Burns
O2
ABGs
Shocking
Heart Stopper
100

This assessment tells us if fluid resuscitation has been adequate in burns

What is BP?

100

This is your priority assessment if your patient has a change in neuro or LOC

What is pulse ox

100

These two VS alterations can signal neuro shock

What are bradycardia and hypotension?

100
This is your priority assessment with any cardiac rhythm change?

Check responsiveness and pulse

200

This type of burn is painful, red, no blisters, supple skin

What is a Superficial Partial-Thickness Burn?

200

True or false: all thermal or smoke burn injury pts need to be placed on oxygen

True

200
This neuro finding suggests high CO2 level

What is decreased LOC

200

This type of shock should not receive boluses

What is cardiogenic shock?

200

Contrast defib vs cardioversion

Defibrillation is used for unstable ventricular rhythms, such as v fib.

Cardioversion is used for atrial dysrhythmias, such as a-flutter

300

This type of burn is Painless, leaves eschar, Tough texture

What is a Full Thickness Burn?

300

a patient with ARDS can be placed in this unorthodox position

What is prone?

300

How should the nurse interpret these ABG findings:

pH-7.3

PaCO2-52

HCO3-24

respiratory acidosis

300

This is the hallmark of spinal shock

What is decreased reflexes

300

Name this rhythm 

V tach

400

This electrolyte is released with electrical burns

What is potassium

400

True or false: patients on a vent and sedated should have reflexes

True

400

Name 3 risks for metabolic acidosis

Low GFR/ renal failure, diarrhea, shock, DKA

400

These 3 s/s suggest what stage of shock

Elevated lactate, 

Elevated ammonia

Hypercapnia

What is the irreversible/ refractory stage of shock?

400

This med is given for non-sustained v tach

What is amiodarone?

500

This intervention helps with burn wound outcomes and prevents translocation of bacteria

What are enteral feedings?

500

These signs indicate you are suctioning the ETT deep enough

What are insert until resistance is met or pt coughs

500

pH-7.36

PaCO2- 50

HCO3- 29

Fully compensated respiratory acidosis

500

Your patient presents with hypotension, weak pulses, narrow pulse pressure, & cool skin. You believe they are experiencing this kind of shock

What is cardiogenic shock?

500

Name this rhythm

A fib

600

These s/s on a burn pt indicate emergent intubation might be needed (name at least 3)

What are decreased lung sounds, inability to maintain airway, increasing amounts of facial edema, increasing hoarseness, decreasing LOC, decreasing SpO2, decreased wheezing 

600

hold position, create a seal, and prevent aspiration

what are the objectives of the balloon on the ETT.

600

Your pt is tachycardic, tachypneic, with a fever, vomiting x3d. What ABG results do you expect?

alkalosis

600

The patient is in NSR then pulse goes to 50- what are your 2 priority assessments

Responsiveness and BP

700

The MD orders your patient to start an IV Heparin drip at 12 units/kg/hr and to administer a loading bolus dose of 40 units/kg IV before initiation of the drip. The patient weighs 215 lbs. Your supplied vial of heparin is 10,000 units in 10 mL. How many mL will you give for the bolus dose?

3.91 mL

700

Correctly order the colors for triage system by number of priority

Red, yellow, green, blue, black

700

Your pt has this rhythm and is symptomatic. Your intervention is

Apply pacer pads and administer atropine