TNCC 8th edition exam with complete solution 2023

TNCC 8th edition exam with complete solution 2023 The major cause of preventable death after injury correct answer Uncontrolled hemorrhage The best measure of the adequacy of cellular perfusion and helps to predict the outcome of resuscitation correct answer Base deficit Examples of primary blast injuries correct answer Blast lung, ruptured tympanic membrane, TBI, abdominal hemorrhage Examples ofsecondary blast injuries correct answer Wounds from debris and bomb fragments Examples of tertiary blast injuries correct answer Blunt or penetrating trauma from the body being thrown by the blast Examples of quaternary blast injuries correct answer Injuries or illness related to explosion: burns, toxic injury from chemicals Examples of quinary blast injuries correct answer Injuries associated with exposure to hazardous materials from the components of the blast Questions to ask for airway assessment (need 4) correct answer Is the tongue obstructing? Are there any foreign objects? Is there any edema? Are there loose or missing teeth? Is there snoring, gurgling, or stridor? Is there bony deformity? Is there blood, vomit, orsecretions? Questions to ask during breathing assessment. (Need 4) correct answerIsthere symmetrical chest rise? Is there spontaneous breathing? Is there tracheal deviation or JVD? What is their skin color? Are there open wounds or deformities in the chest? What's the depth, pattern, and rate of respirations? Is there increased work of breathing? Are breath sounds present and equal? 3 ways to assess ETT placement correct answer1. Apply end tidal, assess CO2 after 5-6 breaths 2. Assess for symmetrical chest wall rise and fall 3. Auscultation over the epigastrium for gurgling and bilateral breath sounds. What do you document after placing an ETT? correct answerETT placement at teeth or gums Situations that require a definitive airway correct answerGCS 8 or less Apnea Inhalation injury Increased risk of aspiration Anticipate decreased neuro status Severe maxo fractures Laryngeal/tracheal injury Where do you listen for breath sounds? correct answer2nd intercostalspace at midclavicular line and 5th intercostal space at anterior axillary line King airway correct answerA multidimensional esophageal airway that traps the glottis opening between an esophageal cuff and an oropharyngeal cuff 3 thingsto assessfor circulation correct answerPalpate central pulse Assess (again) for external hemorrhage Inspect and palpate skin for color, temp, and moisture. When do you establish IV access? correct answerRight after the circulatory assessment At what point to you evaluate need for transfer or definitive care? correct answerAfter the primary survey How do you palpate the iliac crests? correct answerDownward and medially The 3 components of the pediatric assessment triangle correct answerSkin circulation, work of breathing, general appearance What type of fluids should you give kids with normal blood glucose? correct answerFluids with dextrose to prevent hypoglycemia How much fluid do you give a kid? correct answer20mL/kg What assessment finding gives concern forsevere brain injury? correct answerBulging fontanels Parkland formula correct answer3mL x the weight in kg x % TBSA = the fluid to go over 24 hours How do you give the fluid over 24 hoursin parkland formula? correct answerFirst half over 8 hours and second half over 16 hours Normal baseline FHR correct answer120-160 What does Kleihaver-Betke test for? correct answerTestsfor fetal RBCsI. Maternal circulation, which is abnormal and could indicate fetomaternal hemorrhage has occurred Symptoms of abruptly placentae correct answerDark red bleeding, sudden sharp abdominal pain, "board-like" uterus, increased FHR Symptoms of uterine rupture correct answerSudden sharp abdominal orsuprapibic pain, asymmetry of uterus, decreased FHR What degree to you tilt the supine pregnant patient to prevent supine hypotension? correct answer15 degrees 3 parts of the trauma triad of death correct answerHypothermia, coagulopathy, metabolic acidosise Examples of obstructive shock correct answerTension pneumo, cardiac tamponade, pulmonary artery embolism Symptoms ofstage 1 ofshock correct answerChange in neuro status, increased DBP, decreased UO, tachycardia Symptoms ofstage 2 ofshock correct answerDeclining neuro status, tachycardia, narrow pulse pressure, weak thready pulse, cool skin, abnormal base deficit, increased lactate symptoms of epidural hematoma correct answerTransient LOC with a lucid period, HA, N/V, rapidly declining neuro status For what reasons would you not give mannitol? correct answerAn active bleed or hypotension What is Beck triad for cardiac tamponade? correct answerHypotension, distended neck veins, muffled heart sounds Solid abdominal organs and what are they prone to? correct answerLiver,spleen, gallbladder, pancreas, prone to lacerations Hollow abdominal organs and what are they prone to correct answerStomach, bowels, uterus, bladder, prone to rupture Big symptom of splenic injury correct answerLeft shoulder pain Where do you secure a pelvic binder? correct answerAt the level of the greater trochanter and symphysis pubis What is Turners sign? correct answerEcchymosis over the flank at the 11th and 12th ribs, in renal injury What organs do you ultrasound in a FAST exam? correct answerBladder, liver,spleen What kind of dressing do you apply to an open pneumo? correct answerNonporous dressing (petroleum gauze or plastic wrap) and tape on 3 sides