TNCC

Question 1

What is the Parkland Formula for fluid resc. for adults?

Answer 1

4mL x weight in kg x total burned body surface area

Question 2

How fast should the fluid be given for burn resusc. per the Parkland formula?

Answer 2

Half over first 8 hours, second half over the next 16 hours

Question 3

What should adult urine output be (at least)?

Answer 3

0.5 mL/kg

Question 4

An epidural hematoma is usually caused by bleeding in what artery?

Answer 4

Middle menu heal

Question 5

What is the Parkland formula for kids under 4?

Answer 5

3 mL x weight in kg x total body surface area burned

Question 6

What should urinary output be in kids under 4?

Answer 6

At least 1 mL/ kg

Question 7

What should be added to maintenance fluids in peds?

Answer 7

Glucose

Question 8

What is a normal set of VS for a child up to 6 months?

Answer 8

RR 30-60, BP above 65/45, HR 90-150

Question 9

What is a normal set of VS for a peds pt between 6 months- 1 year?

Answer 9

RR 25-45, BP above 80/55, HR 80-120

Question 10

What are normal VS for ages 1-3 years?

Answer 10

RR 20-35, BP at least 90/55, HR 70-110

Question 11

What are normal VS for ages 3-6?

Answer 11

RR 20-30, BP at least 95/60, HR 65-110

Question 12

What are normal VS for ages 6-12?

Answer 12

RR 14-22, BP at least 100/60, HR 60-95

Question 13

What is central cord syndrome characterized by?

Answer 13

Loss of motor function greater in upper than lower extremities; sacral sparing common; may have loss of bladder function

Question 14

What is anterior cord syndrome characterized by?

Answer 14

Loss of pain and temp sensation, weakness, paresthesias and urinary retention

Question 15

What is Brown-Sequard syndrome characterized by?

Answer 15

Contralateral loss of pain and temp sensation; ipsilateral paralysis; reduced touch sensation

Question 16

What is sacral sparing?

Answer 16

A phenomenon in which some or all function remains intact below the site of injury

Question 17

What is the most commonly injured organ in blunt trauma?

Answer 17

Spleen

Question 18

What are four techniques for determining patency of the airway?

Answer 18

Is there tongue obstruction? Are there any loose teeth? Is there any blood, vomit or other secretions? Is there edema?

Question 19

What are four techniques to determine if breathing is effective?

Answer 19

Is there spontaneous breathing? Is there symmetrical chest rise? Is there increased work of breathing? What is the skin color?

Question 20

What is the correct sequence for assessing proper placement of the ETT?

Answer 20

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

Question 21

What are the three techniques to determine the adequacy of circulation?

Answer 21

Inspect for uncontrolled hemorrhage, palpate a central pulse, inspect the skin for color temp & moisture

Question 22

What are three possible re-evaluation adjuncts?

Answer 22

Chest CT, abd CT, tetanus immunization

Question 23

What does LMNOP stand for in resuscitation adjuncts?

Answer 23

Labs, monitor (cardiac), nasogastric tube, oximetry and capnography, pain,

Question 24

What are the four levels for “eye movement” in the Glasgow coma scale?

Answer 24

1 - does not open eyes; 2 - opens eyes to painful stimuli; 3 - opens eyes to voice; 4 - opens eyes spontaneously

Question 25

What are the five levels for “verbal response” in the Glasgow coma scale?

Answer 25

1 - makes no sounds; 2 - makes incomprehensible sounds; 3 - utters inappropriate words; 4 - confused, disoriented; 5 - converses normally

Question 26

What are the six levels of “motor response” in the Glasgow coma scale?

Answer 26

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