What syndrome occurs most often in burns greater than 20% BSA and lasts for
approximately 6-12 hours? -answerCapillary Leak Syndrome
Fluid replacement goals/calculation -answer2mL/kg LR x TBSA% (give 1/2 over first 8
hours (minus transport time) and 1/2 over next 16 hours)
Urine Output goals for fluid replacement therapy -answer0.5 mL/kg (30-50mL/hr)
Disaster Definition -answerA sudden calamitous event that seriously disrupts the
functioning of a community or society and causes human, material, and economic
losses that exceed the community's or society's ability to cope using its own resources.
Mitigation -answerA foundation to limit the potential impact of a disaster
Triage colors and meanings: -answerGreen - minor, walking wounded
Yellow - delayed
Red - immediate
Black - expectant, deceased
When should the decision to transfer be made? -answerWhen the patient's needs
outweigh the capabilities of your facility
Tertiary care facility, teaching hospital, comprehensive care from resuscitation or
rehabilitation, research, injury prevention. -answerLevel 1 Trauma Center
Trauma rescucitation and definitive trauma care. Specialty and rehabilitation care may
not be as comprehensive, may not conduct research. -answerLevel 2 Trauma Center
Provides ATLS assessment, intervention, resuscitation and emergency surgery.
Generally does not accept transfers. -answerLevel 3 Trauma Center
Provides ATLS assessment, intervention, and resuscitation. May be in a remote area,
has 24 hour physician and NP coverage. -answerLevel 4 Trauma Center
Greatest risk to the patient during interfaculty transfer/transport? -answerLoss of airway
and respiratory compromise
What survey is a complete exam within 24 hours of arrival and identified injuries missed
during primary assessment, reviews radiology studies, orders more studies, and
assesses for hidden injuries? -answerTertiary Survey
Stages of shock -answer1. Compensatory Shock 2. Decompensatory Shock
(progressive, hypotensive) 3. Irreversible Shock
, Anxiety, confusion, restlessness, narrowing pulse pressure, tachycardia, bounding
pulse, and decreasing urinary output are signs of what? -answerCompensated Shock
Decreased level of consciousness, hypotension, narrowed pulse pressure, tachycardia
with weak pulse, tachypnea, and cool, clammy, cyanotic skin are signs of what? -
answerDecompensated/Progressive shock
Obtunded/comatose, profound hypotension, bradycardia, dysrhythmias, slow shallow
respirations, petechiae/purpura are signs of what? -answerIrreversible shock
Benefits of the trauma nursing process -answerSystematic approach to the evaluation
of each trauma patient. Identifies life-threatening conditions, determines priorities of
care.
Efficient production of ATP, which maintains cellular metabolic function, is seen with
what type of metabolism? -answerAerobic metabolism
Inefficient production of ATP, byproduct is lactic acid, leads to metabolic acidosis,
cellular dysfunction leads to cell death with what type of metabolism? -
answerAnaerobic metabolism
The cellular process in which oxygen is used to metabolize glucose. Energy is produced
in an efficient manner with minimal waste products. -answerAerobic metabolism
The cellular process in which glucose is metabolized into energy without oxygen.
Energy is produced in an inefficient manner with many waste products. -
answerAnaerobic metabolism
What is included in the Trauma Triad of Death? -answerCoagulopathy
Acidosis
Hypothermia
Pump failure, caused by blunt cardiac injury, dysrhythmias, or myocardial infarction is
what type of shock? -answerCardiogenic Shock
What type of shock is caused by cardiac tamponade or tension pneumothorax?
Ventricular failure is seen. -answerObstructive Shock
Reservoir depletion and hemorrhage cause which type of shock? -answerHypovolemic
Shock
Vasodilation, anaphylaxis, sepsis, and spinal cord injuries cause which type of shock? -
answerDistributive Shock
approximately 6-12 hours? -answerCapillary Leak Syndrome
Fluid replacement goals/calculation -answer2mL/kg LR x TBSA% (give 1/2 over first 8
hours (minus transport time) and 1/2 over next 16 hours)
Urine Output goals for fluid replacement therapy -answer0.5 mL/kg (30-50mL/hr)
Disaster Definition -answerA sudden calamitous event that seriously disrupts the
functioning of a community or society and causes human, material, and economic
losses that exceed the community's or society's ability to cope using its own resources.
Mitigation -answerA foundation to limit the potential impact of a disaster
Triage colors and meanings: -answerGreen - minor, walking wounded
Yellow - delayed
Red - immediate
Black - expectant, deceased
When should the decision to transfer be made? -answerWhen the patient's needs
outweigh the capabilities of your facility
Tertiary care facility, teaching hospital, comprehensive care from resuscitation or
rehabilitation, research, injury prevention. -answerLevel 1 Trauma Center
Trauma rescucitation and definitive trauma care. Specialty and rehabilitation care may
not be as comprehensive, may not conduct research. -answerLevel 2 Trauma Center
Provides ATLS assessment, intervention, resuscitation and emergency surgery.
Generally does not accept transfers. -answerLevel 3 Trauma Center
Provides ATLS assessment, intervention, and resuscitation. May be in a remote area,
has 24 hour physician and NP coverage. -answerLevel 4 Trauma Center
Greatest risk to the patient during interfaculty transfer/transport? -answerLoss of airway
and respiratory compromise
What survey is a complete exam within 24 hours of arrival and identified injuries missed
during primary assessment, reviews radiology studies, orders more studies, and
assesses for hidden injuries? -answerTertiary Survey
Stages of shock -answer1. Compensatory Shock 2. Decompensatory Shock
(progressive, hypotensive) 3. Irreversible Shock
, Anxiety, confusion, restlessness, narrowing pulse pressure, tachycardia, bounding
pulse, and decreasing urinary output are signs of what? -answerCompensated Shock
Decreased level of consciousness, hypotension, narrowed pulse pressure, tachycardia
with weak pulse, tachypnea, and cool, clammy, cyanotic skin are signs of what? -
answerDecompensated/Progressive shock
Obtunded/comatose, profound hypotension, bradycardia, dysrhythmias, slow shallow
respirations, petechiae/purpura are signs of what? -answerIrreversible shock
Benefits of the trauma nursing process -answerSystematic approach to the evaluation
of each trauma patient. Identifies life-threatening conditions, determines priorities of
care.
Efficient production of ATP, which maintains cellular metabolic function, is seen with
what type of metabolism? -answerAerobic metabolism
Inefficient production of ATP, byproduct is lactic acid, leads to metabolic acidosis,
cellular dysfunction leads to cell death with what type of metabolism? -
answerAnaerobic metabolism
The cellular process in which oxygen is used to metabolize glucose. Energy is produced
in an efficient manner with minimal waste products. -answerAerobic metabolism
The cellular process in which glucose is metabolized into energy without oxygen.
Energy is produced in an inefficient manner with many waste products. -
answerAnaerobic metabolism
What is included in the Trauma Triad of Death? -answerCoagulopathy
Acidosis
Hypothermia
Pump failure, caused by blunt cardiac injury, dysrhythmias, or myocardial infarction is
what type of shock? -answerCardiogenic Shock
What type of shock is caused by cardiac tamponade or tension pneumothorax?
Ventricular failure is seen. -answerObstructive Shock
Reservoir depletion and hemorrhage cause which type of shock? -answerHypovolemic
Shock
Vasodilation, anaphylaxis, sepsis, and spinal cord injuries cause which type of shock? -
answerDistributive Shock
