Trauma Flashcards

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0
Q

resp. concerns in the pediatric pt (2)

A

faster RR, smaller airways

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1
Q

cardiovascular concerns in the pediatric pt? (2)

A

incr. HR, not SV

hypotension is a late sign

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2
Q

temperature concerns in the pediatric pt (4)

A

immature regulatory system
increased surface area/mass ratio
thinner skin
hypoxia inhibits resuscitation

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3
Q

anatomical/other concerns in the pediatric pt (5)

A

large head with thinner cranium,
protuberant abd
sigmoid & ascending colon not fully attached
flexible rib cage
uses glycogen stores- watch blood glucose

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4
Q

pulm. concerns in the geriatric pt (2)

A

decreased functional reserve

stiffer thoracic cage

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5
Q

CV concerns in the geriatric pt (4)

A

myocardial degeneration - inelastic, decreased CO
altered conduction system- max HR decreased
decreased B-receptor function
CAD, HTN

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6
Q

special concerns for pregnancy 34-36 weeks

A

uterine fundus is pushing on lungs- supplement O2

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7
Q

changes in pregnant people? (6)

A

increased plasma vol., RBC mass, CO, minute ventilation, WBCs, coag factors

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8
Q

when do you intubate? (GCS)

A

8

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9
Q

most common etiology of compartment syndrome

A

fractures

usu. a grade III open injury to a pedestrian

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10
Q

signs of compartment syndrome (6)

A

Pain (with and without passive stretch), palpable, paresthesia, paralysis, pulselessness, pallor

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11
Q

which diagnostic is most specific for injury?

A

CT

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12
Q

FAST checks for?

A

free fluid

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13
Q

diagnostics for unstable blunt trauma or penetrating trauma

A

DPL

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14
Q

FAST diagnoses which trauma

A

unstable blunt trauma

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15
Q

what takes priority over all other conditions

A

airway

16
Q

high index of suspicion for airway (many)

A

voice change, sore throat, noisy breathing, dyspnea, tachypnea, abnormal breathing pattern, low O2 sat