katab 26 review

Question 1

perfusion

Answer 1

circulation of bl within an organ in adequate amounts to meet the body’s metabolic needs

Question 2

the severity of bl should be based on all of the following findings except:

systolic
poor gen appearance
MOI
clinical signs and symptoms

Question 3

the ability of a persons cardiovascular sys to compensate for bl loss is most related to:

baseline BP
part of the body injured
how rapidly they bleed/the bleed is
how fast the heart beat

Answer 3

how rapidly the bleed is

Question 4

48 yo suspected pelvic fracture, conscious but restless. skin pale, diaphoretic. RR 22/min, pulse 120. no external bleed. the EMT should:

apply a compression device around the pelvis

assess BP to detect hypotension

stablize pelvis by placing on their side

elevate legs, keep the ptnt warm, and transport

Answer 4

apply a compression device around the pelvis

Question 5

which of the fllwg would be the MOST significant when assessing a ptnt w/possible internal bleeding:

ptnt had a stroke five years ago

ptnt has not eaten in 24 hrs

ptnt takes rivaroxaban (Xarelto)

ptns has history of hypertension

Answer 5

ptnt takes Xarelto (blood thinner)

Question 6

ptnt with blunt trauma to the abdomen, 21 yo female with diffuse abdominal pain and pain to left shoulder. the abdomen is distended and tender to palpation. you should be MOST suspicious of injury to the:

kidneys
spleen
pancreas
gallbladder

Question 7

gastrointestinal bl should be suspected if a ptnt presents with:

dyspnea
hematuria
hemoptysis
hematemesis

Answer 7

hematemesis

Question 8

in older ptnts the first indicator of nontraumatic internal bl might be:

weakness or dizziness
low BP
diaphoresis and pale skin
heart rate over 120/min

Answer 8

weakness or dizziness

Question 9

bl from the nose following head trauma:

is a sign of a skull fracture and should not be stopped

should be controlled by packing the nostril with gauze

should be assumed to be caused by a fractured septum

Answer 9

sign of skull fracture

Question 10

approximate bl volume for an 80-kg adult male:

Answer 10

6.0 L

Question 11

infant with total bl volume of 800 mL would start showing signs of shock when as little as ___ bl is lost.

Answer 11

100 mL

Question 11

a ptnt bleeding severely from severed femoral artery high in groin area. which of the fllwing would most likely control the bl?

position ptnt with injured side down

apply pelvic binder device to stablize the pelvis

apply a topical hemostatic agent with direct pressure