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ENPC 5th Edition > General > Flashcards

General Flashcards

1
Q

When are respirations assessed in the ABCD algorithm?

A

During BREATHING not AIRWAY

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2
Q

When do you address issues and abnormalities?

A

As they are found

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3
Q

What medication is used to correct hypoglycemia in peds?

A

D10 or D25, not D50 it causes phlebitis

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4
Q

D25 dose for peds

A

2-4 ml/kg

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5
Q

What does a sharkfin shaped capno waveform suggest?

A

Airway obstruction

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6
Q

Age range for numeric pain scale

A

6-17

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7
Q

Age range for FACES scale

A

4-12

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8
Q

Do analgesics mask exam symptoms?

A

No,

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9
Q

Should you Remove children from car seat for assessment

A

yes

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10
Q

What age range is the Jump START method appropriate for ?

A

under 8

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11
Q

What age range is the Jump START method appropriate for?

A

under 8

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12
Q

What age is the START method appropriate for

A

older than 8

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13
Q

What are the 5 components of JumpSTART?

A
  1. able to walk
  2. breathing
  3. resp rate
  4. palpable pulse
  5. AVPU
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14
Q

What are the 5 components of START?

A
  1. able to walk
  2. spontaneous breathing
  3. resp rate
  4. perfusion
  5. mental status
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15
Q

What is GREEN mean

A

minor

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16
Q

What does YELLOW mean

A

delayed (have hours to treat)

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17
Q

What does red mean in JumpSTART triage?

A

immediate (minutes to treat)

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18
Q

What does black mean in JumpSTART triage?

A

deceased (or unlikely to survive)

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19
Q

What is a hot wash?

A

a review of the disaster response

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20
Q

How soon should the CISD take place?

A

within 24-72 hours

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21
Q

7 phases of debriefing

A
  1. introduction
  2. facts
  3. thoughts
  4. reactions
  5. symptoms
  6. teaching/information
  7. reentry
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22
Q

What is defusing?

A

Similar to debriefing, but takes place in 8-10 hours

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23
Q

What are the 3 main segments of defusing?

A
  1. introduction
  2. exploration
  3. information
24
Q

What is CISM?

A

critical incident stress managment

25
Q

What does CISM include?

A

1, precrises intervention

  1. large scale mobilization
  2. informational briefings
  3. staff advisement
  4. defusing/CISD
  5. one on one support
  6. organizational consultation, family crises intervention
26
Q

5 primary blast injuries

A
  1. blast lung
  2. eardrum rupture
  3. eye rupture
  4. concussion w/0 physical injury
  5. abd hemm and perforation
27
Q

3 secondary blast injuries

A
  1. penetrating or blunt injuroes
  2. eye penetration
  3. closed or open brain inuries
28
Q

3 tertiary blast injuries

A
  1. closed and open brain injuries
  2. fracture or amputation
  3. crush injuries
29
Q

4 quaternary blast inuries

A
  1. angina
  2. low BGL, HTN
  3. breathing dust
  4. skin burns
30
Q

Contemplate dextrose infusion even in infants/children not hypoglycemic

A

NA

31
Q

Can you place a child on a cardiac monitor under initial assessment “C”?

A

Yes if a cardiac cause is suspected.

32
Q

May obtaIN 12 lead in C if indicated

A

NA

33
Q

Use blow by O2 only as a last resort

A

NA

34
Q

Age range for rFLACC scale

A

2mo-7 years

35
Q

What is the relationship between neonates and fever

A

“Their immune system leaves them unable to generate a fever” (video)

36
Q

Respiratory rate for JumpStart Triage RED

A

<15 or >45

37
Q

Intervention for a child with apnea and a pulse

A

open airway, 5 rescue breaths

38
Q

What is preload?

A

The amount of blood returning to the heart

39
Q

What is afterload?

A

The amount of resistance the blood leaving the heart must overcome to enter the peripheral vasculature.

40
Q

What BP parameters indicate an increased SVR?

A

Narrow PP and increased DBP

41
Q

Age range for numeric pain scale

A

6-17

42
Q

Age range for VAS visual analog scale?

A

5-17

43
Q

Age range for FACES?

A

4-12

44
Q

What does decorticate posturing indicate?

A

damage to cerebral hemisphere

45
Q

What does decerebate posturing indicate

A

damage to brainstem or midbrain (more ominous)

46
Q

What can nystagmus indicate

A

cerebellar injury

47
Q

What was found in 70% of seizures with no other cause

A

Hyponatremia from diluted formula

48
Q

What works as well to stop seizures as valium when given IM, nasally or buccaly?

A

versed p. 155

49
Q

What can be used to treat refractory seizures?

A

propofol or ketamine

50
Q

If a seizure lasts 5-15 min what is the treatment/

A

2nd benzo does and phenytoin

51
Q

What is the treatment for a seizure that lasts 15-30 minutes?

A

phenobarbitol, benzo infusion, considers intubation p.155

52
Q

How does a higher H2O content in children affect injuries?

A

Makes brain more susceptible to acceleration/deceleration injuries p. 162

53
Q

What may be used to treat cerebral edema?

A

Hypertonic saline

54
Q

Target CPP ranges based on age?

A

0-5 yo 40-50 mmHg

5-17 yo 50-60 mmHg

55
Q

What increases the risk of shear injuries in peds?

A

less myelination.

ENPC 5th Edition (35 decks)

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