PFCCS ACTUAL UPDATED QUESTIONS AND CORRECT ANSWERS
What bacteria can cause toxic shock syndrome Staphylococcus aureus and Streptococcus pyogenes
What to assume child has if has fever and petechiae? Meningococcemia
How to treat it ? TX: aggressive fluid resuscitation and Ax= cephalosporin
What is the diagnostic test for bacterial meningitis ? CSF examination
IT IS A MED EMERGENCY
What is common in a pediatric patient who has SIADH
hyponatremia
Tx for symptomatic hyponatremia 3% saline
TX for hypernatremic dehydration isotonic fluids (0.9% NS)
By how much can sodium levels safely change an hour 0.5-1.0 mEq/L/h
, What to give hyperkalemic patient to stabilize Calcium gluconate
myocardium
Other interventions to move potassium intercellularly Insulin/glucose
(hyperkalemia) sodium bicarb
albuterol
Hypocalcemia tx - Calcium gluconate
- Calcium chloride ( CV line bc can cause tissue extravascation/necrosis)
What steps are in the primary survey during Trauma ABCDE
airway, breathing, circulation, disability, and environment exposure
Common life threats during trauma Tension pneumothorax
Open pneumothorax
Massive hemothorax
Tension pneumothorax IV needle decompression then chest tube
Open pneumothorax IV 3 sided occlusive dressing then chest tube
Massive hemothorax IV volume resuscitation then chest tube
most common shock in trauma hemorrhagic shock
Pneumonic for possible cause of desaturations during D: dislodgment of ett tube
trauma O: obstruction (kinked, pt biting tube etc)
P: Tension pneumothorax
E: equipment failure
What is the rule of nines for pediatric patients under 15 Lund Browder chart
Signs of herniation in head trauma or seizure Pupil is fixed and dilated
leading cause of disability injury in children is head trauma
Signs of Shaken baby syndrome or Abusive head trauma Bilateral Subdural Hematoma
includes Retinal hemorrhages
Altered LOC
What bacteria can cause toxic shock syndrome Staphylococcus aureus and Streptococcus pyogenes
What to assume child has if has fever and petechiae? Meningococcemia
How to treat it ? TX: aggressive fluid resuscitation and Ax= cephalosporin
What is the diagnostic test for bacterial meningitis ? CSF examination
IT IS A MED EMERGENCY
What is common in a pediatric patient who has SIADH
hyponatremia
Tx for symptomatic hyponatremia 3% saline
TX for hypernatremic dehydration isotonic fluids (0.9% NS)
By how much can sodium levels safely change an hour 0.5-1.0 mEq/L/h
, What to give hyperkalemic patient to stabilize Calcium gluconate
myocardium
Other interventions to move potassium intercellularly Insulin/glucose
(hyperkalemia) sodium bicarb
albuterol
Hypocalcemia tx - Calcium gluconate
- Calcium chloride ( CV line bc can cause tissue extravascation/necrosis)
What steps are in the primary survey during Trauma ABCDE
airway, breathing, circulation, disability, and environment exposure
Common life threats during trauma Tension pneumothorax
Open pneumothorax
Massive hemothorax
Tension pneumothorax IV needle decompression then chest tube
Open pneumothorax IV 3 sided occlusive dressing then chest tube
Massive hemothorax IV volume resuscitation then chest tube
most common shock in trauma hemorrhagic shock
Pneumonic for possible cause of desaturations during D: dislodgment of ett tube
trauma O: obstruction (kinked, pt biting tube etc)
P: Tension pneumothorax
E: equipment failure
What is the rule of nines for pediatric patients under 15 Lund Browder chart
Signs of herniation in head trauma or seizure Pupil is fixed and dilated
leading cause of disability injury in children is head trauma
Signs of Shaken baby syndrome or Abusive head trauma Bilateral Subdural Hematoma
includes Retinal hemorrhages
Altered LOC
