Exam (elaborations)
PCC 4 Final Exam 2024!!
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PCC 4 Final Exam 2024!!
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Name: Score:88 Multiple choice questions
Definition 1 of 88
Term gestation?
Tone?
Breathing or crying?
Ectopic Pregnancy Treatment
Hyperuricemia Tls Treatment
Newborn Intubation
Initial Newborn Assessment
Term 2 of 88
Newborn Intubation
chest compressions (lower 3rd of sternum, rate 3:1, 120 events/min
IV epi or through ETT, UVC volume expanders
ECG and glucose monitoring
first 24 hours!
Adults and children >40 kg - 2ml LR x kg x %tbsa
Infants and children <40 kg - 3 ml LR x kg x %tbsa
Electrical Injuries 4 ml LR x kg x %tbsa
1. Initial Assessment
2. Suction
3. Warm baby
4. Check chest movement
5. Intubation
Identify at risk patients
Avoid nephrotoxic drugs
K+ and phosphorous restrictions
Aggressive hydration and allopurinol before chemo
,Definition 3 of 88
Hyperkalemia.... monitor EKG
Hyponatremia.... Na+ moves into edema
Electrolytes with Burns
Tls Electrolyte Imbalances
Systemic Response to Burns
Superficial Burns
Definition 4 of 88
24-72 hrs before chemo until UOP is 150-200 ml/hr for men and 135-170 ml/hr for women
Target USG: <1.010
Hyperkalemia Tls Treatment
TLS Fluid Admin
TLS Prevention
Tls Cm's
Term 5 of 88
Donation after Circulatory Death
3rd degree
no feeling, dry, leathery, non-blanching, white to charred
Hyperkalemia.... monitor EKG
Hyponatremia.... Na+ moves into edema
20-30%... hypovolemic shock!
watch for fever and warm wounds
death within 60 min of extubation
NOT brain dead, discontinuing life
,Term 6 of 88
History of Burn Patient
Allergies
Meds
PMH and tetanus status
Last meal or dink
Events surrounding injury
-silver sulfadiazine or bacitracin BID
-wrap w/ kerlix and ace wraps in figure 8 pattern
30-50 ml/hr for adults
1 ml/kg/hr for children <30 kg
1.5 ml/kg/hr for infants
Hyperkalemia.... monitor EKG
Hyponatremia.... Na+ moves into edema
Term 7 of 88
Oxygen Therapy for Burn Patient
Hospital labs Serology testing hla echo, ekg, hearth cath, bronchiole, ct, chest x-ray
transport To or
Allopurinol - reduces new production
Fevuxostat - used if decreased GFR or allergy to allopurinol
Rasburicase - lowers current serum levels
O2 15 L nonrebreather or intubation for inhalation; need art blood puncture to monitor CO
levels!
Any death
rule out medical conditions
initial decision within 15 hrs of death, 24 if body cooled within 12 hrs
, Term 8 of 88
Meds for Aggression
O2 15 L nonrebreather or intubation for inhalation; need art blood puncture to monitor CO
levels!
1. 1st gen antipsych- haloperidol
2. 2nd gen antipsych- olanzipine, ziprasidone
3. Benzos- lorazepam
+penetrates burn eschar, broad spectrum, more aggressive
-painful, rash, mild metabolic acidosis
1. Ventilated and in hospital
2. Devastating injury or illness
3. Brain dead or DCD
Notify within 1 hr of imminent death!
Term 9 of 88
Tissue Donor Criteria
If you are a registered donor, not one can override!
Penalties for not following pt wishes
Gold Standard!
+broad spectrum, helps with pain
-leukopenia, rash, doesn't penetrate eschar, can become resistant
any death
rule out medical conditions
initial decision within 15 hrs of death, 24 if body cooled within 12 hrs
ventilation w/ PPV and 30-60 bpm w/ 20cm inflation pressures, ETT or laryngeal mask if
needed
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