1|Page
TRAUMA CARE AFTER RESUSCITATION (tcar)
EXAMINATION ACTUAL VERIFIED EXAM COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
HHNK is most commonly seen in type 2 diabetic patients
as they have no absolute lack of insulin which prevents
ketone production. However, some patients with type 2
diabetes may develope ketosis during acute exacerbation
- Answer-Ture
A diabetic patient is scheduled for surgery at 0900 the
following day and is instructed to be NPO after midnight.
During the hospitalization, the pt has been taking:
-Lantus for his basal insulin and receives a dose once
every morning
-Novolog as his rapid-acting insulin to cover meals
(prandial) doses and correction factor doses (if the blood
glucose is above the target range)
,2|Page
The nurse check his blood sugar at 0700 the day of the
surgery, and his glucose reads 297. which of the following
actions would be appropriate in regards to insulin
administration - Answer-Hold the prandial dose and
administer the correction factor dose and the lantus
Goal of Trauma Care - Answer-Avoid Oxygen supply-
demand mismatch
Optimize organ perfusion
Manage Shock States
Cardiogenic shock-MI causes accident, or occurred at
time of trauma
Hypovolemic shock
"Golden hour" - Answer-Within first hour of the injury.
Within first hour of the injury. "Golden hour" - Answer-Initial
time when interventions are most effective in decreasing
disabilities and saving lives.
With appropriate assessment and treatment most can
survive.
,3|Page
Data supports better outcomes occur if care is delivered in
an - Answer-organized system of trauma care
Trauma Care - Answer-Starts in the "field"
Early death usually occurs at the scene and happen in the
first minutes after the trauma
Large-Vessel disruption, exsanguinations or catastrophic
neurological injuries
when a diabetic pt is conscious and hypoglycemic we can
apply the rule of 15 - Answer-Give the pt 15 grams of fast-
acting carbs and wait 15 min before checking blood
glucose
A pt with a scalding burn shows evidence of blistering and
erythematous surrounding tissue. The pt reports extreme
pain with the burn. What would this burn be classified as -
Answer-2nd degree burn
Which of the following burns would be east likely to elicit
suspicion of child abuse - Answer-palmar blistering
, 4|Page
Typically for pt with hypothyroidism, we give Synthroid
which is a T4 derivative. Why do we give just give T4 and
not T3 as welll - Answer-T4 is converted to T3 in the body
A diabetic pt is experiencing septic shock, which is
manifesting uncontrolled blood glucose levels and
hypotension. The patient is placed on an insulin drip to
control blood glucose as well as dopamine and levophed
to improve blood pressure. Blood cultures have been
drawn, and broad-spectrum antibiotics have been started.
It would be appropriate for the pt to undergo capillary
blood glucose tesitng Q1 T/F - Answer-false
Pre-hospital resuscitation - Answer-Immediate stabilization
and transportation: Primary survey includes ABC's
Primary survey pre-hospital resuscitation - Answer-Airway
maintenance
Breathing
Circulation- control of external bleeding and shock
Immobilization (C-Collar)
Immediate transport (ground or air)
"Right patient to the right resources in the right time frame"
TRAUMA CARE AFTER RESUSCITATION (tcar)
EXAMINATION ACTUAL VERIFIED EXAM COMPLETE
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
HHNK is most commonly seen in type 2 diabetic patients
as they have no absolute lack of insulin which prevents
ketone production. However, some patients with type 2
diabetes may develope ketosis during acute exacerbation
- Answer-Ture
A diabetic patient is scheduled for surgery at 0900 the
following day and is instructed to be NPO after midnight.
During the hospitalization, the pt has been taking:
-Lantus for his basal insulin and receives a dose once
every morning
-Novolog as his rapid-acting insulin to cover meals
(prandial) doses and correction factor doses (if the blood
glucose is above the target range)
,2|Page
The nurse check his blood sugar at 0700 the day of the
surgery, and his glucose reads 297. which of the following
actions would be appropriate in regards to insulin
administration - Answer-Hold the prandial dose and
administer the correction factor dose and the lantus
Goal of Trauma Care - Answer-Avoid Oxygen supply-
demand mismatch
Optimize organ perfusion
Manage Shock States
Cardiogenic shock-MI causes accident, or occurred at
time of trauma
Hypovolemic shock
"Golden hour" - Answer-Within first hour of the injury.
Within first hour of the injury. "Golden hour" - Answer-Initial
time when interventions are most effective in decreasing
disabilities and saving lives.
With appropriate assessment and treatment most can
survive.
,3|Page
Data supports better outcomes occur if care is delivered in
an - Answer-organized system of trauma care
Trauma Care - Answer-Starts in the "field"
Early death usually occurs at the scene and happen in the
first minutes after the trauma
Large-Vessel disruption, exsanguinations or catastrophic
neurological injuries
when a diabetic pt is conscious and hypoglycemic we can
apply the rule of 15 - Answer-Give the pt 15 grams of fast-
acting carbs and wait 15 min before checking blood
glucose
A pt with a scalding burn shows evidence of blistering and
erythematous surrounding tissue. The pt reports extreme
pain with the burn. What would this burn be classified as -
Answer-2nd degree burn
Which of the following burns would be east likely to elicit
suspicion of child abuse - Answer-palmar blistering
, 4|Page
Typically for pt with hypothyroidism, we give Synthroid
which is a T4 derivative. Why do we give just give T4 and
not T3 as welll - Answer-T4 is converted to T3 in the body
A diabetic pt is experiencing septic shock, which is
manifesting uncontrolled blood glucose levels and
hypotension. The patient is placed on an insulin drip to
control blood glucose as well as dopamine and levophed
to improve blood pressure. Blood cultures have been
drawn, and broad-spectrum antibiotics have been started.
It would be appropriate for the pt to undergo capillary
blood glucose tesitng Q1 T/F - Answer-false
Pre-hospital resuscitation - Answer-Immediate stabilization
and transportation: Primary survey includes ABC's
Primary survey pre-hospital resuscitation - Answer-Airway
maintenance
Breathing
Circulation- control of external bleeding and shock
Immobilization (C-Collar)
Immediate transport (ground or air)
"Right patient to the right resources in the right time frame"
