Exam (elaborations)
TNCC EXAM STUDY SET
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TNCC EXAM STUDY SET ..
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1. Setting Up and Sorting2. Primary Survery (ABCDE) using adjuncts for resuscitation (F,G)
3. Reevaluation (transfer consideration)
4. Secondary Survey (HI) with adjuncts for reevaluation
5. Post-resuscitation care and reevaluation
6. Final care or transfer to a qualified trauma nurse - ANSWER Initial
Assessment
1. A-airway, alertness, and cervical spinal stability at the same time
2. B: Airflow and Breathing
3. Hemorrhage circulation and management
4. D: Disability (state of neurology)
5. F - complete set of vitals and existence of family
6. G - Obtain adjuncts for resuscitation
L: Lab results (blood type, arterial gases, and crossmatch)
M-monitor for ongoing assessment of heart rate and rhythm
Considering the Naso or Orogastric Tube
O- Ventilation and oxygenation analysis: End-tidal carbon dioxide (ETC02)
monitoring, capnography, and pulse oxygemetry
H-History and evaluation from head to toe
I. Examine the back surfaces - ANSWER ABCDEFGHI
Prior to the patient's arrival - ANSWER When ought PPE to be used?
,The patient is receiving the appropriate care, resources, trauma facility, and
length of stay at the hospital. - ANSWER Safe Handling:
Uncontrolled bleeding - ANSWER The leading cause of avoidable mortality is:
restructure the care to C-ABC-ANSWER If there is uncontrollable bleeding.
utilized at the start of the preliminary evaluation
1. A Alert. Once it is clear, the patient who is awake will be able to keep their
airway open.
2. V reacts to spoken cues and feels discomfort. To prevent the tongue from
obstructing the airway, an airway adjunct may be required if the patient requires
vocal stimulation in order to respond.
3. P reacts to discomfort. In cases where the patient's ANSWER is limited to
pain, it may become necessary to implant an airway adjunct while additional
evaluation is conducted to ascertain whether intubation is necessary.
4. U Ignorant. Declare the patient unconscious to the team and instruct someone
to check if the patient is not breathing while determining whether the airway is
the source of the issue. - ANSWER AVPU and Airway:
request that the patient write using their mouth. The patient is awake and
responsive to verbal cues, so you should check their airway.
To clear the airway and check for obstructions, do the jaw push procedure. The
jaw thrust operation should be performed by two clinicians if the patient has a
suspected CSIS. The jaw thrust maneuver can be executed by one provider
while the other maintains the c-spine. - ANSWER If the patient cannot open
their mouth, is unresponsive, or only reacts to discomfort, you should evaluate
their airway.
1. The airway is blocked by the tongue
, 2. Missing or loose teeth
3. Inanimate objects
4. vomit, blood, or secretions
5. edema
6. Burns or signs of an injury from inhaling
Listen for or auscultate for:
1. Sounds that block the airway, like gurgling or snoring
2. Potential maxillofacial bony malformation that is occlusive
3. Emphysema subcutaneous - ANSWER Examine the mouth for:
Verify that the chest is rising and falling appropriately with aided ventilation.
2. The absence of gurgling during the epigastrium auscultation
3. Auscultation reveals bilateral breath sounds
4. Carbon dioxide (CO2) present as confirmed by a CO2 monitor or equipment -
ANSWER What should you do if the patient has an established airway?
1. Clear the airway
2. Take caution not to trigger the gag reflex.
3. Use a stiff suction device if vomitus or blood discharges are obstructing the
airway.
If a foreign body is discovered, carefully remove it using forceps or another
suitable tool. - ANSWER If the airway is not clear
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