CNS Injuires
"I....can't....breathe"
It's getting hot in here!
Eyes, ears, mouth and nose
ER Rockstars
100
Which scale is used to determine CNS function?
What is the Glascow Coma Scale.
100
Used to treat conditions that disrupt the pleural space
What are chest tubes
100
How do we calculate what percentage of a patient's body is burned?
What is the Rule of Nine's
100
What is the name of the eye anesthetic we use in the ER and where can we find it?
What is Proparacaine, which is found in the pharmacy fridge.
100
What is our goal in obtaining an EKG for a patient c/o chest pain?
What is 10 minutes
200
The most common cause of CNS injuries in children are?
What are Falls.
200
What equipment is needed to assist with chest tube placement? Where is this equipment located?
What is thoracotomy tray, chest tube of correct size and CDU. Bay 1
200
What is the rate of chest compression's during CPR on an non-intubated patient.
What is at least 100 compression's per minute. A ratio of 30 compression's to 2 ventilations.
200
You have a patient who has held his nose, leaning slightly foreword for 10 minutes as instructed. What other nose bleeding interventions might anticipate?
What is Silver Nitrate, gauze saturated with afrin or vaseline, Rhino rocket placement, Merocel placement, nasal balloon or use of cocaine.
200
What fibrinolytic medication is preferred for a patient suffering an ischemic stroke? What is the dose?
What is Activase. It is a weight based medication, use enclosed dosing chart, always have an additional license verify dose with you.
300
Assessment findings indicating basilar skull fracture include?
What is: * Raccoon eyes * Battle sign (after 8-12 h) * CSF rhinorrhea or otorrhea * Hemotympanum
300
What is the preferred drug and dose for a patient experiencing anaphylaxis?
What is Epinephrine 1: 1000 0.2 to 0.5 mL every 10 to 15 minutes as needed.
300
What type of wound care for significant burns is recommended?
What is place a dry sheet placed over the patient.
300
True or false: the Eye spud we use in the Emergency room is a disposable, one time use instrument?
What is false. Please do not throw it away.
300
What is our goal time for door to CT completion for a patient having stroke like symptoms?
What is 25 minutes.
400
Under traumatic conditions, Cerebral autoregulation is lost, resulting in a linear relationship of BP to cerebral blood flow. Therefore, maintenance of adequate _____ is of vital importance for brain survival.
What is Blood pressure.
400
Can you name 5 different types of airway's we have available in the ER?
What is OA, NPA, ET tube, LMA, tracheotomy
400
What types of fluid are recommended for fluid resuscitation in burn patient's
What is LR or NS. Isontonic crystalloids
400
You anticipate prolonged eye irrigation to a patient who has had chemical splashed in both eyes, what would be appropriate to use for prolonged irrigation of the eyes?
What is the Morgan lens.
400
You have a hypertensive stroke patient with a BP of 230/120, what drug might you anticipate administering?
What is Labetalol 10 to 20 mg IV for 1–2 min—may repeat 1 time
500
What simple measures can we as nurses implement to help lower ICP?
What is: 1- The head should be elevated (30-45°). Keep the neck straight. 2- Maintain normovolemia and normal BP (mean BP >90 mm Hg). 3- Ventilate to normocapnia and avoid hypocapnia . 4- Use light sedation and analgesia 5- Consider administration of mannitol (0.25-2 g/kg IV immediately), but contact the neurosurgery.
500
Where are the Co2 adapters located?
What is in the bottom compartment of the crash cart.
500
What is the formula for fluid resuscitation for a patient who has sustained a burn.
What is (2 mL x weight in kg x % TBSA = 24 hour fluid total). Give 1/2 this amount in the first 8 hours
500
How would you treat a 50 yr. old who arrives to the ER unresponsive but breathing after intentional ingestion of his entire bottle of 60 tablets of verapamil?
What is placement of OG tube for EZ lavage.
500
Dr. Inouye wants you to assist him in administering conscious sedation to reduce a radial fracture on a 10 year old boy. In order to administer sedation medications, who else is required to be present?
What is another RN
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