TRAUMA
What is...
Cherry Red
True/False
A patient with an artificial airway should be suctioned every 4 hours
True/False
A spontaneous pneumothorax may have no obvious injury, while a traumatic pneumothorax will have an obvious injury
What is true?
What are the appropriate negative suctioning pressures for the following patient populations...
Neonate:
Pediatric:
Adult:
What is ...
Neonate: -80 to -100
Pediatric: -100 to -120
Adult: -120 to -150
Describe the rib fractures for flail chest
- What is
a double fracture of 3 or more ribs
In a patient with a pneuumothorax, where can you expect to find the pneumothorax no an xray?
What is the Apex of the lung?
If a patient receiving mechanical ventilation accidentally displaces their ETT from their trachea, What should we do?
- Remove the tube and provide manual ventilation/oxygen
Succinylcholine is an example of what kind of medication?
Anti-cholinergics work by blocking what receptor to promote bronchodilation?
What is muscarinic?
List 2 things that would cause a mediastinal shift away from the affected side?
What is
- pneumothorax
- hemothorax
What are the 3 parts of the chest tube system in the order they
1. Collection Bottle
2. Water Seal
3. Suction Control
What is the maximum size catheter you would se for a female patient with an 8mm tube?
What is 12 F
ETT x 3/2
What are the two major complications of a transbronchial biopsy?
what is Pneomothorax and bleeding
If a patient is receiving lidocaine at a dose >7mg/g, what are they at risk for developing?
What is methemoglobinemia?
A patient has come in with shortness of breath, thick, black sooty secretions, singed facial hair and has marked inspiratory stridor.... What is the patient likely suufffering from and what should our next step be?
What is
- Thermal injury
- elective intubation due to MARKED stridor
Chest tubes are indicated to remove what 4 things from a patients thoracic cavity?
What is
- Pus
- Air
- Blood
- Fluid
If you have an expired capnogram indicating a CO2 level near zero what does this probably indicate?
What is placement of ETT in the esophagus?
A technique of obtaining a specimen of lung parenchyma by using flexible forceps positioned distally through the working channel of a bronchoscope is referred to as...
What MAP value wold indicate a severe reduction in perfusion to the brain and kidneys?
What is a MAP <60
A patient has been admitted to the emergency room after a car accident. The patient has been coughing up blood, has paradoxical chest movement, and diminished on the left side, what is likely the problem with this patient?
What is flail chest?
If the water level in the water seal chamber is too low, what can be the hazard to the patient?
What is an increase risk of atmospheric air into the patients thoracic cavity?
After intubation of a cardiac arrest victim, what could you expect to see happen on a bedside capnometer with the return of spontaneouus circulation?
What is
- slow but steady rise in expired CO2
How should a vacuum regulator be adjusted after the set up of a chest tube system?
What is...
Adjust until gentle continuous bubbling is observed in the suction control chamber
To obtain lavage fluid, the bronchoscope is wedged at what location?
the level of 4th/5th generation bronchus