Neurovascular

Question 1

what are the 6 P’s

Answer 1

Pain
Paraesthesia
Pallor
Pressure
Paralysis
Pulseleness

Question 2

What is the assessment to test the radial nerve?

Answer 2

extend wrist or thumb like thumbs up

Question 3

What is the assessment to test the median nerve?

Answer 3

oppose thumb to index finger

Question 4

What is the assessment to test the ulnar nerve?

Answer 4

fan out fingers testing sensation to digits 4 & 5

Question 5

how often should you recieve the tetanus shot?

Answer 5

every 10 for everyday people
every 5 for contaminated

Question 6

what does tetanus cause if contaminated?

Answer 6

• lockjaw
• add 250 units IM immunoglobulin if unsure of initial vaccine

Question 7

what foreign body can be seen on an xray?

Answer 7

glass, metal (coin & razors), stone

wood is seen by ultrasound, CT, & MRI

remove vegetative material ASAP, do not soak or it swells

Question 8

avoid lido with epi to what body parts
(decrease circulation)

Answer 8

ears
nose
fingers & toes
penis

Question 9

how long do adhesive tape strips last on lacerations?

Answer 9

7-10 days or until they fall off

avoid petroleum ointment

Question 10

suture removal to face?

Answer 10

3-5 days

Question 11

staple removal from head?

Answer 11

10-14 days

Question 12

suture removal from head or torso?

Answer 12

7-10 days

Question 13

suture removal from leg or arm

Answer 13

10-14 days

Question 14

treatment steps for traumatic amputations

Answer 14

-prepare for early transfer to level 1
- lightly brush of gross material (sterile saline)
- wrap amputated part in in saline moistened gauze
- do not soak in saline
= place amputated part in sealable plastic bag then place bag in separate bag of ice. don’t like amputation touch ice

Question 15

compartment syndrome treatment

Answer 15

elevate to level of heart (neutral position)

any exernal compression

pulseleness is a late sign

fasciotomy if pressure is >30mmHg