Advanced Trauma Care for Nurses (ATCN) Practice Questions and Answers

10 Signs and sx of tension pneumothorax pain hunger ratory distress cardia ension eal deviation away from injury teral absence of breath sounds ted hemithorax w/out respiratory movement vein distention sis (late sign) Signs and sx of cardiac tamponade 1. Becks Triad= increased venous pressure(distended neck veins), decreased arterial pressure(hypotension), muffled heart tones 2. PEA 3. JVD &/or Kussmauls sign 4. Use FAST to dx tension pneumothorax can often be confused with cardiac tamponade, how do you differentiate? Careful assessment of the pt's breath sounds is paramount to differentiate the two Tx of tension pneumothorax 1. Needle decompression- large bore needle 2nd intercostal space midclavicular line 2. chest tube 4 or 5th intercostal space mid axillary triad of death -Acidosis - Hypothermia - Coagulopathy (blood can't clot resulting in continued bleeding) rule of 9's adult Head = 9% Chest (front) = 9% Abdomen (front) = 9% Upper/mid/low back and buttocks = 18% Each arm = 9% (front = 4.5%, back = 4.5%) Groin = 1% Each leg = 18% total (front = 9%, back = 9%) Rule of 9's - Pediatric Anterior/Posterior Head - 9% Each Anterior/Posterior Torson - 18% Each Anterior/Posterior Arms - 4.5% Each