (PNBs) b. inject anesthesia in 10-ml increments. c. lateral c. aspirate gently between injections. 17. Which of the following regional anes- 3. One advantage of treating pain with PNB is the reduced risk of 11. When performing the landmark tech- thetics has the longest duration of a. local abscess. nique for an FNB, the clinician visual- action? b. pneumonia. izes a line representing the inguinal a. mepivacaine c. toxicity. ligament and understands that the b. ropivacaine 4. In a study by Beaudoin et al., femoral nerve passes c. bupivacaine ultrasound-guided PNBs a. just posterior to this ligament. 18. Which of the following regional anes- a. caused no complications. b. slightly lateral to this ligament. thetics has the fastest onset of b. only required two attempts. c. through the center of this ligament. action? c. took 20 min to lower pain scores. 12. Compared with an FNB, an FICB a. mepivacaine 5. Potential complications of PNBs in- a. uses a smaller volume of anesthetic. b. ropivacaine b. is the technically easier PNB to perform. clude c. bupivacaine a. sedation. c. requires the needle tip to be directly lateral to the artery. b. headache. c. hematoma. E2 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Utilizing Ultrasound-Guided Femoral Nerve Blocks and Fascia Iliaca Compartment Blocks for Proximal Femur Fractures in the Emergency Department

Advanced Emergency Nursing Journal , Volume 41 (2) – Apr 1, 2019

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Publisher
Wolters Kluwer Health
Copyright
© 2019 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0000000000000247
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Abstract

EARN CE CREDIT ONLINE Go to http://www.nursingcenter.com/CE/AENJ and receive a certificate within minutes. CE Test Utilizing Ultrasound-Guided Femoral Nerve Blocks and Fascia Iliaca Compartment Blocks for Proximal Femur Fractures in the Emergency Department Test Instructions Registration deadline is March 5, 2021. approved provider of continuing nursing education by Read the article. The test for this CE activity can only be the District of Columbia, Georgia, and Florida CE Broker taken online at http://www.nursingcenter.com/CE/AENJ. #50-1223. Provider Accreditation Tests can no longer be mailed or faxed. The ANCC’s accreditation status of Lippincott Pro- Lippincott Professional Development will award 1.5 con- You will need to create (its free!) and login to your fessional Development refers only to its continuing nurs- tact hours for this continuing nursing education activ- personal CE Planner account before taking online tests. ing educational activities and does not imply Commission ity. This activity has been assigned 1.0 pharmacology Your planner will keep track of all your Lippincott Pro- on Accreditation approval or endorsement of any com- credits. fessional Development online CE activities for you. mercial product. Lippincott Professional Development is accredited There is only one correct answer for each question. Payment: The registration fee for this test is $17.95. as a provider of continuing nursing education by the A passing score for this test is 13 correct answers. If American Nurses Credentialing Center’s Commission on you pass, you can print your certificate of earned contact Disclosure Statement Accreditation. hours and access the answer key. If you fail, you have The authors and planners have disclosed that they have This activity is also provider approved by the the option of taking the test again at no additional cost. no significant relationship with or financial interest in any California Board of Registered Nursing, Provider Num- For questions, contact Lippincott Professional De- commercial companies that pertain to this educational ber CEP 11749 for 1.5 contact hours. LPD is also an velopment: 1-800-787-8985. activity. AENJ0419B CE TEST QUESTIONS General Purpose: To provide a comprehensive 6. A manifestation of local anesthetic 13. When using the ultrasound-guided overview of the use of femoral nerve blocks (FNBs) and systemic toxicity is approach to an FICB, the clinician draws an imaginary line between the fascia iliaca compartment blocks (FICBs) for relieving the a. vomiting. pain of proximal femur fractures (PFFs). b. dizziness. anterior superior iliac spine and the c. bronchospasm. a. pubic arch. Learning Objectives/Outcomes: After com- pleting this continuing education activity, you should be 7. Besides femur fractures, specific in- b. pubic tubercle. dications for both an FNB and an FICB c. pubic symphysis. able to: 1. Review the advantages and disadvantages of, as well include 14. The clinician performing an FICB a. patellar injuries. should anticipate the distribution of as the indications and contraindications for, nerve blocks for the initial pain management of patients b. tibial fractures. anesthesia to the anterior and me- c. calf abscess drainage. dial thigh to the knee as well as to a with PFFs. 2. Describe the key components of performing FNBs 8. An absolute contraindication for a section of skin on the and FICBs. PNB is a. medial leg and foot. 1. The inability to provide adequate a. coagulopathy concerns. b. anterior leg and foot. analgesia for acute pain is called b. current site infection. c. posterior leg and foot. a. polyesthesia. c. allergy to anesthetics. 15. When using the landmark approach to b. hyperesthesia. 9. PNBs have the potential to mask the an FICB, the clinician inserts a blunt c. oligoanalgesia. symptoms of which of the following needle and directs it 2. A recent systematic review by Abou- complications of fractures? a. caudad at a 45 angle. Setta et al. indicated that which of the a. compartment syndrome b. cephalad at a 30 angle. following analgesic options for PFFs b. avascular necrosis c. cephalad at a 45 angle. c. fat embolism 16. For both an FNB and an FICB, the was the most effective for reducing acute pain without the problems opi- 10. After negative aspiration just be- patient should be in which of the fol- fore performing an FNB, the clinician lowing positions? ates can cause? a. spinal anesthesia should a. prone a. inject 50–60 ml of local anesthetic. b. supine b. neurostimulation c. peripheral nerve blocks (PNBs) b. inject anesthesia in 10-ml increments. c. lateral c. aspirate gently between injections. 17. Which of the following regional anes- 3. One advantage of treating pain with PNB is the reduced risk of 11. When performing the landmark tech- thetics has the longest duration of a. local abscess. nique for an FNB, the clinician visual- action? b. pneumonia. izes a line representing the inguinal a. mepivacaine c. toxicity. ligament and understands that the b. ropivacaine 4. In a study by Beaudoin et al., femoral nerve passes c. bupivacaine ultrasound-guided PNBs a. just posterior to this ligament. 18. Which of the following regional anes- a. caused no complications. b. slightly lateral to this ligament. thetics has the fastest onset of b. only required two attempts. c. through the center of this ligament. action? c. took 20 min to lower pain scores. 12. Compared with an FNB, an FICB a. mepivacaine 5. Potential complications of PNBs in- a. uses a smaller volume of anesthetic. b. ropivacaine b. is the technically easier PNB to perform. clude c. bupivacaine a. sedation. c. requires the needle tip to be directly lateral to the artery. b. headache. c. hematoma. E2

Journal

Advanced Emergency Nursing JournalWolters Kluwer Health

Published: Apr 1, 2019

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