ATCN review | Questions and right answers | Latest version 2024/2025

ATCN review | Questions and right
answers | Latest version
2024/2025
10 Signs and sx of tension pneumothorax - ANSWER -1.chest pain

2.air hunger

3.respiratory distress

4.tachycardia

5.hypotension

6.tracheal deviation away from injury

7.unilateral absence of breath sounds

8.elevated hemithorax w/out respiratory movement

9.neck vein distention

10.cyanosis (late sign)

Signs and sx of cardiac tamponade - ANSWER -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? -
ANSWER -Careful assessment of the pt's breath sounds is paramount to differentiate the two

Tx of tension pneumothorax - ANSWER -1. Needle decompression- large bore needle 2nd intercostal
space midclavicular line 2. chest tube 4 or 5th intercostal space mid axillary

triad of death - ANSWER --Acidosis

- Hypothermia

- Coagulopathy (blood can't clot resulting in continued bleeding)

rule of 9's adult - ANSWER -Head = 9%

Chest (front) = 9%

Abdomen (front) = 9%

Upper/mid/low back and buttocks = 18%

Each arm = 9% (front = 4.5%, back = 4.5%)