Tncc exam stuvia - Study guides, Class notes & Summaries

Why is a measure of serum lactate obtained in the initial assessment of the trauma patient? Answer: c correct answera) to measure oxygenation and ventilation b) to quantify the base deficit for the adequacy of cellular perfusion c) *to gauge end-organ perfusion and tissue hypoxia ** d) to determine the underlying cause of shock A trauma patient is restless and repeatedly asking "where am I?" vital signs upon arrival were BP 100/60 mm Hg, HR 96 beats/min, and RR 24 breath...

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TNCC - Trauma Nursing Core Course Exam Study Guide Solutions Initial Assessment - ANSWER-1. Preparation and Triage 2. Primary Survey 3. Reevaluation 4. Secondary Survey 5. Reevaluation Adjuncts 6. Reevaluation and Post Resuscitation Care 7. Definitive Care or Transport A (Primary Survey) - ANSWER-Airway and alertness with simultaneous cervical spinal stabilization. Alertness Assessment - ANSWER-A-Alert V-Verbal P-Painful U-Unresponsive Airway Assessment - ANSWER-Inspect: tongue obs...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - ANSWER-Airway/Intubate Lab evidence of cellular perfusion - ANSWER-Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - ANSWER-Biologic Suspected shock type with a spinal cord injury - ANSWER-Distributive Shock (Includes neurogenic) Patient has GCS of 3, uneq...

Primary concern when a person cannot stop coughing/clearing their throat following house fire/smoke? - ANSWER-Airway/Intubate Lab evidence of cellular perfusion - ANSWER-Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - ANSWER-Biologic Suspected shock type with a spinal cord injury - ANSWER-Distributive Shock (Includes neurogenic) Patient has GCS of 3, uneq...

Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - ANSWER -Biologic Suspected shock type with a spinal cord injury - ANSWER -Distributive Shock (Includes neurogenic) Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the cause? - ANSWER -Herniation Middle Meningeal Artery - ANSWER -Epidural Hematoma (results from collection of blood that forms between dura...

Epidemiology: Unintentional injury is a leading cause of death across all age groups in the US - ANSWER -• 65+ falls are the leading cause of injury-related deaths • 25-64: poisoning is the leading cause of death • 5-24: MVC leading cause of death • TBI: more for males, 0-4 highest rate of death Injury prevention: 3 E's - ANSWER -• Engineering: technological interventions (airbags, alarms, safety gear) • Enforcement and legislation: laws and regulations • Education: commun...

Expedite transfer to the closest trauma center - ANSWER-A 56 y/o M pt involved in a motor vehicle crash is brought to the ED of a rural critical access facility. He complains of neck pain, SOB, and diffuse abd pain. His GCS is 15. His VS: BP 98/71, HR 125, RR 26, SpO2 94% on high-flow O2 via NRB mask. Which of the following is the priority intervention for this patient? a pertinent medical hx is crucial - ANSWER-Which of the following considerations is the most important when caring for a ger...

Lab evidence of cellular perfusion - ANSWER-Base Excess (Less than -6 is BAD) Multiple people are in the ER of different ages who all go to the same church. They all have the same symptoms. What is the most likely cause? - ANSWER-Biologic Suspected shock type with a spinal cord injury - ANSWER-Distributive Shock (Includes neurogenic) Patient has GCS of 3, unequal pupils (one sluggish, one blown), and is posturing. What is the cause? - ANSWER-Herniation Middle Meningeal Artery - ANSWE...