GMCH - 2016
Medical & Surgical Nursing
Easy
The MAST garment is used for treatment of:
Appeared in: GMCH - 2016
Explanation
- The MAST (Military Anti-Shock Trousers) garment is a device used in pre-hospital and emergency settings to manage severe shock.
- Its primary indication is for hemorrhagic shock, a condition of severe blood loss leading to dangerously low blood pressure.
- The garment works by applying pressure to the lower extremities and abdomen, which shunts blood towards the vital organs (heart, brain, lungs) and helps control internal bleeding in the lower body.
- This action temporarily stabilizes the patient by increasing their blood pressure until they can receive definitive care, such as surgery or blood transfusions.
Why Other Options Were Wrong
- Option A: The MAST garment is contraindicated in patients with acute respiratory distress. The abdominal bladder of the garment can put pressure on the diaphragm, restricting its movement and worsening breathing difficulties.
- Option C: Incontinence of urine is a urological issue related to bladder control. The MAST garment is a circulatory device and has no therapeutic effect on incontinence.
- Option D: Paraplegia is paralysis of the lower body due to spinal cord injury. The MAST garment does not treat the neurological deficit. While a patient with paraplegia from trauma may also be in shock, the garment treats the shock, not the paralysis.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Use of MAST (Military Anti-Shock Trousers) garment in emergency care helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Understanding the use of MAST garments is crucial for emergency and trauma nurses, as it is a life-saving intervention for patients in profound hemorrhagic shock.
- Nurses must be aware of the contraindications, such as pulmonary edema or head injury, and the critical importance of gradual deflation under medical supervision to prevent rebound hypotension.
- What if? If a trauma patient has a suspected pelvic fracture and is in shock, the MAST garment can serve as both a tool for hemodynamic stabilization and a temporary pelvic splint until a formal pelvic binder is applied.
How to Approach the Question
- First, identify the core subject of the question, which is the 'MAST garment'.
- Recall or deduce the primary function of this device. The name 'Anti-Shock Trousers' is a major clue that its purpose is related to treating shock.
- Evaluate each option based on this function.
- Option A (respiratory distress) is unlikely, as pressure on the abdomen would hinder breathing.
- Option B (Hemorrhagic Shock) directly aligns with the 'Anti-Shock' name and the known pathophysiology of shock management (increasing blood pressure).
- Options C (incontinence) and D (paraplegia) are related to the urinary and nervous systems, respectively, which are not the primary targets of a circulatory device like the MAST garment.
Concept Tested & Keywords
- Concept Tested: Use of MAST (Military Anti-Shock Trousers) garment in emergency care.
- Stem keywords: MAST garment, treatment
- Lead-in keywords: BEST, MOST RELEVANT CLUE
Question ID
Q0A6Zv0vHomJpJfk8Mlbzb
Reference Book
E6 Nursing Brunner Adult Health 3SA Vol 2 Part 3 p. 120-122
Practise the full GMCH - 2016
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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