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Med Surg 2 > Trauma > Flashcards

Trauma Flashcards

1
Q

little bullet or big bullet

A

big because little bounces around and causes more shock and heat waves

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2
Q

FFP replaces

A

clotting factors

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3
Q

platelets replace

A

fibrin

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4
Q

cryoprecipitate replaces

A

fibrinogen

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5
Q

PRBC replace

A

hbg

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6
Q

what solution most closely resembles the plasma composition

A

LR

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7
Q

example of colloids

A

albumin

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8
Q

what do colloids do

A

draw fluid into intravascular

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9
Q

ABCDEFGH

A

airway
breathing
circulation
DA NEURO
EXPSORUE (REMOVE CLOTHING)
fahrenheit control
get VS and tubes
history

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10
Q

if there is suspected neck damage what do we do to intubate

A

jaw thrust or chin lift

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11
Q

decrease in number

A

increase in size

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12
Q

more secondary issues

A

more likely to die

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13
Q

triad

A

coagulopathy
met acid
hypothermia

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14
Q

if ___ part of the spleen is intact it will function normally

A

1/3

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15
Q

spleen is injured by

A

blunt trauma

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16
Q

liver is injured by

A

penetrating trauma

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17
Q

admoninal compartment syndrome does what to CO

A

decrease

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18
Q

what type of blood loss with pelvic and long bone fractures

A

occultre

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19
Q

rectal exam is important for males because to look for bladder rupture

A

high riding prostade
blood at urethral meatus
perineal hematoma

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20
Q

compartment syndrome hallmark sign

A

unrelenting pain

21
Q

treatment of compartment syndrome

A

fasciotomy

22
Q

s/s of fat embolism

A

resp failure
cereal dysfunction
skin petechiae does not blanchw

23
Q

where is the most common location of rupture of the aorta

A

ligamentum arteriosum

24
Q

70% of injurt

A

MVC

25
Q

30% of injury

A

stabbing

26
Q

fracture of 10-12 rib

A

spleen

27
Q

rib and sternal fractures s/s

A

dyspnea

28
Q

flail chest

A

fracture of two or more sits on three or more adjacent ribs and are no longer attached to thoracic cage

29
Q

flail chest apperence

A

breath in go in
exhale go out

30
Q

pneumo percusion

A

hyperresonace

31
Q

tension tracheal deviation

A

to unaffected side

32
Q

fluctuation in chest tube stops

A

blocked

33
Q

hemothorax s/s

A

shock
decreased breath sounds on injured side
dullness on percusion

34
Q

kehrs sign

A

sharp epigastric or chest pain radiating to the left shoulder

35
Q

ruptured diaphragm auscultation

A

bowel sounds in lower to middle chest

36
Q

pericardial tamponade s/s

A

results in impaired diastolic filling
decrease SV
decrease CO
narrowing pulse pressure
muffled heard sounds

37
Q

pericardial tamponade
- becks triad

A

JVD
muffled heart sounds
hypotension

38
Q

pulses paradoxus seen in

A

asthma and tamponade

39
Q

how to find lbs of force

A

lbs times mph

40
Q

upper motor neuron level

A

t12 and above

41
Q

what innervates diaphragm

A

phrenic

42
Q

when should we be cautious of phrenic nerves

A

c1-c3 for sure
can be down to c6

43
Q

teardrop fracture caused from

A

severe flexion

44
Q

compression fracture will need assistance with

A

most adl

45
Q

c7

A

can do most their own ads

46
Q

brown sequard

A

loss of motor, position and vibration on one side

47
Q

hallmark sign of neurogenic shock

A

hypotension
vasodilation
Bradycardia

48
Q

autonomic dysreflexia

A

sudden nd severe hypertension
life threatining
response to noxious stimuli- full bladder, fecal impaction

Med Surg 2 (29 decks)

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