trauma Flashcards
1
Q
flail chest tx
A
- pain meds
- lung expansion/hygiene
- O2
- stabilization of chest (VC-CMV w PEEP and sedation)
2
Q
head injury
A
trauma to scalp involving
- contusions
- laceration
- hemorrhage
- seizures
- pupillary abnormalities
3
Q
head trauma diagnostics
A
- xray
2. CT- will show cerebral edema, contusion, cerebral hematoma
4
Q
head trauma tx
A
- patent airway *seizures
- intubation for uncounscious
- elevated bed 30 deg to decrease ICP
- hyperventilation to reduce PCO2
- O2 therapy
- manitol to decrease ICP
5
Q
head trauma meds
A
dilatin for seizures
*do not use narcotics
6
Q
CO poisoning diagnosis
A
- carboxihemoblogin levels
- fiberoptic bronch- use as soon as possible to evaluate burn injury
7
Q
HbCO levels
A
normal 5%
mild to heavy smoke >10%>20%
8
Q
CO poisoning xray
A
pulmonary edema
ARDS
9
Q
CO poisoning meds
A
- sympathomimetics for bronchospasm
- expectorants and mucolytics
- analgesics
- antibiotics
- fluid replacement for hypovolemic shock
- infection control (isolation, wound covering)
10
Q
CO poisoning management
A
PATENT AIRWAY
- sympathomimetics for bronchospasm
- expectorants and mucolytics
- analgesics
- antibiotics
- fluid replacement for hypovolemic shock
- infection control (isolation, wound covering)
* bicarb if metabolic acidosis