AGACNP 3 Trauma Questions and Answers.

AGACNP 3 Trauma Questions and Answers. Trauma Primary survey ABCDE's: Airway/c-spine Breathing: O2/ventilation Circulation: Hemorrhage control Disability: Neurological damage Exposure In a trauma if you have a peripheral pulse you can estimate you SBP to be??? At least 90mmHg In a trauma if you have a femoral pulse you can estimate you SBP to be??? At least 80mmHg In a trauma if you have a carotid pulse you can estimate you SBP to be??? At least 70mmHg How do you evaluate disability during the primary survey? GCS or AVPU When should you get a history during a trauma? Secondary survey Trauma Hx AMPLE: ALLERGIES & ALCOHOL MEDS PAST MED HX LAST MEAL EVENTS surrounding injury and EXPOSURE to environment What does a secondary survey consist of? Head to Toe Roll and check the back Rectal exam Foley NGT Flail chest fracture of two or more adjacent ribs in two or more places that allows for free movement of the fractured segment How do you treat a flail chest? stabilize the area. intubate and ventilate S/S Pneumothorax Chest pain Dyspnea Tachypnea Decreased breath sounds of affected side SQ emphysema Hypoxia Tachycardia Beck's Triad Hypotension JVD Muffled heart tones Beck's Triad is indicative of what? Cardiac tamponade Cardiac Tamponade S/S Beck's Triad Pulsus paradoxus Low voltage EKG Aortic Dissection S/S Tearing or burning sensation between shoulder blades Radpidly dropping BP Tachycardia Hypertension Widened mediastinum Grey Turner sign ecchymoses of the flanks Cullen Sign ecchymosis around umbilicus Kehr Sign Left shoulder pain caused by blood in the peritoneal cavity. Balance Sign Dull percussion in LUQ Balance sign is used to test for what? Splenic injury Splenic Laceration Triad L hemi-diaphragm elevation LLL atelectasis Pleural effusion How is bladder rupture diagnosed? Retrograde cystography When should a foley not be inserted during a trauma? If there is evidence of urethral injury What are the 4 views of a FAST exam? subxyphoid, RUQ, LUQ, suprapubic What is an indication for immediate transfusion during a trauma? Hemodynamic instability despite 2L of fluid Most TBIs are the result of? MVAs What are the layers of the meniges? Dura Arachnoid Pia matter CPP = MAP - ICP