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FPC > Burns/Trauma/Neurogenic > Flashcards

Burns/Trauma/Neurogenic Flashcards

1
Q

Parkland formula?

A

4mL/kg/BSA of LR

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2
Q

Consensus formula?

A

2-4 mL/kg/BSA of LR

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3
Q

Target urine output for an adult?

A

0.5mL/kg/hr

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4
Q

Target urine output for pediatric?

A

1mL/kg/hr

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5
Q

Target urine output for neonate?

A

2mL/kg/hr

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6
Q

Target urine output for Rhabdo/electrical burns?

A

2-3mL/kg/hr

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7
Q

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

A

Hyponatremia and hyperkalemia

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8
Q

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

A

Foley catheter

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9
Q

Range for ICP

A

0-15

Anything greater than 20 is critical

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10
Q

Range for CPP

A

60-80

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11
Q

Calculate CPP

A

CPP=MAP-ICP

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12
Q

What does CPP stand for?

A

Cerebral Perfusion Pressure

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13
Q

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

A

Above 80

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14
Q

What head bleed is arterial in nature?

A

Epidural

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15
Q

What artery is effected in an epidural bleed?

A

Middle Meningeal Artery

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16
Q

How does someone present with an epidural bleed?

A

LOC-Lucid-LOC

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17
Q

What head bleed is venous in nature?

A

Subdural Hematoma

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18
Q

Which head bleed, bleeds into the ventricles?

A

Subarachnoid Hemorrhage

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19
Q

Where is a Subarachnoid Hemorrhage located?

A

Below arachnoid layer

20
Q

How to detect Hydrocephalus on a CT?

A

Dilated ventricles

21
Q

How to fix hydrocephalus

A

VP shunt or ventriculoperitoneal.

Drains CSF into abdomen

22
Q

ICP reducing agents

A

Mannitol and hypertonic saline

Mannitol causes diuresis

23
Q

HTN management in neuro Pt w/ ischemic or hemorrhagic stroke

A

Labetalol: 10 mg

Nicardipine: 5-15 mg/hr

24
Q

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

A

Meningitis

Give fluids and anticonvulsants

25
Q

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

A

Anterior cord syndrome

26
Q

Weakness in upper extremities that is greater than lower

A

Central cord syndrome

27
Q

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

A

Browns-Sequard Syndrome

28
Q

Cord injury Dermatomes

Phrenic nerve damage and loss of diaphragm innervation

A

C3-C5

29
Q

Cord injury Dermatomes

Controls elbow FLEXION

A

C6

30
Q

Cord injury Dermatomes

Controls elbow EXTENSION

A

C7

31
Q

Cord injury Dermatomes

Located at nipple line

A

T4

32
Q

Cord injury Dermatomes

Located at umbilicus

A

T10

33
Q

Ratio of mass transfusion

A

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

34
Q

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

A

Leftward shift

35
Q

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

A

DPG and calcium

36
Q

Where do you perform a Thoracostomy?

A

4th intercostal anterior axillary line

37
Q

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

A

Below the level of the heart

20 cm/h2O

38
Q

What does persistent bubbling in the atrium chamber indicate?

A

Significant air leak or Tracheobronchial tear or injury

39
Q

When to give TXA and the dose? Time frame*

A

Given within 3 hours of injury

1g over 10 minutes. 1g over 8 hours

40
Q

What does REBOA stand for?

A

Resuscitative Endovascular Balloon Occlusion of the Aorta

41
Q

When is REBOA indicated?

A

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

42
Q

Define mild hypothermia

A

32-35 degrees C

43
Q

Define moderate hypothermia

A

28-32 degrees C

44
Q

Define severe hypothermia

A

Less than 28 degrees C

45
Q

What can hypothermia do to an ECG?

A

Osborne waves

46
Q

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

A

30 degrees C

47
Q

What temp to achieve a heat stroke?

A

Greater than 104 F

FPC (7 decks)

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