ATCN REVIEW | QUESTIONS WITH
COMPLETE SOLUTIONS
|ALREADY GRADED A+
define shock - ANSWER-an abnormality of the circulatory system that results in
inadequate organ perfusion and tissue oxygenation. Reduced tissue perfusion
causes cellular hypoxia-> cellular conversion from aerobic to anaerobic
metabolism ->leads to accumulation of lactic acid -> metabolic acidosis
Urine output and hypovolemic shock - ANSWER-Urine output measures organ
perfusion and adequate resuscitation
Adults- 0.5 ml/kg/hr
Peds- 1 ml/kg/hr
baby- 2 ml/kg/hr
epidural hematoma - ANSWER-
, 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%
COMPLETE SOLUTIONS
|ALREADY GRADED A+
define shock - ANSWER-an abnormality of the circulatory system that results in
inadequate organ perfusion and tissue oxygenation. Reduced tissue perfusion
causes cellular hypoxia-> cellular conversion from aerobic to anaerobic
metabolism ->leads to accumulation of lactic acid -> metabolic acidosis
Urine output and hypovolemic shock - ANSWER-Urine output measures organ
perfusion and adequate resuscitation
Adults- 0.5 ml/kg/hr
Peds- 1 ml/kg/hr
baby- 2 ml/kg/hr
epidural hematoma - ANSWER-
, 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%
