TNCC Notes for Written Exam, TNCC Prep, TNCC test prepA 415 Questions with 100% Correct Answers
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TNCC Written
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TNCC Written
TNCC Notes for Written Exam, TNCC Prep, TNCC test prepA 415 Questions with 100% Correct Answers
What are the late signs of breathing compromise? - Answer--- Tracheal deviation
- JVD
What are signs of ineffective breathing? - Answer--- AMS
- Cyanosis, especially around the mouth
- Asym...
Tncc TNCC Written Exam
TNCC Notes for Written Exam,
TNCC Prep, TNCC test prepA 415
Questions with 100% Correct
Answers
What are the late signs of breathing compromise? - Answer--- Tracheal deviation - JVD
What are signs of ineffective breathing? - Answer--- AMS - Cyanosis, especially around the mouth - Asymmetric expansion of chest wall - Paradoxical movement of the chest wall during inspiration and expiration - Use of accessory muscles or abdominal muscles or both or diaphragmatic breathing - Sucking chest wounds - Absent or diminished breath sounds - Administer O2 via NRB or assist ventilations with a bag-mask device, as indicated - Anticipate definitive airway management to support ventilation.
Upon initial assessment, what type of oxygen should be used for a pt breathing effectively? - Answer--A tight-fitting nonrebreather mask at 12-15 lpm.
What intervention should be done if a pt presents with effective circulation? - Answer--- Insert 2 large caliber IV's - Administer warmed isotonic crystalloid solution at an appropriate rate
What are signs of ineffective circulation? - Answer--- Tachycardia - AMS - Uncontrolled external bleeding - Pale, cool, moist skin - Distended or abnormally flattened external jugular veins - Distant heart sounds
1 Tncc What are the interventions for Effective/Ineffective Circulation? - Answer--- Control any uncontrolled external bleeding by:
2 Tncc - Applying direct pressure over bleeding site - Elevating bleeding extremity - Applying pressure over arterial pressure points - Using tourniquet (last resort). - Cannulate 2 large-caliber IV's and initiate infusions of an isotonic crystalloid solution - Use warmed solution - Use pressure bags to increase speed of IVF infusion - Use blood administration tubing for possible administration of blood - Use rapid infusion device based on protocol - Use NS 0.9% in same tubing as blood product - IV = surgical cut-down, central line, or both. - Blood sample to determine ABO and Rh group - IO in sternum, legs, arms or pelvis - Administer blood products - PASG (without interfering with fluid resuscitation)
What are factors that contribute to ineffective ventilation? - Answer--- AMS - LOC - Neurologic injury - Spinal Cord Injury - Intracranial Injury - Blunt trauma - Pain caused by rib fractures - Penetrating Trauma - Preexisting hx of respiratory diseases - Increased age
What medications are used during intubation? - Answer--LOAD Mnemonic: L = Lidocaine O = Opioids A = Atropine D = Defasiculating agents
What are the Rapid Sequence Intubation Steps? - Answer--PREPARATION: - gather equipment, staffing, etc. PREOXYGENATION: - Use 100% O2 (prevent risk of aspiration). PRETREATMENT: - Decrease S/E's of intubation PARALYSIS WITH INDUCTION: - Pt has LOC, then administer neuromuscular blocking agent PROTECTION AND POSITIONING: - Apply pressure over cricoid cartilage (minimizes likelihood of vomiting and aspiration PLACEMENT WITH PROOF - Each attempt NOT to exceed 30 seconds, max of 3 attempts. Ventilate pt 30-60 seconds between attempts.
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