MED/SURG: TRAUMA: CIRCULATION

Question 1

CIRCULATION

•Red cover it with white (4)

•Permissive Hypotension
•Do we need access ?
–IV two large bore
–EJ
–EZ-IO
•Rapid infuser
•Warm Crystalloids
Warm Colloids

Answer 1

1. •Pressure dressings
2. •Turnaquits
3. •STOP hemorrhage

Question 2

CIRCULATION

1. Permissive Hypotension at least___?___systolic
2. Medication NOT to give?

Answer 2

1. at least 90 systolic
2. Dopamine

Question 3

CIRCULATION

Dopamine used to treat conditions such as ?

Answer 3

Dopamine injection (Intropin) is used to treat certain conditions, such as low pressure, that occur when you are in shock, which may be caused by heart attack, trauma, surgery, heart failure, kidney failure, and other serious medical conditions.

Question 4

CIRCULATION

1. NEED ACCESS TWO LARGE BORE IV.S, GAUGE?
2. IF ARMS ARE NOT AVAILABLE USE (2)

Answer 4

NEED ACCESS TWO LARGE BORE IV.S: 14, 15, 16 GAUGE

IF ARMS ARE NOT AVAILABLE USE BONE ACCESS MUST BE ON SOME KINDA PUMP?

1. EJ EXTERNAL JUG 18 GAGUE BY DOC
2. EZIO

Question 5

CIRCULATION

BONE ACCESS

Equipment and Monitoring (3)

Answer 5

1. Must be on pump
2. Must be catherized
3. Must have Urometer on foley bag

Question 6

CIRCULATION

Blood Products

1. Try to keep room cool to slow down metablism and avoid?
2. How long to warm plasma?
3. Auth recipe for product infusion? white/red?
4. What blood type can be safely administered to all? Universal Donor
5. Blood type nobody wants?

Answer 6

1. acidosis
2. 45 mins to warm plasma
3. 1 saline 2 blood
4. RBC O neg
5. AB positive nobody wants that

AIDS can donate to AIDS

1 clear 2 red medics can’t give blood, 1 saline 2 blood

Question 7

CIRCULATION

Colloid Solution (2 features)

Answer 7

Colloids contain large molecules that don’t pass through semipermeable membranes. When infused, they remain in the intravascular compartment and expand intravascular volume by drawing fluid from extravascular spaces via their higher oncotic pressure. -

Question 8

CIRCULATION

Crystalloid solutions (3) Features

Hint: Crystal breaks into small pieces

Answer 8

Crystalloid solutions contain small molecules that flow easily across semipermeable membranes, allowing for transfer from the bloodstream into the cells and body tissues. This **may increase fluid volume in both the interstitial and intravascular spaces. - **