HEET

Question 1

Existaxis

Answer 1

Pt lean forward
Pinch nose
Hold for 15 min

Question 2

First and second most common facial fractures

Answer 2

1, nose
2, mandibular

Question 3

Orbital Fractures

Answer 3

Double vision (diplopia)
Decreased sensation above eyebrow and over cheek Causes paralysis and upwards gaze

Question 4

Zygomatic check one fractures

Answer 4

Pt d
Side face appears flat

Question 5

Ecchymosis

Answer 5

Bruises

Question 6

Hyphema

Answer 6

Blood in eye

Question 7

Orbit injuries treatment

Answer 7

Cover both eyes
Yeah, don’t remove penetrating objects
Rinse for at least 15 to 20 minutes don’t put pressure on it

Question 8

How to treat eye burns

Answer 8

Rinse for 20 minutes
Protect from bright light
Avoid contamination of other I
Cool compress

Question 9

Exposed globe treatment

Answer 9

No pressure
Apply, moist, sterile dressing
Cover with protective shield
Elevate head on backboard 30 to 40°

Question 10

How irrigate eye

Answer 10

Flush from no side to outer I removal of contacts

Question 11

Ear injuries

Answer 11

Don’t pack
Look for Csf

Question 12

Mouth injuries

Answer 12

Lean forward to drain blood
Look for teeth
Keep teeth as they can be put back in in one hour
Keep teeth with wet, sterile saline
Handle teeth by crown

Question 13

Gcs

Answer 13

Question 14

Why are skull fractures bad

Answer 14

Highly vascular

Question 15

Skull fractures

Answer 15

Linear ( break in bone b no move the bone)
Depressed (sicken in)
Basilar ( behind ear )
Open ( it open)

Question 16

Signs of basilar skull fracture

Answer 16

Csf
Battle signs
Raccoon eyes

Question 17

Icp levels

Answer 17

5-15mmgh normal
Over 15mmgh is dangerous
Over 25 mmgh leads to herniation

Question 18

CCP

Answer 18

Cerebral perfusion, pressure pressure required to the fuse the brain it must be greater than the ICP to perfusion to occur

CCP equals mass minus ICP
Where is CCP must be greater than 60 to perfuse the brain

Question 19

Minimum systolic bp and map need in cpp pts

Answer 19

Minimum systolic blood pressure 110
Minimum map of 85

Question 20

Decrease is map plus increased Icp =

Answer 20

Cpp

Question 21

Cushing response

Answer 21

Decrease heart rate
Increase BP
Decrease RR

Question 22

Why does the heart rate drop as the blood pressure and map increases?

Answer 22

A reduction to the heart rate is due to the stimulation of barrel, receptors in the vagal nerve

Question 23

Icp signs

Answer 23

Cushing triad
Pupil changes
Posturing
GCS less than nine or drop by 2 or come 3
Decoriate and decerebrate

Question 24

Primary brain injury

Answer 24

Injury to the brain, and it’s associated structures that results instantaneously from the impact

Question 25

Secondary brain injury

Answer 25

A consequence of the primary injury that includes abnormal processes such as removal, edema, intercranial hemorrhage, an ICP,

Question 26

Contusion

Answer 26

No structural injury to the brain Unconsciousness followed by a level of consciousness, may repeat questions, dizzy, headache, ringing, ears, nausea, vomiting, short term, amnesia

Question 27

Diffusion axonal injury

Answer 27

Your brain gets rocked Similar to a concussion, but your brain gets structural injuries Usually from acceleration deceleration force

Question 28

Cerebral contusion

Answer 28

Bruising or swelling of the brain Can cause. personality change

Question 29

Epidural hematoma

Answer 29

Arterial, bleed Acceleration, deceleration, trauma Within minutes to hours Temporal lobe fracture

Question 30

Subdural hematoma

Answer 30

Venous bleed

Question 31

Subarachnoid hemorrhage

Answer 31

Bleeding into where the CSF

Question 33

Intracerbral hematoma

Answer 33

Penetration injury rapid deceleration can occur with a DAI high morbility rate

Question 34

Treat for TBI

Answer 34

Elevate head 30° 2 large IV SPO2 below 94% Map of 85 target Systolic of 110 ETco2 to 30-35 hyperventilation

Question 35

BGL lower than 4

Answer 35

Give half a dose of dw50 12.5 g.