The best indicator of adequate fluid resuscitation in burn patients in the emergent phase of care
What is urine output of 30-50 cc/hr?
100
When Systolic BP value elevates and Diastolic BP value decreases at the same time
What is widening pulse pressure?
100
Area of injury and above which impacts most significantly on respiratory muscle function
What is C4?
100
The best, least expensive, diagnostic test for head injuries
What is a CT scan?
100
A clot that forms in blood vessel in the brain causing a brain attack
What is a thrombus or thrombic stroke?
200
Leather-like, painless and dry
What are characteristics of a full thickness burn?
200
Hyperventilating the patient
Using stool softeners
Suctioning only as necessary
What are nursing actions to decrease the potential for raising ICP?
200
moving the spinal cord injured patient as a unit to prevent further injury
What is "logrolling"?
200
Bruising behind the ears and under the eyes
What is Battle's sign?
200
a cardiac condition which leads to incomplete emptying of the atria and possible clot formation and embolization
What is atrial fibrillation?
300
Client has a cherry red appearance to skin, pulse ox is low and was admitted from a house fire.
What are assessment indicators of carbon monoxide poisoning?
300
5-15mm/Hg
What is the range for normal ICP?
300
Hypertension, sweating and headache caused by reflex stimulation of the sympathetic nervous system experienced by spinal cord injured patients
What is autonomic dysreflexia?
300
A multiple contusion injury to the brain caused by high impact. the brain is injured at the site of impact and also on the opposite side of the brain as well.
What is a coup-contrecoup injury?
300
medication commonly prescribed post stroke to decrease platelet aggregation
What is aspirin?
400
Cardiac arrhythmias
Nerve and muscle damage
Entrance and exit wounds
What are some assessment findings post electrical injuries?
400
the 3 components that take up space in the skull and create intracranial pressure
What are brain tissue, cerebral spinal fluid and blood?
400
bladder distention, renal calculi, infection, fecal impaction and restrictive clothing
What are stimuli that may precipitate autonomic dysreflexia?
400
Mystery fluid from nose or ear is dropped onto a white 4x4 to see if blood coalecses to the center and a yellow ring encircles the blood spot
What is the halo test for CSF?
400
"mini" stroke symptoms that present themselves and then disappear in an hour or less
What is a Transient Ischemic Attack?
500
The Parkland formula
What is the name of the standard formula upon which most burn fluid resuscitation is based?
500
inadequate cerebral perfusion and cerebral herniation
What are the major complications of uncontrolled increased intracranial pressure?
500
Loss of sympathetic nervous system innervation resulting in peripheral vasodilatation
What is spinal shock?
500
the medical term for a stiff neck
What is nuchal rigidity?
500
-stroke symptoms with expected longterm disability
-symptoms began 3-4.5 hours ago
-non-hemorrhagic stroke verified by CT
What are indicators for use of tPA in stroke patients?