BCEN CFRN 2 - Questions And Expert-Verified Answers
If a patient develops bilateral infiltrates and has a low Pf Ratio < 200 what do
they have?
How quickly do s/s develop?
What is the difference between ARDS and Contusion? Right Ans - ARDS
12-24 hours
Contusion usually is limited to one lung and develops quicker.
What's the difference between a diaphragmatic hernia and perforated bowel
in a pediatric? Right Ans - Scaphoid Abdomen vs. Distended abdomen with
fever
Why do elderly have more time for s/s with Subdural? Right Ans - Brain
atrophy allows for more swelling and bleeding to take place
What tells us about the oxygenation in a CO poisoning patient? Right Ans -
The PaO2
What can be given to prevent the hyperkalemia from a crush accident in a
trauma patient? Right Ans - Calcium gluconate
If you are crashing and you are in a forward facing seat without shoulder
belts, what position should you take?
How should you sit if there are shoulder belts? Right Ans - -Bend forward
at the waste and encircle knees with arms
-cross arms with an x and grasp shoulder harness
Why is it important neurologically for a neonate to be transported in an
isolette? Right Ans - -Vibration and noise can cause stress and neurological
damage
, What is the cardiac concern with lightning strikes? Right Ans - Lethal
arrhythmias
What is a late sign of shock in children?
How do children compensate in shock? Right Ans - Hypotension
They increase their HR, SVR, Venous tone
How do you protect a ruptured globe? Should you exam or manipulate it
Right Ans - -You want to patch both eyes. You should not examine or
manipulatre it
If a fat patient's PIP is high on the aircraft, what can you do to decrease it?
Right Ans - -Sit the patient up
We know that opiates and fluids won't help a hypoxic patient with pulmonary
contusion, what will? Right Ans - -NIPPV
After you crash, what do you want to consider when you're looking for
shelter? Right Ans - -Look out for any physical hazards
What is the end product of all physiological and psychological stressors of
transport? Right Ans - -Fatigue
If your patient is showing increased signs of ICP, what can you do with the
ventilator to decrease the ICP? Right Ans - -Increase the RR to make them
more alkalotic
When the DKA patient has a normal corrected sodium, what type of fluids do
you switch them to? Why?
What do you not use? Right Ans - -0.45 NS to avoid the hypernatremia for
aggressive fluid resus
-D5 or LR
What does a Le FORT 3 fx look like? Right Ans - -Facial asymmetry and
malocclusion
If a patient develops bilateral infiltrates and has a low Pf Ratio < 200 what do
they have?
How quickly do s/s develop?
What is the difference between ARDS and Contusion? Right Ans - ARDS
12-24 hours
Contusion usually is limited to one lung and develops quicker.
What's the difference between a diaphragmatic hernia and perforated bowel
in a pediatric? Right Ans - Scaphoid Abdomen vs. Distended abdomen with
fever
Why do elderly have more time for s/s with Subdural? Right Ans - Brain
atrophy allows for more swelling and bleeding to take place
What tells us about the oxygenation in a CO poisoning patient? Right Ans -
The PaO2
What can be given to prevent the hyperkalemia from a crush accident in a
trauma patient? Right Ans - Calcium gluconate
If you are crashing and you are in a forward facing seat without shoulder
belts, what position should you take?
How should you sit if there are shoulder belts? Right Ans - -Bend forward
at the waste and encircle knees with arms
-cross arms with an x and grasp shoulder harness
Why is it important neurologically for a neonate to be transported in an
isolette? Right Ans - -Vibration and noise can cause stress and neurological
damage
, What is the cardiac concern with lightning strikes? Right Ans - Lethal
arrhythmias
What is a late sign of shock in children?
How do children compensate in shock? Right Ans - Hypotension
They increase their HR, SVR, Venous tone
How do you protect a ruptured globe? Should you exam or manipulate it
Right Ans - -You want to patch both eyes. You should not examine or
manipulatre it
If a fat patient's PIP is high on the aircraft, what can you do to decrease it?
Right Ans - -Sit the patient up
We know that opiates and fluids won't help a hypoxic patient with pulmonary
contusion, what will? Right Ans - -NIPPV
After you crash, what do you want to consider when you're looking for
shelter? Right Ans - -Look out for any physical hazards
What is the end product of all physiological and psychological stressors of
transport? Right Ans - -Fatigue
If your patient is showing increased signs of ICP, what can you do with the
ventilator to decrease the ICP? Right Ans - -Increase the RR to make them
more alkalotic
When the DKA patient has a normal corrected sodium, what type of fluids do
you switch them to? Why?
What do you not use? Right Ans - -0.45 NS to avoid the hypernatremia for
aggressive fluid resus
-D5 or LR
What does a Le FORT 3 fx look like? Right Ans - -Facial asymmetry and
malocclusion
