Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Summer 2020 - APA Foundations 2 - Other > Trauma & Anesthesia - Quiz 7 > Flashcards

Trauma & Anesthesia - Quiz 7 Flashcards

1
Q

What are the 3 areas w/ the Highest incidences of Recall?

A

CV

OB

Trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are factors that can potentially indicate Cervical Spine Injury?

A

Neck Pain

Severe Distracting Pain

Neuro Signs & Symptoms

Intoxication

Unconscious @ the Scene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the best way to Intubate a patient w/ a Cervical Spine Injury?

A

Manual Inline Stabilization (MILS) using a Glidescope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why should N2O be avoided in Trauma Patients?

A

Expands Closed Spaces

Trauma patients might have Pneumothorax, Pneumocephalus, or Pneumoperitonium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What can happen if Sux is given to patients who sufferred from a Burn, Spinal Cord, or Crush Injury in the past 24 hrs?

A

Hyperkalemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How do Massive Blood Transfusions affect Systemic pH?

A

Metabolic Alkalosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the potential Cardiovascular Effects of receiving > 1 unit PRBC per 5 minutes?

A

Cardiac Depression d/t Hypocalcemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the signs & symptoms of a Hemolytic Reaction in an Anesthetized patient?

A

↑Temp

Tachycardia

Hypotension

Hemoglobinuria

Oozing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the Hematologic effects of Hypothermia?

A

Coagulopathy

Platelet Sequestration

Deformed RBCs

Myocardial Malfunction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the main cause of Bleeding after a Massive Transfusion?

A

Dilutional Thrombocytopenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the Half-Life of Crystalloids?

A

20 - 30 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the Half-Life of Colloids?

A

3 - 6 Hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which Crystalloid is more likely to cause Hyperkalemic Acidosis?

A

Normal Saline > LR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Why should LR never be hung w/ Blood?

A

The Calcium in LR is less compatible w/ Blood Transfusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which fluids are contraindicated in Trauma patients?

A

Fluids containing Dextrose - can worsen Ischemic Brain Damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the affect of Lactated Ringers on Cerebral Edema?

A

LR’s Hypotonicity + Large Volume = Worsens Cerebral Edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are the different Colloids used to rapidly restore Intravascular Volume?

A

Albumin

Dextran - causes coagulopathy

Hetastarch - causes coagulopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Which Blood Type can be given w/o a prior Type & Screen in Emergency Situations?

A

O Negative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

With Stored Blood, what happens to Factor VIII after two days of storage?

A

Reduced Factor VIII by 50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Hypovolemia patients require ______ anesthetics d/t a Decrease in Cardiac Output & Increased Ventilation

A

Hypovolemia patients require LESS anesthetics d/t a Decrease in Cardiac Output & Increased Ventilation

21
Q

What are the preferred Induction agents for a Hypovolemic Trauma Patient?

A

Ketamine & Etomidate

22
Q

What might the sign of Hematuria indicate in the Trauma Patient?

A

Kidney or Lower Urinary Tract Injury

23
Q

What are patients w/ Cervical Spine Injuries at risk for?

A

Aspiration

&

Circulatory Failure –> Poor Organ Perfusion –> SHOCK

24
Q

What are signs of a Brain Injury in the Trauma Patient?

A

AMS

Low GCS

Restlessness

Convulsions

Cranial Nerve Dysfunction

Non-Reactive Pupils

25
Q

What is Cushing’s Triad?

A

HTN

Bradycardia

Irregular Respirations

These are LATE signs before Herniation

26
Q

What medications induce Pupillary Dilation?

A

Anticholinergics:

Robinul

Spiriva

Atrovent

27
Q

What meds should be avoided if a patient is to have a Neuro Exam?

A

Avoid Sedatives & Analgesics

28
Q

What are the symptoms commonly associated w/ Cardiac Tamponade?

A

Beck’s Triad

Jugular Distension

Hypotension

Muffled Heart Sounds

29
Q

What is Pulsus Paradoxus?

A

A 10 mmHg drop in BP during Spont. Ventilation

30
Q

Why should Propofol be avoided in pts w/ Cardiac Tamponade?

A

Can severely drop BP and lead to death

31
Q

What should be monitored very closesly during a Pericardialcentesis?

A

EKG for ectopy

32
Q

How do Massive Transfusions affect the Potassium Level?

A

Hyperkalemia

33
Q

What is a concern associated w/ Pelvic and Long Bone Fractures?

A

Fat Embolism

Hypovolemia

Blood Loss

34
Q

What are the signs indicating a Fat Embolism?

A

↑Lipase

Fat in Urine

Thrombocytopenia

35
Q

What is the main goal for the pt undergoing Extremity Reattachment?

A

Normothermia

Avoid shivering to help Reperfusion

36
Q

Which Lefort Fracture is this?

A

Lefort 2

37
Q

Which Lefort Fracture is this?

A

Lefort 3

Fracture of Skull Base thru the Eye Sockets

Increased risk of Intubating into the Brain

38
Q

Which Lefort fracture is this?

A

Lefort 1

39
Q

How can Intracranial Hypertension be controlled?

A

Fluid Restriction

Diuretics - Mannitol

Hypocapnia
(PaCO2 26 - 30 mmHg)

40
Q

What can help save Brain Tissue in a Head Injury?

A

Mild Hypothermia

41
Q

Injury to which Spinal Cord segments cause Apnea?

A

C3-C5

“3,4,5 keeps you alive”

42
Q

A High Spinal Cord Injury can cause Spinal Shock & Loss of Sympathetic Tone. What are the symptoms?

A

Hypotension

Bradycardia

Warm Touch

Areflexia

GI Atony

43
Q

What are the symptoms of Autonomic Hyperreflexia?

A

HTN

HR Changes

Skin Color Changes

Diaphoresis

44
Q

What is a Simple Pneumothorax?

A

Air in Parietal & Visceral Pleural causing Lung Collapse & V/Q Mismatch

Positve Pressure can convert Simple to Tension PTX

45
Q

What is a Tension Pneumothorax?

A

Air trapped in Pleural Space & increases w/ Insipration causing Tracheal Shift

46
Q

How is a Simple Pneumothorax treated?

A

Chest Tube @ 4th or 5th ICS

47
Q

How is a Tension Pneumothorax treated?

A

14 ga. Needle @ 2nd ICS & Midclavicular, then Chest Tube

48
Q

What should be done for a Hemothorax?

A

Isolate Bleeding Lung from Healthy Lung w/ Double Lumen Tube

49
Q

What are the causes of the Delayed Lung Reponse known as ARDS?

A

Sepsis

Trauma

Aspiration

Head Injury

Fat Emboli

Massive Transfusion

Summer 2020 - APA Foundations 2 - Other (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions