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Exam (elaborations)

TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC....pdf

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TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC

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Be kind to yourself, and keep practicing!
TNCC test prepA, TNCC Notes for Written Exam, TNCC Notes for Written Exam, TNCC Prep, TNCC EXAM, TNCC




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1 of 393

Definition



Which of the following injuries is LEAST likely to be promptly
identified?



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bowel liver




spleen lung


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2 of 393

,Term



1. bony fractures and possible rib fractures, which may impact
ventilation
2. palpate for crepitus
3. subcutaneous emphysema which may be a sign for a pneumothorax
4. soft tissue injury



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Open Pneumo: Initial Assessment




Head to toe assessment: Head and
Palpate the chest for
face


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3 of 393

Term



Explain Cardiogenic Shock.



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,Results from disruption in SNS control of the tone of blood vessels, which leads to
vasodilation and maldistribution of blood volume and flow. (Neurogenic and Septic
Shock). Neurogenic shock may result from injury to spinal cord in cervical or upper
thoracic region.

Spinal shock = areflexia and flaccidity associated with lower motor neuron
involvement in complete cord injuries; reflexes return with resolution of spinal
shock.

Septic shock from bacteremia is distributive shock. Endotoxins and other
Shock uncompensated
inflammatory mediatorsor irreversible
cause stagesshunting
vasodilation, will cause
of compromises to most body
blood in microcirculation,
systems.
and other perfusion abnormalities.
- Inadequate venous return
- inadequate cardiac filling
- decreased coronary artery perfusion
- Membranes of lysosomes breakdown within cells and release digestive enzymes
that cause intracellular damage.




Syndrome that results from ineffective perfusion caused by ineffective
perfusion caused by inadequate contractility of cardiac muscle.

Some causes:
- MI
- Blunt cardiac injury
- Mitral valve insufficiency
- dysrhythmias
- Cardiac Failure




Liver can store excess glucose as glycogen.


As shock progresses, glycogenolysis is activated by epi to break down glycogen
into glucose.

In a compensatory response to shock, hepatic vessels constrict to redirect blood
flow to other vital areas.


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, 4 of 393

Term



What is the second thing assessed under the Secondary Assessment?



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Up and over, down and under, lateral, rotational, rear, roll over, and ejection.




GIVE COMFORT MEASURES
- Talking to pt
- Pharmacologic/Nonpharmacologic pain management
- Observe for physical signs of pain




A collection of blood in pericardial sac. As blood accumulates, it exerts pressure on
the heart, inhibiting or compromising ventricular filling.
- Hyotension
- Tachycardia or PEA
- Dyspnea
- Cyanosis
- Beck's Triad (hypotension, distended neck veins + muffled heart sounds)
- Progressive decreased voltage of conduction complexes on ECG




- Remove clothing
- Ensure appropriate decontamination if exposed to hazardous material
- Keep pt warm
- Keep clothing for evidence

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