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Critical Care 1 > Extra > Flashcards

Extra Flashcards

1
Q

First Law of Motion

A

body in motioh stays in motion…

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2
Q

Second Law of MOtion

A

accecleration = M x A

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3
Q

THird Law of MOtion

A

for every action, there is an equal and opposite reaction

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4
Q

START triage

A

when you have a color, STOP that’s the color

  • ambulate = walking wounded
  • no respirations after head tilt = expectant
  • breathing but unconsciuos
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5
Q

first step of START

A

ambulate = walking wounded = green

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6
Q

second step of START

A

breathing spontaneously?

  • if not, head tilt/CL = expectant
  • breathing but unconscuosu = red
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7
Q

START = breathing but unconsciuos

A

RED = immediate

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8
Q

START RR limits

A

RR above or below 30

above 30 = immediate = red

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9
Q

START perfusion

A

capillary refill or no radial pulse = immediate = red

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10
Q

red catagory of START

A

immediate

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11
Q

yellow catagory of START

A

delayed

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12
Q

steps for START

A
  1. can you walk?
  2. can you breathe on your own?
  3. RR
  4. perfusion (cap refill/radial pulse)
  5. AMS
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13
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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14
Q

step 1 of SALT

A

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

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15
Q

trauma diamond of death

A

coagulopathy
hypothermia
acidossi

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16
Q

blood loss in class I shock

A

under 750ml

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17
Q

blood loss in class III shock

A

1500-2000

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18
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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19
Q

what changes in the hemorrhage/hypovolemic shock chart

A 
b. loss
HR
BP
RR
urine output
CNS
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20
Q

CNS s/s of shock

A

anxious, confused, lethartic

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21
Q

CNS in late state hemorrhage

A

anxiuos to confused to leahagic

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22
Q

RR in hypovolemic shock

A 
class II = 20 -30
III = 30-40
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23
Q

what two values are similar in the hypovolemic/hemorrhage classes

A

RR & % blood loss are similar

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24
Q

urine output across the hemorrhage severity chart

A 
class II = 20-30
CLass III = 5-15
Class IV = negligible
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25
Q

hangman’s fracture

A

C2

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26
Q

C2 fracture

A

hangman’s fracture

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27
Q

T12 fracture

A

chance fracture

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28
Q

Chance Fracture

A

T12

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29
Q

Jefferson’s Fracture

A

C1

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30
Q

C1 fracture

A

Jefferson’s Fracture

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31
Q

burst fracture

A

severly compressed vertebral body injuury

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32
Q

falls heights

A

15-20ft or 3z standing height

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33
Q

signs present in spleen injury

A

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

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34
Q

dullness to perfussion in LUQ

A

Ballance sign

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35
Q

REBOA

A

resuscitative endovascular Bllloon occlusion of the aorta

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36
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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37
Q

Coopernail’s sign

A

blood in labia/scrotum

38
Q

blood in labia/scrotum

A

Coopernail’s sing

39
Q

high riding prostate

A

urethra rupture

40
Q

indication of Coopernail’s fracture

A

suspect pelvic trauma

41
Q

intervention if high riding prostate

A

retrograde pyelogram

42
Q

suspect pelvic trauma

A

COopernail’s Fracture = blod in labia/scrotum

43
Q

cause of spontaneous pneumo

A

bleb rupture

44
Q

when is open pneumo a problem

A

defect must be over 2/3 the diameter of hte trachea

45
Q

pathophysiology of t. pneumo

A

mediastinal shift

46
Q

when do you expect pneumoT if on a m. ventilator

A

sudden PIP/pPLAT increase

47
Q

needle D sites

A

5th ICS mid axillary = over 6th rib
2nd ICS mid clavicular =over 3rd rib
over rib to avoid nerves/blood

48
Q

treat sucking chest wound

A

open pneumo needs oclcusive dressing

49
Q

site for chest tube

A

5-6th ICS mix axillary

50
Q

massive hemothorax

A

1/3 pt blood volume/over 1500ml

51
Q

paradoxical chest wall movement

A

flail chest

52
Q

scaphoid abdomen

A

diaphragmic hernia

53
Q

Kussmaul’s sign

A

rise in venous pressure on inspiration

cardiac tamponade

54
Q

rise in venous pressure on inspiration in spontaneously breathing

A

Kussmaul sign

55
Q

paradoxical pusle

A

cardiac tamponade

56
Q

s/s of cardiac tamponade

A

pulsus paradoxys
tachyardia
Becks’s triad
Kussmau;’s sign

57
Q

paradoxical pulse

A

in cardaicl tamponade

58
Q

Beck’s triad

A

muffled heart tones
narrow pulse pressure
JVD

59
Q

treatment of cardiac tamponade

A

pericardiocentesis

60
Q

EKG of cardiac tamponade

A

electrical alternans

*hearts gets closer to and further away as it moves aroudn inside the sac of fludi

61
Q

Hamman’s crunch

A

crunching raspy sound syncrhonous w/heart beat

trachehobroncihia disrupton

62
Q

s/s of tracheobronchial disruption

A

Hamman’s crunch

Sc emphsyema

63
Q

where does the tracheobronchial disruption occur

A

within 1.5 of carina

64
Q

SC emphysema & Hamman’s crunch

A

tracehobronchial disruption

65
Q

builds up in rhabod

A

myoglobin

66
Q

EKG of rhabdo

A

peaked T

prolonted QT

67
Q

labs of rhabdo

A

elevated myoglobin

Ca/Na go into the cell so lowhigh K

68
Q

blood in anterior chamber of eye

A

hyphema

69
Q

hyphema

A

blood in the anterior chamber ofthe eye

70
Q

landmarks for femoral line insertion

A 
lateral to medial = NAVEL
nerve
artery
ein
lymph node
71
Q

why does blood cause hypocalcemia

A

citric acid as anticaogulant

72
Q

T&C for plt

A

not needed

73
Q

T&C for FFP

A

must be compatible

74
Q

PRBC with RBC suspended

A

FFP

75
Q

use for FFP

A

coagulation

reversal of warfarin

76
Q

reverse warfarin

A

FFP

77
Q

reverse warfarin

A

FFP

78
Q

requires ABO compatibility but not Rh matching

A

FFP

79
Q

accepttance of FFP

A

requiers ABO compatibility but not Rh matching

80
Q

most common rx for trauma related DIC

A

Cryo

81
Q

created from FFP

A

cryo

82
Q

what is cryoprecipitate

A

contains factors and created from FFP

83
Q

treat hemophilia

A

cryo

84
Q

treat von willebrand

A

cryo

85
Q

use for cryoprecipitate

A

hemophilia
DIC in trauma
on willebrand

86
Q

s/s of hemolytic reaction to blood

A

palpitations, abd/back pain, syncope, sense of doom

87
Q

ther s/sstopping blood transfusion if febrile reaction

A

tylenol.

can continue if no o

88
Q

TACO

A

transfusion associated circulatory overload

89
Q

TRALI

A

transfusion related acute lung injury

90
Q

treat TACO

A

circulatory overload so stop, give LAsix

91
Q

treatment for TRALI

A

reaction to leukocyte antibodies
up to 6hrs post transfusion
causes acute pulmonary edema

92
Q

acute pulmonary edema in blood transfusions

A

TRALI

Critical Care 1 (14 decks)

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