TNCC Flashcards
What is the Parkland Formula for fluid resc. for adults?
4mL x weight in kg x total burned body surface area
How fast should the fluid be given for burn resusc. per the Parkland formula?
Half over first 8 hours, second half over the next 16 hours
What should adult urine output be (at least)?
0.5 mL/kg
An epidural hematoma is usually caused by bleeding in what artery?
Middle menu heal
What is the Parkland formula for kids under 4?
3 mL x weight in kg x total body surface area burned
What should urinary output be in kids under 4?
At least 1 mL/ kg
What should be added to maintenance fluids in peds?
Glucose
What is a normal set of VS for a child up to 6 months?
RR 30-60, BP above 65/45, HR 90-150
What is a normal set of VS for a peds pt between 6 months- 1 year?
RR 25-45, BP above 80/55, HR 80-120
What are normal VS for ages 1-3 years?
RR 20-35, BP at least 90/55, HR 70-110
What are normal VS for ages 3-6?
RR 20-30, BP at least 95/60, HR 65-110
What are normal VS for ages 6-12?
RR 14-22, BP at least 100/60, HR 60-95
What is central cord syndrome characterized by?
Loss of motor function greater in upper than lower extremities; sacral sparing common; may have loss of bladder function
What is anterior cord syndrome characterized by?
Loss of pain and temp sensation, weakness, paresthesias and urinary retention
What is Brown-Sequard syndrome characterized by?
Contralateral loss of pain and temp sensation; ipsilateral paralysis; reduced touch sensation
What is sacral sparing?
A phenomenon in which some or all function remains intact below the site of injury
What is the most commonly injured organ in blunt trauma?
Spleen
What are four techniques for determining patency of the airway?
Is there tongue obstruction? Are there any loose teeth? Is there any blood, vomit or other secretions? Is there edema?
What are four techniques to determine if breathing is effective?
Is there spontaneous breathing? Is there symmetrical chest rise? Is there increased work of breathing? What is the skin color?
What is the correct sequence for assessing proper placement of the ETT?
Attach a CO2 detector, observe for rise and fall of the chest and then ausculate over the epigastrum and for bilateral breath sounds, observe CO2 indicator after 5-6 breaths, assess for improvement in skin color
What are the three techniques to determine the adequacy of circulation?
Inspect for uncontrolled hemorrhage, palpate a central pulse, inspect the skin for color temp & moisture
What are three possible re-evaluation adjuncts?
Chest CT, abd CT, tetanus immunization
What does LMNOP stand for in resuscitation adjuncts?
Labs, monitor (cardiac), nasogastric tube, oximetry and capnography, pain,
What are the four levels for “eye movement” in the Glasgow coma scale?
1 - does not open eyes; 2 - opens eyes to painful stimuli; 3 - opens eyes to voice; 4 - opens eyes spontaneously
What are the five levels for “verbal response” in the Glasgow coma scale?
1 - makes no sounds; 2 - makes incomprehensible sounds; 3 - utters inappropriate words; 4 - confused, disoriented; 5 - converses normally
What are the six levels of “motor response” in the Glasgow coma scale?
1 - makes no movements; 2 - extension to painful stimuli; 3 - abnormal flexion to painful stimuli; 4 - withdrawal to painful stimuli; 5 - localizes painful stimuli; 6 - obeys commands
