PCP review for COPR Questions and Answers
What is the Parkland formula?
Fluids for first 24hrs :
4ml x pt weight in kg x %BSA=
50% over first 8hrs
50% over next 16hrs
Hemothorax and S/S
A hemothorax is an accumulation of up to 1,500mL of blood within the pleural space
S/S: Flat neck v...
PCP review for COPR Questions and
Answers
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
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
High-level disinfection - answer The killing of pathogenic agents by using potent
means of disinfection
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