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TNCC questions and answers 2022/2023 $11.49   Add to cart

Exam (elaborations)

TNCC questions and answers 2022/2023

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4 Classifications of Shock - Hypovolemic - Cardiogenic - Distributive (anaphylactic, septic, neurogenic) - Obstructive (tamp and tension pneumo) Neurogenic shock unique S/S Bradycardia 00:53 01:35 Lab to anticipate shock? Lactate - >4 is bad What is shock? Inadequa...

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  • May 7, 2022
  • 5
  • 2021/2022
  • Exam (elaborations)
  • Questions & answers
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TNCC

4 Classifications of Shock - correct answer - Hypovolemic
- Cardiogenic
- Distributive (anaphylactic, septic, neurogenic)
- Obstructive (tamp and tension pneumo)

Neurogenic shock unique S/S - correct answer Bradycardia

Lab to anticipate shock? - correct answer Lactate
- >4 is bad

What is shock? - correct answer Inadequate tissue perfusion

Stages of Shock - correct answer - Compensated
- Progressive (tachy, lactate, etc.)
- Irreversible (comatose, obtunded, neuro)

Bariatric considerations - correct answer - Hard to start IV
- Increased risk for PE
- Hard to intubate

Pregnancy VS Changes - correct answer - Increased blood volume
- Tachycardia is normal
- predisposed to DVT

Hypotension in pregnancy why? - correct answer Laying flat causes compression to
aorta resulting in decreased CO.

Uterine rupture - correct answer - Tear in wall of uterus
- Will look asymmetrical
- Pain and maybe bleeding

placental abruption - correct answer - Bleeding
- Pain with a rigid urine

Compartment syndrome - correct answer Increase in pressure d/t swelling

S/S
- Uncontrollable pain!
- 5 P's

Tx

, - Level of heart
- Relieve pressure (cast, fasciotomy)
- Monitor K levels

Rhabdomylisis - correct answer - Release of myoglobin
- Myglobin is kidney toxic.

Tx
- Flush with fluids to maintain 100ml UO to get rid of it through kidneys.

Tension pneumothorax - correct answer Air in pleural space

S/S
- Early sign would be decreased breath sounds.
- Later would be JVD and tracheal deviation

Tx
Needle D to eventual chest tube

Flail chest - correct answer Break of 2 or more consecutive ribs

- Pt breaths out and chest goes out.

Cardiac tamponade - correct answer pericardial cavity fills with blood

S/S
-BECKS: HypoTN, muffled heart tones, distended neck veins

Becks traid - correct answer tamponade
- HYPOTN
- Distended neck veins
- Muffled heart tones

Battles/raccoons sign - correct answer Basilar fracture

Get a CT

Kehrs Signs - correct answer Referred pain d/t nerves

Cullens sign - correct answer brushing around RUQ or umbilicus d/t possible hepatic
injury

Disaster prevention stages - correct answer Mitigation - prevention, lessons learned
Peparedness - Homeland
Response - Triage
Recovery

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