ATCN review
Question 1.
10 Signs and sx of ten-sion pneumothorax
ANSWER
1.chest pain 2.air hunger 3.respiratory distress 4.tachycardia 5.hypotension 6.tracheal deviation away from injury 7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement 9.neck vein distention 10.cyanosis (late sign)
Question 2.
Signs and sx of cardiac tamponade
ANSWER
1. Becks Triad= increased venous pressure(distended neck veins), decreased arterial pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx
Question 3.
tension pneumothorax can often be confused with cardiac tamponade, how do you differentiate?
ANSWER
Careful assessment of the pt's breath sounds is paramount to differentiate the two
Question 4.
Tx of tension pneumothorax
ANSWER
1. Needle decompressionlarge bore needle 2nd intercostal space mid-clavicular line 2. chest tube 4 or 5th intercostal space mid axillary
Question 5.
triad of death
ANSWER
-Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding)
Question 6.
rule of 9's adult
ANSWER
Head = 9% Chest (front) = 9% Abdomen (front) = 9% Upper/mid/low back and buttocks = 18% Each arm = 9% (front = 4.5%, back = 4.5%) Groin = 1% Each
leg = 18% total (front = 9%, back = 9%)
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Question 1.
10 Signs and sx of ten-sion pneumothorax
ANSWER
1.chest pain 2.air hunger 3.respiratory distress 4.tachycardia 5.hypotension 6.tracheal deviation away from injury 7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement 9.neck vein distention 10.cyanosis (late sign)
Question 2.
Signs and sx of cardiac tamponade
ANSWER
1. Becks Triad= increased venous pressure(distended neck veins), decreased arterial pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx
Question 3.
tension pneumothorax can often be confused with cardiac tamponade, how do you differentiate?
ANSWER
Careful assessment of the pt's breath sounds is paramount to differentiate the two
Question 4.
Tx of tension pneumothorax
ANSWER
1. Needle decompressionlarge bore needle 2nd intercostal space mid-clavicular line 2. chest tube 4 or 5th intercostal space mid axillary
Question 5.
triad of death
ANSWER
-Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding)
Question 6.
rule of 9's adult
ANSWER
Head = 9% Chest (front) = 9% Abdomen (front) = 9% Upper/mid/low back and buttocks = 18% Each arm = 9% (front = 4.5%, back = 4.5%) Groin = 1% Each
leg = 18% total (front = 9%, back = 9%)
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