TNCC Written Exam Guaranteed Pass

TNCC Written Exam Study Material | A+ Rated Study Resource What is the best measure of the adequacy of cellular perfusion and helps predict the outcome of resuscitation? - answer - Base deficit used in conjunction with serum lactate Will hypocapnia cause vasoconstriction or vasodilation, especially in the cerebral vasculature? - answer - Vasoconstriction What results from tissue hypo perfusion and oxygen deficit? - answer - Metabolic acidosis What type of shock results in generalized vasodilation? - answer - Neurogenic shock Spinal cord injuries at C3-C5 causes loss of what nerves function, resulting in what? - answer - Phrenic nerve; paralyzed diaphragm and inability to breath Extremity elevation AT the level of the heart is beneficial for what type of injury? - answer - Compartment Syndrome What is a high risk of frostbite? - answer - Thrombus formation What two medications can be administered to maintain perfusion after a frostbite injury along with rewarming? - answer - Tissue plasminogen activator or non steroidal anti-inflammatory medication (NSAIDS) An rise in diastolic blood pressures is a sign of increasing what? - answer - Peripheral resistance What position will benefit the airway and work of breathing for the bariatric patient? - answer - Reverse Trendelenburg Which phase of a blast results from flying debris, projectiles, and bomb fragments causing lacerations or penetrating injuries? - answer - Secondary Phase What phase of a blast results from any explosion-related illness or injury including hyperglycemia, hypertension, angina, asthma, COPD, or sepsis? - answer - Quaternary Phase What phase of a blast results from individuals being thrown by the blast and impacting walls, ground, or any hard object? - answer - Tertiary Phase What phase of a blast results from impact of the over and under pressurization wave with body surfaces. Injuries include blast lung, tympanic membrane rupture, abdominal hemorrhage, globe rupture, and mild traumatic brain injury? - answer - Primary Phase Signs of what include muscle pain or weakness, dark red or brown urine, general weakness or malaise, and elevated creatinine kinase levels? - answer - Rhabdomyolosis Signs of what include anxiety, pleuritic chest pain, dyspnea, hypoxemia, hemoptysis, cough, orthopnea, adventitious lung sounds, decreased lung sounds, jugular vein distention, or hypotension? - answer - Pulmonary Embolus Signs of what include headache, nausea and vomiting, amnesia, behavioral changes, altered level of consciousness? - answer - Increased intracranial pressure Signs of what include asymmetric pupillary reactivity, unilateral dilation, widening pulse pressure, abnormal motor posturing, bradycardia, and decreased respiratory effort? - answer - Late signs of increased ICP with Herniation Syndrome What is caused by the tear of the bridging veins or middle meningeal artery? - answer - Subdural and Epidural Hematoma Affect concentration, memory, sleep, mode, and libido. Causes headaches, dizziness and nausea. - answer - Postconcussive Syndrome/ Mild Traumatic Brain Injury Signs and symptoms similar to early signs of increased ICP but do not worsen. - answer - Postconcussive Syndrome/ Mild Traumatic Brain Injury Cerebral Perfusion Pressure = ______-______ - answer - MAP - ICP What is the range for CO2 to maximize perfusion? - answer - 35-45 Does hypoventilation cause dilation or constriction? Increase or decrease ICP? - answer - Dilation and increase in ICP due to high CO2 Hyperventilation cause dilation or constriction? - answer - Constriction d/t low CO2 Pupils with pressure on cranial nerve - answer - Fixed and dilated Pupils with opiates vs stimulants - answer - small; large Pupils with anticholinergics such as atropine, ipratropium, and scopolamine - answer - large Sluggish reaction of pupils is an early sign of what? - answer - Increasing ICP Glasgow Coma Score with Mild, Moderate, and Severe TBI - answer - Mild = 13-15 Moderate = 9-1