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Exam (elaborations)

PCP review for COPR Questions & Answers 2023/2024

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PCP review for COPR Questions & Answers 2023/2024 What is the Parkland formula? - ANSWER-Fluids for first 24hrs : 4ml x pt weight in kg x %BSA= 50% over first 8hrs 50% over next 16hrs Hemothorax and S/S - ANSWER-A hemothorax is an accumulation of up to 1,500mL of blood within the pleural...

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  • October 10, 2023
  • 31
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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PCP review for COPR Questions &
Answers 2023/2024

What is the Parkland formula? - ANSWER-Fluids for first 24hrs :

4ml x pt weight in kg x %BSA=

50% over first 8hrs

50% over next 16hrs



Hemothorax and S/S - ANSWER-A hemothorax is an accumulation of up to 1,500mL of blood within the
pleural space

S/S: Flat neck veins, decreased lung sounds on the affected side, increased RR, increased HR,
hypotension first, hyporresonant, loss of blood, hypoxia



Pneumothorax - ANSWER-Air in pleural cavity (also known as pleural space)

S/S: JVD, decreased lung sounds on affected side, increased RR, increased HR, SOB first, hyperressonant,
can lead to tension pneumo and tracheal deviation, hypoxia



4 M's of pregnancy - ANSWER-- Multiplicity (multiple babies)

- Maturity

- Medication

- Meconium



Definition of libel - ANSWER-written defamation (Making a false statement in written form that injures a
person's good name)



Definition of Slander - ANSWER-spoken defamation (Making a false verbal statement that injures a
person's good name)

,What is diffusion - ANSWER-The movement of particles/solute from an area of high concentration to an
area of low concentration.



What is osmosis - ANSWER-movement of solvent (water) from area of lower solute concentration to
higher concentration



What is filtration? - ANSWER-passage through filter or through material prevents passage of certain
molecules



What is a hypotonic solution - ANSWER-solution has less osmotic pressure than body fluids - "hippo" -
solvent concentration inside cell higher, larger cell eventually bursts



Negligence - ANSWER-Failure to provide the same care that a person with similar training would provide
in the same or similar situation



Gross negligence - ANSWER-Conduct that constitutes a willful or reckless disregard for a duty or standard
of care



Malfeasance - ANSWER-Occurs if you perform an act that you are not authorized to do



Misfeasance - ANSWER-Occurs if you perform an act that you are legally permitted to do but you do so in
an improper manner



Nonfeasance - ANSWER-Occurs if you fail to perform an act that you are required to expected to perform



What 4 elements must be present for negligence to apply - ANSWER-1. Duty

2. Breach of duty

3. Damages

4. Proximate cause



Duty - ANSWER-Is an obligation to provide patient care in a manner that is consistent with the standard
of care established by training and local protocols

,Breach of duty - ANSWER-Occurs when the person accused of negligence failed to act as another person
with similar training would have acted under the same circumstances



Damages - ANSWER-When a patient is physically or psychologically harmed in some noticeable way



Proximate cause - ANSWER-Legal term, essentially considers whether the alleged harm to the patient
would have occurred "but for" the negligent act



Abandonment - ANSWER-Form of negligence that involves the termination of emergency medical care
without the patients consent



Assult - ANSWER-Threatening a person or causing a person fear or immediate bodily harm without the
persons consent - regardless of whether the threat or harm is actually carried out



Battery - ANSWER-unlawful touching of another person without consent



Kidnapping - ANSWER-The seizing, confining, abducting, or carrying away of a person by force, including
transporting a competent adult for medical treatment without his or her consent.



False Imprisonment - ANSWER-unauthorized confinement of a person that lasts for an appreciable
period of time



Slander - ANSWER-false verbal statements about others that harm their reputation



Libel - ANSWER-false written statement that harms a persons reputation



expressed consent - ANSWER-Type of consent given when the pt. acknowledges that they want you to
provide care or transport



Informed consent - ANSWER-Consent given after the potential risks, benefits and alternatives to
treatment have been explained

, Implied consent - ANSWER-Type of consent in which a patient who is unable to give consent is given
treatment under the legal assumption that he or she would want treatment.



Minors consent - ANSWER-Consent given by the parent or legal guardian for treatment or transport



Ethics - ANSWER-the principles of right and wrong that guide an individual in making decisions



Morality - ANSWER-A code of conduct that can be defined by society, religion, or a person, affecting
character, conduct, and conscience.



Applied ethics - ANSWER-The manner in which principles of ethics are incorporated into professional
conduct.



breach of confidentiality - ANSWER-Disclosure of medical information without proper authorization



dependent lividity - ANSWER-Blood settling to the lowest point of the body, causing discoloration of the
skin



Rigor Mortis - ANSWER-stiffness of the body that sets in several hours after death (2-12 hours after
death)



putrefaction - ANSWER-Decomposition of body tissues.



Safe parking distance at an accident - ANSWER-Upwind and uphill, 100ft (30m) from scene on same side
of the road



Cleaning - ANSWER-The process of removing dirt, dust, blood, or other visible contaminants from a
surface or equipment



Disinfection - ANSWER-The killing of pathogenic agents by directly applying a chemical made for that
purpose to a surface or equipment

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