ATLS POST TEST 4 LATEST VERSIONS REAL EXAM 175 QUESTIONS AND CORRECT ANSWERS

ATLS POST TEST 4 LATEST VERSIONS REAL EXAM 1 75 QUESTIONS AND CORRECT ANSWERS |AGRADE A patient is BIBA with an electrical burn with dark urine, what should be don e? - ✔✔ ANSW✔✔ Should assume that thabdomyolysis occured that that urine has hemochoromogens. Should initiate increased fluid administration to ensure urinary output of 100mL/hr in adults or 2ml/kg/hr in children <30kg. Correct metabolic acidosis by maintain ing adequate perfusion Above what level of CO2 is considered hypercarbia? Why should this be avoided in a patient with a brain injury? - ✔✔ ANSW✔✔ PCO2 >45mmHg. Causes vasodilation causing increased ICP Above what percentage of HbCO is a patient likely to have symptoms? What are common symptoms? - ✔✔ ANSW✔✔ Patients with levels of CO >20% will have symptoms. At lower levels usually HA and nausea then confusion and at higer levels ie 40 -60%, coma then > 60% death. After starting at target rate of fluid admini stration for a burn patient, what guides adjustement in fluid rates? - ✔✔ ANSW✔✔ What to adjust based on urine output target of 0.5mL/kg/hr for an adult and 1mL/kg/hr for children. By what week does the uterus reach the level of the umbilicus in a pregnant women? - ✔✔ ANSW✔✔ The 20th week By what week in pregnancy is the uterus at the level of the costal margin? - ✔✔ ANSW✔✔ By 34 -36 weeks Do all patients with electrical burns require l ong term cardiac monitoring? - ✔✔ ANSW✔✔ No, if there are no arrhythmias within the first few hours of injury than prolonged monitoring is not necessary. Don't be a DOPE...? - ✔✔ ANSW✔✔ reminder of the common causes of deterioration in intubated patient Dislo dgement Obstruction Pneumothorax Equipment failure Dosage for fentanyl in RSI? - ✔✔ ANSW✔✔ 2-10 mcg/kg TBW Dosage for Rocuronium in RSI? - ✔✔ ANSW✔✔ 0.6 - 1.2 mg/kg IBW Dosage propofol in RSI? - ✔✔ ANSW✔✔ 1.5 mg/kg TBW Dosage succinylcholine? - ✔✔ ANSW✔✔ 1.5mg /kg IV Dosage vecuronium in RSI? - ✔✔ ANSW✔✔ 0.15 - 0.25 mg/kg IBW For a burn patient, within what time frame should the recieve half of their calculated fluids? - ✔✔ ANSW✔✔ With in the first 8hrs. Four indications for surgical airway? - ✔✔ ANSW✔✔ 1. edema of the glottis 2. fracture of the larynx 3. Severe oropharyngeal hemorrhage obstructing airway 4. ET tube not able to be placed through vocal cords Fractures in children below what age are concerning for abuse? - ✔✔ ANSW✔✔ Long bone fractures in children < 3y/o How are the blebs that form with partial thickness frostbite treated? - ✔✔ ANSW✔✔ If uninfected, should be left intact for 7 -10 days thereby prov iding a sterile biologic dressing How can you tell if the needle is in the correct place when gaining intraosseous access? - ✔✔ ANSW✔✔ If you inject saline into the needle after placement to remove any clot and the saline flushes easily and there is no evid ence of swelling than it is likely located in the appropriate place, even if no bone marrow initially aspirated How do you confirm diagnosis of injury to the tracheobronchial tree? - ✔✔ ANSW✔✔ bronchoscopy How does hyperventilation help to reduce ICP? - ✔✔ ANSW✔✔ Decreased CO2 causes vasoconstriction.