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ATCN Review Questions With Complete Solutions
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ATCN Review Questions With Complete Solutions
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ATCN Review Questions With Complete Solutions10 Signs and sx of tension pneumothorax ✔️Ans - 1.chest pain
2.air hunger
3.respiratory distress
4.tachycardia
5.hypotension
6.tracheal deviation away from injury
7.unilateral absence of breath sounds
8.elevated hemithorax w/out respiratory movement
9.neck vein distention
10.cyanosis (late sign)
Signs and sx of cardiac tamponade ✔️Ans - 1. Becks Triad= increased
venous pressure(distended neck veins), decreased arterial
pressure(hypotension), muffled heart tones
2. PEA
3. JVD &/or Kussmauls sign
4. Use FAST to dx
tension pneumothorax can often be confused with cardiac tamponade, how do
you differentiate? ✔️Ans - Careful assessment of the pt's breath sounds is
paramount to differentiate the two
Tx of tension pneumothorax ✔️Ans - 1. Needle decompression- large bore
needle 2nd intercostal space midclavicular line 2. chest tube 4 or 5th
intercostal space mid axillary
triad of death ✔️Ans - -Acidosis
- Hypothermia
- Coagulopathy (blood can't clot resulting in continued bleeding)
rule of 9's adult ✔️Ans - Head = 9%
Chest (front) = 9%
Abdomen (front) = 9%
Upper/mid/low back and buttocks = 18%
Each arm = 9% (front = 4.5%, back = 4.5%)
Groin = 1%
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