COMM/DOC/Shock
Sepsis
Burns
Nursing/Airway
Respiration/Crush
100

What facet of care leads to effective communication?

Documentation

100

The preferred fluids for IV/IO resuscitation for the treatment of sepsis is what?

Lactated Ringers (LR) or Plasmalyte A

100

Accurate burn size estimates are vital for calculating what?

Fluid resuscitation rates

100

How often should a head-to-toe assessment be completed for a healthy patient?

Q8 hrs

100

What is the breakdown of skeletal muscle damaged by ischemic conditions?

Rhabdomyolysis

200

Refractory shock is managed with what two interventions?

Bonus (100 pts): What is the mortality rate of refractory shock?

Vasopressors

Fluid resuscitation

Bonus: 60%

200

What is a late sign of sepsis?

Hypotension

200

TBSA >20% puts patients at risk for what kind of shock?

Hypovolemic shock

200

Describe PEEP

Positive end-expiratory pressure: The pressure at the end of the expiratory phase which prevents the alveoli from completely collapsing.

200

True or False: Ventilatory failure is a life-threatening condition

True

300

What is the purpose of telemedicine?

To be able to reach out to a higher level provider in a remote setting to better treat your patient.

300

Define sepsis

A life-threatening condition caused by a dysregulated host response to an infection resulting in the presence of harmful microorganisms in the blood or other tissues potentially leading to organ dysfunction, shock, or death.

300

What is the fluid of choice for burn resuscitation?

Isotonic crystalloids

300

Describe one way to improvise suction

60 CC syringe + IV tubing

Patient positioning

300

The presence of what activates respiratory drive?

CO2

400

Name 3 goals of shock management

Early suspicion and recognition

Source identification and control

Fluid resuscitation

Patient monitoring through trending vitals

Evacuation to definitive care

400

Up to 38% of trauma-related sepsis is related to what body system?

Blood stream

400

****DAILY DOUBLE****

When TBSA is >20%, what is lost into burned and unburned tissues?

Plasma

400

True or false: Healthy adults with disrupted facial or neck anatomy may still be able to breathe independently with a mechanical airway (Cric/LMA) placed

True

400

What are the P's of acute compartment syndrome?

Pain

Pallor

Paresthesia

Pulselessness

Paralysis

Poikilothermia


500

Define shock

The state of insufficient blood flow to the tissues of the body as a result of problems associated with failure of some component of the cardiovascular system (The pump, volume, or container)

500

Name 2 symptoms of sepsis

Fever/ hyperthermia

Increased HR

Increased RR

Decreased BP (latent)

500

Patients can receive fluid resuscitation via the oral route with up to what percent of TBSA?

20%

500

How often should patients be turned and how often should DVT prevention be performed on unconscious patients?

1) Q2

2) Q2

500

What is the best indicator of cellular respiration and what is its normal range?

ETCO2; 35-45mmHg
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