COMM/DOC/Shock
What facet of care leads to effective communication?
Documentation
The preferred fluids for IV/IO resuscitation for the treatment of sepsis is what?
Lactated Ringers (LR) or Plasmalyte A
Accurate burn size estimates are vital for calculating what?
Fluid resuscitation rates
How often should a head-to-toe assessment be completed for a healthy patient?
Q8 hrs
What is the breakdown of skeletal muscle damaged by ischemic conditions?
Rhabdomyolysis
Refractory shock is managed with what two interventions?
Bonus (100 pts): What is the mortality rate of refractory shock?
Vasopressors
Fluid resuscitation
Bonus: 60%
What is a late sign of sepsis?
Hypotension
TBSA >20% puts patients at risk for what kind of shock?
Hypovolemic shock
Describe PEEP
Positive end-expiratory pressure: The pressure at the end of the expiratory phase which prevents the alveoli from completely collapsing.
True or False: Ventilatory failure is a life-threatening condition
True
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.
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.
What is the fluid of choice for burn resuscitation?
Isotonic crystalloids
Describe one way to improvise suction
60 CC syringe + IV tubing
Patient positioning
The presence of what activates respiratory drive?
CO2
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
Up to 38% of trauma-related sepsis is related to what body system?
Blood stream
****DAILY DOUBLE****
When TBSA is >20%, what is lost into burned and unburned tissues?
Plasma
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
What are the P's of acute compartment syndrome?
Pain
Pallor
Paresthesia
Pulselessness
Paralysis
Poikilothermia
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)
Name 2 symptoms of sepsis
Fever/ hyperthermia
Increased HR
Increased RR
Decreased BP (latent)
Patients can receive fluid resuscitation via the oral route with up to what percent of TBSA?
20%
How often should patients be turned and how often should DVT prevention be performed on unconscious patients?
1) Q2
2) Q2
What is the best indicator of cellular respiration and what is its normal range?