TNCC UPDATED FINAL EXAM QUESTIONS AND
ANSWERS FIRM A+
✔✔any deformities? bleeding? contusions, lacs? skin temp?? place splints on
deformities, pulses - ✔✔Head to toe assessment: Extremities
✔✔inspect posterior surfaces
blogroll with at least 3 people. maintain c spine
take out backboard
Rectal tone per MD - ✔✔I
✔✔labs, wound care, tetanus, administer meds, prepare for transfer - ✔✔Secondary
Reval Adjuncts
✔✔Vital signs
Interventions
Primary survey
Pain - ✔✔Post resuscitation care parameters that are continuously evaluated:
✔✔Capnography monitors numeric value, as well as continuous waveform, indicating
real-time measurement and trending over time. - ✔✔Quantitative:
✔✔Colorimetric CO2 detectors provide info about the presence or absence of CO2. A
chemically treated indicator strip changes color revealing the presence or absence of
exhaled CO2 - ✔✔Qualitative
✔✔D displaced tube
O obstructed or kinked
P pneumothorax
E equipment failure , such as becoming detached from the equipment or loss of
capnopgrahy - ✔✔DOPE
✔✔1. Preparation
2. Preoxygenation
3. Pretreatment
4. Paralysis and Induction
5. Protecting and positioning - v
6. Placement of proof - secure the tube
7. Post intubation - secure ETT Tube, get X-ray for placement - ✔✔Steps of Rapid
Sequence Intubation
, ✔✔from hemorrhage is leading cause. Hypovolemia is caused by decrease in the
amount of circulating volume. Goal is to replace volume. - ✔✔Hypovolemic Shock
✔✔results from hypo perfusion to the tissue due to an obstruction in either vasculature
or heart. Goal is to relieve obstruction and improve perfusion.
Ex: tension pneumo or cardiac tamponade are two classic examples that may result
from trauma. - ✔✔Obstructive Shock
✔✔Results from pump failure in the presence of adequate intravascular volume. There
is a lack of cardiac output and end organ perfusion secondary to a decrease in
myocardial contractility and/or valvular insufficiency.
Ex: MI's or dysrhythmia are common causes - ✔✔Cariogenic Shock
✔✔occurs as a result of maldistribution of an adequate circulating blood volume with the
loss of vascular tone or increased permeability.
Ex: Anaphylactic - release of antihistamines
Septic Shock - systemic release of bacterial endotoxins, resulting in increased vascular
permeability and vasodilation. Neurogenic shock - spinal cord injury results of loss in
sympathetic nervous system control of vascular tone.
Goal: Volume replacement and vasoconstriction - ✔✔Distributive Shock
✔✔A breath every 5 to 6 seconds: 10-12 ventilations per minute - ✔✔Bag mask
ventilation
✔✔Stroke Volume X HR - ✔✔Cardiac Output =
✔✔.. activation: .... are found in the carotid sinus and along the aortic arch, are sensitive
to the degree of stretch in the arterial wall. When the receptors sense a decrease in
stretch, they stimulate the sympathetic nervous system to release Epi, norepi, causing
stimulation of cardiac activity and constriction of blood vessels, which causes a rise in
heart rate and diastolic blood pressure - ✔✔Baroreceptors:
✔✔activation: consist of carotid and aortic bodies. ... detect changes in blood oxygen
and Co2 and pH. When Co2 rises or oxygen level of pH falls these receptors are
activated and information is relayed to the CNS and the cardiorespiratory centers in the
medulla , which increases respiratory rage and depth and BP - ✔✔Chemoreceptors:
✔✔50 to 150 - ✔✔MAP Range
ANSWERS FIRM A+
✔✔any deformities? bleeding? contusions, lacs? skin temp?? place splints on
deformities, pulses - ✔✔Head to toe assessment: Extremities
✔✔inspect posterior surfaces
blogroll with at least 3 people. maintain c spine
take out backboard
Rectal tone per MD - ✔✔I
✔✔labs, wound care, tetanus, administer meds, prepare for transfer - ✔✔Secondary
Reval Adjuncts
✔✔Vital signs
Interventions
Primary survey
Pain - ✔✔Post resuscitation care parameters that are continuously evaluated:
✔✔Capnography monitors numeric value, as well as continuous waveform, indicating
real-time measurement and trending over time. - ✔✔Quantitative:
✔✔Colorimetric CO2 detectors provide info about the presence or absence of CO2. A
chemically treated indicator strip changes color revealing the presence or absence of
exhaled CO2 - ✔✔Qualitative
✔✔D displaced tube
O obstructed or kinked
P pneumothorax
E equipment failure , such as becoming detached from the equipment or loss of
capnopgrahy - ✔✔DOPE
✔✔1. Preparation
2. Preoxygenation
3. Pretreatment
4. Paralysis and Induction
5. Protecting and positioning - v
6. Placement of proof - secure the tube
7. Post intubation - secure ETT Tube, get X-ray for placement - ✔✔Steps of Rapid
Sequence Intubation
, ✔✔from hemorrhage is leading cause. Hypovolemia is caused by decrease in the
amount of circulating volume. Goal is to replace volume. - ✔✔Hypovolemic Shock
✔✔results from hypo perfusion to the tissue due to an obstruction in either vasculature
or heart. Goal is to relieve obstruction and improve perfusion.
Ex: tension pneumo or cardiac tamponade are two classic examples that may result
from trauma. - ✔✔Obstructive Shock
✔✔Results from pump failure in the presence of adequate intravascular volume. There
is a lack of cardiac output and end organ perfusion secondary to a decrease in
myocardial contractility and/or valvular insufficiency.
Ex: MI's or dysrhythmia are common causes - ✔✔Cariogenic Shock
✔✔occurs as a result of maldistribution of an adequate circulating blood volume with the
loss of vascular tone or increased permeability.
Ex: Anaphylactic - release of antihistamines
Septic Shock - systemic release of bacterial endotoxins, resulting in increased vascular
permeability and vasodilation. Neurogenic shock - spinal cord injury results of loss in
sympathetic nervous system control of vascular tone.
Goal: Volume replacement and vasoconstriction - ✔✔Distributive Shock
✔✔A breath every 5 to 6 seconds: 10-12 ventilations per minute - ✔✔Bag mask
ventilation
✔✔Stroke Volume X HR - ✔✔Cardiac Output =
✔✔.. activation: .... are found in the carotid sinus and along the aortic arch, are sensitive
to the degree of stretch in the arterial wall. When the receptors sense a decrease in
stretch, they stimulate the sympathetic nervous system to release Epi, norepi, causing
stimulation of cardiac activity and constriction of blood vessels, which causes a rise in
heart rate and diastolic blood pressure - ✔✔Baroreceptors:
✔✔activation: consist of carotid and aortic bodies. ... detect changes in blood oxygen
and Co2 and pH. When Co2 rises or oxygen level of pH falls these receptors are
activated and information is relayed to the CNS and the cardiorespiratory centers in the
medulla , which increases respiratory rage and depth and BP - ✔✔Chemoreceptors:
✔✔50 to 150 - ✔✔MAP Range
