TCRN - Special Considerations Part 2
Suicide - Answer -death caused by self-directed, potentionally injurious behavior with an intent to die as
a result of the behavior
many suicides occur with little planing during a short term crisis
risk factor of suicide - Answer -access to firearms
Leading cause of maternal death - Answer -trauma
top 3 causes of injury in pregnant women - Answer -safety belt non-compliance
falls
Abuse
hemodynamic changes in pregnancy - Answer -increase in blood volume (40 - 50%)
RBC increase (30% -> dilutional anemia)
increase in HR
increase in CO initially than plateaus
decrease in SVR & PVR
decrease in BP and gradual increase in BP
when will VS change in pregnant women during trauma - Answer -@ 2L
, the most common cause of fetal death is - Answer -maternal shock
how to assess a pregnant woman - Answer -1. primary maternal assessment
2. assess fetus
3. secondary maternal assessment
what to remember with pregnant woman - Answer -tilt 15 - 30 degrees to the left because it optimizes
CO by displacing the uterus to the left (decreasing pressure on the IVC).
pulmonary changes in pregnant women - Answer -mucosa becomes engorged
use smaller ETT
total lung capcity decreases
abnormal PaCos in pregnany women - Answer -35 - 40 mmHg
Neuro pregnant differences - Answer -vasodilation may cause postural hypotension
increased risk for dizziness/syncope/fall
pre-eclampsia and eclampsia can mimic TBI
s/s of preeclampsia - Answer -HTN, edema, proteinuria, LOC, generalized seizures
GI pregnant differences - Answer -rise in progesterone relaxes the esophageal and gastric sphincters
increased abdominal pressure
ASPIRATION RISK
GU pregnant differences - Answer -increased blood flow to pelvis (frx result in hemorrhage)
bladder is displaced anteriorly and superiorly (@ risk for injury and under more tension)
Suicide - Answer -death caused by self-directed, potentionally injurious behavior with an intent to die as
a result of the behavior
many suicides occur with little planing during a short term crisis
risk factor of suicide - Answer -access to firearms
Leading cause of maternal death - Answer -trauma
top 3 causes of injury in pregnant women - Answer -safety belt non-compliance
falls
Abuse
hemodynamic changes in pregnancy - Answer -increase in blood volume (40 - 50%)
RBC increase (30% -> dilutional anemia)
increase in HR
increase in CO initially than plateaus
decrease in SVR & PVR
decrease in BP and gradual increase in BP
when will VS change in pregnant women during trauma - Answer -@ 2L
, the most common cause of fetal death is - Answer -maternal shock
how to assess a pregnant woman - Answer -1. primary maternal assessment
2. assess fetus
3. secondary maternal assessment
what to remember with pregnant woman - Answer -tilt 15 - 30 degrees to the left because it optimizes
CO by displacing the uterus to the left (decreasing pressure on the IVC).
pulmonary changes in pregnant women - Answer -mucosa becomes engorged
use smaller ETT
total lung capcity decreases
abnormal PaCos in pregnany women - Answer -35 - 40 mmHg
Neuro pregnant differences - Answer -vasodilation may cause postural hypotension
increased risk for dizziness/syncope/fall
pre-eclampsia and eclampsia can mimic TBI
s/s of preeclampsia - Answer -HTN, edema, proteinuria, LOC, generalized seizures
GI pregnant differences - Answer -rise in progesterone relaxes the esophageal and gastric sphincters
increased abdominal pressure
ASPIRATION RISK
GU pregnant differences - Answer -increased blood flow to pelvis (frx result in hemorrhage)
bladder is displaced anteriorly and superiorly (@ risk for injury and under more tension)
