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Critical Care 1 > *Extra > Flashcards

*Extra Flashcards

1
Q

Second Law of MOtion

A

accecleration = M x A

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2
Q

THird Law of MOtion

A

for every action, there is an equal and opposite reaction

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3
Q

yellow catagory of START

A

delayed

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4
Q

5 things that qualify you for red catagory of START

A 
can't ambulate
breathing but unconscious
RR over 30
perfusion (poor cap refill/pulse)
AMS/can't follow direfctions
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5
Q

step 1 of SALT

A

walk?
wave/purposeful movement
still/obvious threat to life

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6
Q

blood loss in class I shock

A

under 750ml

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7
Q

blood loss by b. volume in different classes

A

I = under 15%
II = 15-30%
III- 40-40%
IV = over 40%

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8
Q

CNS s/s of shock

A

anxious, confused, lethartic

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9
Q

CNS in late state hemorrhage

A

anxiuos to confused to leahagic

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10
Q

RR in hypovolemic shock

A 
class II = 20 -30
III = 30-40
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11
Q

urine output across the hemorrhage severity chart

A 
class II = 20-30
CLass III = 5-15
Class IV = negligible
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12
Q

hangman’s fracture

A

C2

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13
Q

C2 fracture

A

hangman’s fracture

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14
Q

T12 fracture

A

chance fracture

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15
Q

Chance Fracture

A

T12

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16
Q

Jefferson’s Fracture

A

C1

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17
Q

C1 fracture

A

Jefferson’s Fracture

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18
Q

burst fracture

A

severly compressed vertebral body injuury

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19
Q

signs present in spleen injury

A

ballance = dullness in LUQ and shifting dullness in right flank
Kehr’s

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20
Q

dullness to perfussion in LUQ

A

Ballance sign

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21
Q

REBOA

A

resuscitative endovascular Bllloon occlusion of the aorta

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22
Q

how does REBOA work

A

Resuscitative ENdovascular Balloon Occlusion of the Aorta

*internal tournique to occlude bllood flow from the aorta until pt goes to OR

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23
Q

blood in labia/scrotum

A

Coopernail’s sing

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24
Q

indication of Coopernail’s fracture

A

suspect pelvic trauma

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25
intervention if high riding prostate
retrograde pyelogram
26
suspect pelvic trauma
COopernail's Fracture = blod in labia/scrotum
27
cause of spontaneous pneumo
bleb rupture
28
when is open pneumo a problem
defect must be over 2/3 the diameter of hte trachea
29
needle D sites
5th ICS mid axillary = over 6th rib 2nd ICS mid clavicular =over 3rd rib over rib to avoid nerves/blood
30
site for chest tube
5-6th ICS mix axillary
31
massive hemothorax
1/3 pt blood volume/over 1500ml
32
paradoxical chest wall movement
flail chest
33
scaphoid abdomen
diaphragmic hernia
34
Kussmaul's sign
rise in venous pressure on inspiration | cardiac tamponade
35
rise in venous pressure on inspiration in spontaneously breathing
Kussmaul sign
36
paradoxical pusle
cardiac tamponade
37
s/s of cardiac tamponade
pulsus paradoxys tachyardia Becks's triad Kussmau;'s sign
38
paradoxical pulse
in cardaicl tamponade
39
treatment of cardiac tamponade
pericardiocentesis
40
EKG of cardiac tamponade
electrical alternans | *hearts gets closer to and further away as it moves aroudn inside the sac of fludi
41
Hamman's crunch
crunching raspy sound syncrhonous w/heart beat | trachehobroncihia disrupton
42
s/s of tracheobronchial disruption
Hamman's crunch | Sc emphsyema
43
where does the tracheobronchial disruption occur
within 1.5 of carina
44
SC emphysema & Hamman's crunch
tracehobronchial disruption
45
builds up in rhabod
myoglobin
46
labs of rhabdo
elevated myoglobin | Ca/Na go into the cell so lowhigh K
47
landmarks for femoral line insertion
``` lateral to medial = NAVEL nerve artery ein lymph node ```
48
why does blood cause hypocalcemia
citric acid as anticaogulant
49
T&C for plt
not needed
50
T&C for FFP
must be compatible
51
PRBC with RBC suspended
FFP
52
reverse warfarin
FFP
53
requires ABO compatibility but not Rh matching
FFP
54
accepttance of FFP
requiers ABO compatibility but not Rh matching
55
most common rx for trauma related DIC
Cryo
56
created from FFP
cryo
57
treat hemophilia
cryo
58
treat von willebrand
cryo
59
use for cryoprecipitate
hemophilia DIC in trauma on willebrand
60
ther s/sstopping blood transfusion if febrile reaction
tylenol. | can continue if no o
61
TACO
transfusion associated circulatory overload
62
treat TACO
circulatory overload so stop, give LAsix
63
treatment for TRALI
reaction to leukocyte antibodies up to 6hrs post transfusion causes acute pulmonary edema
64
acute pulmonary edema in blood transfusions
TRALI

Critical Care 1 (13 decks)

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