trauma Flashcards

1
Q

flail chest tx

A
  1. pain meds
  2. lung expansion/hygiene
  3. O2
  4. stabilization of chest (VC-CMV w PEEP and sedation)
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2
Q

head injury

A

trauma to scalp involving

  1. contusions
  2. laceration
  3. hemorrhage
  4. seizures
  5. pupillary abnormalities
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3
Q

head trauma diagnostics

A
  1. xray

2. CT- will show cerebral edema, contusion, cerebral hematoma

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4
Q

head trauma tx

A
  1. patent airway *seizures
  2. intubation for uncounscious
  3. elevated bed 30 deg to decrease ICP
  4. hyperventilation to reduce PCO2
  5. O2 therapy
  6. manitol to decrease ICP
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5
Q

head trauma meds

A

dilatin for seizures

*do not use narcotics

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6
Q

CO poisoning diagnosis

A
  • carboxihemoblogin levels

- fiberoptic bronch- use as soon as possible to evaluate burn injury

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7
Q

HbCO levels

A

normal 5%

mild to heavy smoke >10%>20%

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8
Q

CO poisoning xray

A

pulmonary edema

ARDS

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9
Q

CO poisoning meds

A
  1. sympathomimetics for bronchospasm
  2. expectorants and mucolytics
  3. analgesics
  4. antibiotics
  5. fluid replacement for hypovolemic shock
  6. infection control (isolation, wound covering)
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10
Q

CO poisoning management

A

PATENT AIRWAY

  1. sympathomimetics for bronchospasm
  2. expectorants and mucolytics
  3. analgesics
  4. antibiotics
  5. fluid replacement for hypovolemic shock
  6. infection control (isolation, wound covering)
    * bicarb if metabolic acidosis
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