Exam (elaborations)
TCRN PRACTICE QUESTIONS WITH CORRECT ANSWERS
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TCRN PRACTICE QUESTIONS WITH CORRECT ANSWERS
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TCRN EXAM QUESTIONS ANDCORRECT ANSWERS
Shock s- scorrect sanswer s--Lack sof soxygen sto sthe scells
Hypovolemic sShock s- scorrect sanswer s--Lack sof svolume
ex: shemorrhage, sburns
Distributive sShock s- scorrect sanswer s--Maldistribution sof sblood s(pooled sin sextremities)
Decreased spreload
ex: sneurogenic sshock
Cardiogenic sShock s- scorrect sanswer s--Inadequate scardiac soutput
ex: sblunt scardiac strauma
Obstructive sShock s- scorrect sanswer s--Inability sof sblood sto senter sor sexit sheart sproperly
ex: stamponade, stension spneumothorax
Systemic sInflammatory sResponse sSyndrome s(SIRS) s- scorrect sanswer s--Severe stissue
strauma sactivates san sinflammatory sresponse sleading sto svasodilation, scapillary
spermeability, sand scoagulation
Early s(Compensated) sShock s- scorrect sanswer s--Normal sBP
Weak, sthready spulse
Deep sand srapid sRR
Normal slactic slevels
Anxious
Late s(Decompensated) sShock s- scorrect sanswer s--Decreased sBP
Tachycardia
Shallow sand srapid sRR
Increased sLactic
Decreased sLOC
Decreased surinary soutput
BUN sto sCreatinine sRatio s- scorrect sanswer s--Normal s- s10:1 s
Indicated seffective srenal sfunction
Trauma sTriad sof sDeath s- scorrect sanswer s--Hypothermia
Acidosis
Coagulopathies
,Effects sof sAcidosis s- scorrect sanswer s--Increased sICP
Exacerbates scoagulopathies
Depressed smyocardial scontractility
DIC s- scorrect sanswer s--Excessive sclotting s> sall sclotting sfactors sused s> sno smore
sclotting s> sexcessive sbleeding
Effects sof scoagulopathies s- scorrect sanswer s--Decreased splatelet scount
Decreased sfibrinogen
Decreased sHnH
Increased sPT, sPTT
Increased sDdimer
Multi-Organ sDysfunction sSyndrome s(MODS) s- scorrect sanswer s--Irreversible sShock
sresulting sfrom sTriad sof sDeath
Symptoms sstart swithin sthe sfirst sweek safter strauma
Steps sto scontrol shemorrhage s- scorrect sanswer s--Tourniquet
TXA
REBOA
Permissive sHypotension
Resuscitative sEndovascular sBalloon sOcclusion sof sthe sAorta s(REBOA) s- scorrect
sanswer s--Occlusion sof sthe sAorta sbelow sthe sdiaphragm sto sreduce sbleeding
Type sA s- scorrect sanswer s--RBC: sType sA, sO
Plasma: sType sA, sAB
Type sB s- scorrect sanswer s--RBC: sType sB, sO
Plasma: sType sB, sAB
Type sAB s- scorrect sanswer s--RBC: sType sA, sB, sAB, sO
Plasma: sAB
Type sO s- scorrect sanswer s--RBC: sType sO
Plasma: sType sA, sB, sAB, sO
Universal sDonor sof sRBC sand sPlasma s- scorrect sanswer s--Universal sdonor sof sRBC: sO
snegative
Universal sdonor sof sPlasma: sAB snegative
Cryoprecipitate s- scorrect sanswer s--Concentrate sof scoagulation sfactors sobtained sfrom
sfresh sfrozen splasma
Increases sfibrinogen sin sthe sbloodstream
, Blood sTransfusion sin sPeds s- scorrect sanswer s--One sunit sof sblood sis s10ml/kg
Complications sof sMTP s- scorrect sanswer s--Hypothermia s- swarm sall sfluids sand sblood
Hypocalcemia s- sreplace scalcium
Acidosis s- ssodium sbicarb
TRALI s- sstop stransfusion, ssupplemental soxygen
Transfusion-Related sAcute sLung sInjury s(TRALI) s- scorrect sanswer s--Pulmonary sedema
sdue sto srapid sblood sadministration
MTP sProtocol s- scorrect sanswer s--1 s: s1 s: s1
RBC s: sPlasma s: sPlatelet
Blood sLoss sGrades s- scorrect sanswer s--I s- sLoss sof s15% swith snormal sBP
II s- sLoss sof s15-30% swith snormal sBP
III s- sLoss: sof s31-40% swith slowered sBP
IV s- sLoss s> s40% swith shemodynamic sinstability
Permissive sHypotension s- scorrect sanswer s--Maintaining sBP sas slow sas s70/40 sso sallow
sfor sclotting.
Contra-indicated sin shead sinjuries, speds, sand selderly
SCIWORA s- scorrect sanswer s--Spinal sCord sInjury sWithOut sRadiological sAbnormality
Common sin sAge s< s2 syrs
Significance sof sBariatric sPatients s- scorrect sanswer s--Increased sHR sand sRR sat sbaseline
Increased sabdominal spressures
Increased srisk sof scoagulopathies
SBIRT s- scorrect sanswer s--Comprehensive sintervention sto sdeliver streatment sfor
ssubstance suse sdisorders
Screening
Brief sIntervention
Referral sto sTreatment
Triad sof sAbusive sBrain sInjury s- scorrect sanswer s--Subdural sHemorrhage
Retinal sHemorrhage
Decreased sLOC
Types sof sStress sDisorders s- scorrect sanswer s--State sof sCrisis s- sImmediately safter sevent
Acute sStress sDisorder s- sLasting sat sleast sthree sdays
Post sTraumatic sStress sDisorder s- sLasting sone smonth sor slonger
Three sthings sto sidentify sstate sof scrisis s- scorrect sanswer s--1. sPerception sof sthe sevent
2. sSupport sSystem
3. sCoping smechanisms
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