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BCEN CFRN FINAL EXAM
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BCEN CFRN FINAL EXAM
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BCEN CFRN FINAL EXAMWhen a patient is involved in a trauma, what is the most important HISTORICAL
question to ask? - ANSWER -Are you taking any meds
What is the concern for somebody who has had 24 hours of rupture of membranes?
What do they need? - ANSWER -Sepsis/infection
-ABX
If a Trauma patient's airway pressures and plateau pressure increase, what should
you do?
What is happening?
How would you know if tube has dislodged? - ANSWER -Needle decomp
-Tension pneumo
-low pressure alarm
what does it mean if you see Q waves? - ANSWER -Myocardial necrosis
If a freshly intubated pediatric patient has correct ventilator settings and has no chest
rise with hypercarbia, what do you get rid of?
Why? - ANSWER -Inline suction and elbow
-The inline suction and elbow have up to 80 ml of dead space
Upon descent, if the Vt drops. What do you check (deflated)? What law addresses
this? - ANSWER -Cuff pressure
-Boyle's Law
If a baby is persistently tachycardic, what can you do (position, O2, Fluids)? -
ANSWER -Place mom on left, oxygen, IV F
If a family member is acting crazy, do you let them come on the aircraft? - ANSWER
-No
If a trauma patient has already received blood, what else can you give them? -
ANSWER TxA
What usually happens after chest trauma and is typically delayed?
what else does it present with (PP, sputum, o2) - ANSWER Pulmonary Contusion
, -Increased peak pressures, hemoptysis, hypoxia
What are two common factors for fatal HEMS crashes? - ANSWER -Pilot error and
night flight
What can be used to fix Hyperkalemia U waves? - ANSWER -Calcium, Sodium
Bicarb, Insulin
Why use a miller blade to intubate a child?
What kind of ETT for peds?
What age for cric? - ANSWER -Epiglottis is large and floppy
-Cuffed
-Above 10
Who is at risk for a spontaneous pneumo? - ANSWER -young, tall, skinny guys
What causes an esophageal injury?
What is the treatment for this?
What are the s/s (sub q, abd pain, sputum, hematemesis - ANSWER -Penetrating
trauma
-Esophageal repair
-Sub Q emphysema, upper abdominal pain, bloody sputum, hematemesis
What could you do to the ventilator for a patient that is hypercarbic?
What happens if you increase the RR? - ANSWER -Decrease RR to increase the IE
time
-Shortens IE time which increases the PaCO2
What do you do if your patient has a high plateau pressure and high auto peep?
What do you not do to the PEEP? Why? - ANSWER -Disconnect the patient from
the ventilator tubing
-Don't decrease the Peep because it doesn't resolve the increasing PEEP
If you lay down a patient with a high BMI and they go into distress, what do you do? -
ANSWER -Sit them up
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