Part 8 Flashcards
What is Flail Chest?
Defined as 2 or more ribs broken in 2 or more places
Associated with pulmonary contusion and paradoxical movement of flail segment.
How should a flail segment be stabilized?
With tape and bulky dressings or a sandbag on the chest
Placement of a sandbag is rarely done.
What is Hyphema?
Blood in the anterior chamber of the eye
What are the components of Leforte I fracture?
Horizontal across the maxilla, maxilla and maxillary teeth are moveable
What characterizes a Leforte II fracture?
Bridge of nose and around the mouth, usually from a downward blow to the nose
What is the main purpose of fluid resuscitation in trauma?
To bring up blood pressure (B/P), not vasopressors
What is the crystalloid fluid replacement ratio?
1:3 (blood loss to crystalloid fluid)
What type of colloid is Hextend?
6% Hetastarch in Lactated Ringers (LR)
What is the universal donor type for red blood cells?
Type O negative
What does Fresh Frozen Plasma (FFP) lack?
Platelets
What is Cryoprecipitate used to treat?
Disseminated Intravascular Coagulopathy (DIC), Hemophilia, von Willebrand’s Disease
What is the normal range for pH in arterial blood gas (ABG)?
7.35 - 7.45
What does the Oxygen Dissociation Curve describe?
How blood carries and releases oxygen
What are the symptoms of a Hemolytic Reaction?
Palpitations, abdominal/back pain, syncope, ‘sense of doom’
What is the treatment for an Anaphylactic reaction during a transfusion?
Epinephrine, Steroids, Benadryl
What does the mnemonic ‘CADET, face Right!’ refer to?
Factors that shift the Oxygen Dissociation Curve right: CO2, Acid, 2,3-DPG, Exercise and Temperature
What is the formula for calculating ETT diameter in children?
(16 + Age) / 4
What is the normal blood pressure for a child based on age?
90 + (2 x Age)
What are the signs of hypocalcemia?
Positive Chovstek’s and Trousseau’s signs
What is the pediatric age range for an infant?
29 days to one year
What is the treatment for Diabetic Ketoacidosis (DKA)?
IV Fluids and insulin
What is the primary treatment for Hyperkalemia?
Albuterol, Bicarb, Insulin, Dextrose, Lasix, Kayexalate, Calcium Gluconate
How is the maximum fluid resuscitation bolus calculated for a toddler?
20cc/kg
What is the antidote for Cyanide poisoning?
Amyl Nitrite, Sodium Nitrite, Sodium Thiosulfate