The Inpatient Admission And Complete Physical Exam

Question 1

RED : means

Answer 1

Emergent, immediate
= life threatenign injuries , treatable, minnimum people and supplies and time to save them
= lke a STEMI

Question 2

Yellow means

Answer 2

Urgent

= has some more time without significant mortalitly rate

Question 3

Green means

Answer 3

Delayed : pt could go to primary care however did not find chance (DONT require ICU)

Question 4

BLUE means

Answer 4

Expected : pt with injuries requiring extensive tx that exceeds medical recources available

Question 5

BLACK means

Answer 5

Pt comes in dead

Question 6

RED or YELLOW pt what do you do first

Answer 6

1. ABCDEs (Airway, Breathing, circulation, Disability / neural, Exposure)
2. Then do the HPIs

Question 7

LEVEL 1 trauma

Answer 7

Highest level of care
= in house surgical care 24/7
= 5000 trauma tx per year
= burn units
= can take care of all body parts and all specialties available

Question 8

LEVEL 2 trauma

Answer 8

= same as level 1 however dont have some specialties

= not needed to do as many pts per year

Question 9

LEVEL 3 trauma

Answer 9

= ER and some stability and care

= JOB is to stabilize and then transfer to level 2 or 3

Question 10

Avoid anchoring bias

Answer 10

Beliving 1st thing you hear (someone says most likely this and then you only look at that)

Question 11

New onset afib what sould you think about

Answer 11

Stoke , since that is a high risk

Question 12

Holo sign

Answer 12

Ruptured TM with CSF and blood coming out (from a leak inside brain)

Question 13

Pnumosephallys

Answer 13

Air inside skull = can happen in meningitis (abnormal) = neurosurgen should evaluate

Question 14

Order problems

Answer 14

CC first then manage the chronic illnesses

Question 15

GOOD THING TO KNOW IN AN INSTITUTION OR HOSPITAL

Answer 15

LEVELS OF CARE (where to send a pt after stabilization like general medicine floor ICU or telemetry, and services available like IM hospitilist ICU)

Question 16

Serious pt vs critical pt

Answer 16

SERIOUS : vitals may be unstable, acutely ill and indicators are questionable
CRITICAL : vitals areunstable, acutely ill and indicators are unfavorable

Question 17

When should a pt go to ICU based on vitals

Answer 17

If vitals need to be checked more then 1 time in 2 hours

Question 18

When doing labs what is a good thing to think about

Answer 18

Consolodate all of them (do them at the same time) = helps everyone

Question 19

PPE for contact pt

Answer 19

Gloves and apron

Question 20

PPE for droplet pt

Answer 20

Gloves, apron, surgical mask , N95 mask if AGP (airsoliced Procedure)

Question 21

PPE for airborn pt

Answer 21

N95 mask, apron, gloves

Question 22

How much Na is in normal saline

Answer 22

154 mEq/L (normal level is 130)9

Question 23

Medications : how to give and document

Answer 23

SAY FOR WHAT : THEN Say what medication , howlong, and route of administration , how often , ,pain scale
(Acetaminophen 500mg q6h PO prn pain 1-3)
(Tramadol 50 mg q6h PO prn pain 4-6)
(Oxycodone 5mg q4h PO prn pain 7-10)