Burns/Trauma/Neurogenic

Question 1

Parkland formula?

Answer 1

4mL/kg/BSA of LR

Question 2

Consensus formula?

Answer 2

2-4 mL/kg/BSA of LR

Question 3

Target urine output for an adult?

Answer 3

0.5mL/kg/hr

Question 4

Target urine output for pediatric?

Answer 4

1mL/kg/hr

Question 5

Target urine output for neonate?

Answer 5

2mL/kg/hr

Question 6

Target urine output for Rhabdo/electrical burns?

Answer 6

2-3mL/kg/hr

Question 7

In the first 6 hours of a burn, what is likely to develop?

Answer 7

Hyponatremia and hyperkalemia

Question 8

How do you treat a spinal injury w/ HTN and distended abdomen? Autonomic

Answer 8

Foley catheter

Question 9

Range for ICP

Answer 9

0-15

Anything greater than 20 is critical

Question 10

Range for CPP

Answer 10

60-80

Question 11

Calculate CPP

Answer 11

CPP=MAP-ICP

Question 12

What does CPP stand for?

Answer 12

Cerebral Perfusion Pressure

Question 13

What do you want your MAP to be in a neuro Pt?

Answer 13

Above 80

Question 14

What head bleed is arterial in nature?

Answer 14

Epidural

Question 15

What artery is effected in an epidural bleed?

Answer 15

Middle Meningeal Artery

Question 16

How does someone present with an epidural bleed?

Answer 16

LOC-Lucid-LOC

Question 17

What head bleed is venous in nature?

Answer 17

Subdural Hematoma

Question 18

Which head bleed, bleeds into the ventricles?

Answer 18

Subarachnoid Hemorrhage

Question 19

Where is a Subarachnoid Hemorrhage located?

Answer 19

Below arachnoid layer

Question 20

How to detect Hydrocephalus on a CT?

Answer 20

Dilated ventricles

Question 21

How to fix hydrocephalus

Answer 21

VP shunt or ventriculoperitoneal.

Drains CSF into abdomen

Question 22

ICP reducing agents

Answer 22

Mannitol and hypertonic saline

Mannitol causes diuresis

Question 23

HTN management in neuro Pt w/ ischemic or hemorrhagic stroke

Answer 23

Labetalol: 10 mg

Nicardipine: 5-15 mg/hr

Question 24

Diagnose:
AMS, fever, Petechiae and or Brudzinski/Kernigs sign

Answer 24

Meningitis

Give fluids and anticonvulsants

Question 25

Loss of motor, pain, and sensation below sit of injury

Answer 25

Anterior cord syndrome

Question 26

Weakness in upper extremities that is greater than lower

Answer 26

Central cord syndrome

Question 27

Ipsilateral loss of motor function w/ loss of pain/sensation on opposing side

Answer 27

Browns-Sequard Syndrome

Question 28

Cord injury Dermatomes Phrenic nerve damage and loss of diaphragm innervation

Answer 28

C3-C5

Question 29

Cord injury Dermatomes Controls elbow FLEXION

Answer 29

C6

Question 30

Cord injury Dermatomes Controls elbow EXTENSION

Answer 30

C7

Question 31

Cord injury Dermatomes Located at nipple line

Answer 31

T4

Question 32

Cord injury Dermatomes Located at umbilicus

Answer 32

T10

Question 33

Ratio of mass transfusion

Answer 33

1 to 1 to 1 ration of FFP, Platelets, and RBC’s

Question 34

Blood products cause what kind of shift on the oxyhemoglobin dissociative curve

Answer 34

Leftward shift

Question 35

What does the citrate that is preserved in blood products remove?

Answer 35

DPG and calcium

Question 36

Where do you perform a Thoracostomy?

Answer 36

4th intercostal anterior axillary line

Question 37

After performing Thoracostomy, where is the atrium to be placed and at what pressure?

Answer 37

Below the level of the heart 20 cm/h2O

Question 38

What does persistent bubbling in the atrium chamber indicate?

Answer 38

Significant air leak or Tracheobronchial tear or injury

Question 39

When to give TXA and the dose? Time frame*

Answer 39

Given within 3 hours of injury 1g over 10 minutes. 1g over 8 hours

Question 40

What does REBOA stand for?

Answer 40

Resuscitative Endovascular Balloon Occlusion of the Aorta

Question 41

When is REBOA indicated?

Answer 41

Used in severe shock to occlude above the site of injury to eliminate bleeding as a bridge to surgery

Question 42

Define mild hypothermia

Answer 42

32-35 degrees C

Question 43

Define moderate hypothermia

Answer 43

28-32 degrees C

Question 44

Define severe hypothermia

Answer 44

Less than 28 degrees C

Question 45

What can hypothermia do to an ECG?

Answer 45

Osborne waves

Question 46

If hypothermic Pt is in cardiac arrest what must you warn the pt to before providing meds and defibrillation?

Answer 46

30 degrees C

Question 47

What temp to achieve a heat stroke?

Answer 47

Greater than 104 F