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TCRN Questions With 100% Correct Answers.
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TCRN Questions With 100% Correct Answers.
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TCRN Questions With 100% CorrectAnswers.
List three effects of inflammatory mediators - ANSWER- Diaphoresis, glycogeonolysis,
bronchodilation, increased: HR, contractility, automasticity, RR
Describe the technique for inserting IO into distal femur - ANSWER- Anterior midline
above the external epicondyles, 1 - 3cm above the femoral plateau; the knee slightly
flexed and the hip externally rotated and flexed
Describe the technique for inserting IO into distal tibia - ANSWER- just proximal to the
medial malleolus
Describe the technique for inserting IO into humerus - ANSWER- Directly above the
greater tuberosity
Describe the technique for inserting IO into proximal tibia - ANSWER- 2cm distal and
slightly medial to the tibial tuberosity
Recognize adequate fluid resuscitation using four end points to resuscitation -
ANSWER- Traditional - Vital signs, urinary output (>0.5mg/kg/hr), Mental status
Invasive hemodynamic monitoring - Central Venous Pressure (normal 2-6mmHg),
Pulmonary wedge pressure (8-10mmHg), Cardiac Index (2.5 - 4.0L/minute/m^2),
Delivery of oxygen (DO2) (500-600mL O2/min/m^2)
Metabolic parameters - Lactate (>4 is severe), Base Deficit (>6mmol/L indicates severe
injury)
Treatment for neurogenic shock - ANSWER- 1 -2 L bolus (often insufficient and may
cause pulmonary edema)
Vasopressors (Epi, Norepi, dopamine, phenylephrine, or vasopressin)
MAP 85-90mmHg
Atropine
respiratory support as needed
List 6 effects that a state of crisis may have on a trauma patient - ANSWER- Disruption
of family
Depression
Failure to return to pre-event life
Economic problems
Social isolation
Decreased pleasure in activities
, PTSD
Treatment goals for patients with PTSD - ANSWER- Restore sense of control
Diminish power of the traumatic event
Reduce chronic hyperarousal
Reduce feelings of guilt/self-blame
Restore sense of equilibrium
List three patient dispositions allowed by COBA/EMTALA legislation - ANSWER-
Admission to the facility
Stabilizing care, followed by transfer to qualified facility
Treated and discharged
What is the performance improvement loop? - ANSWER- Identify the outcomes
Determine plan
Measure progress
Describe quantitative research - ANSWER- A deductive process that utilizes numeric
findings examples: randomized controlled trials, cohort studies
Describe qualitative research - ANSWER- an inductive process where words are used
to give meaning to data, involves interactions between researcher and the subject.
examples: data collected by observation, questionnaires, or interviews, data is reported
using words as opposed to numbers
Five ethical principals utilized in trauma care - ANSWER- Autonomy
Beneficence
Non-malficence
Veracity (honesty)
Justice
List three complications associated with a contusion and/or hematoma - ANSWER-
Compartment syndrome
Risk for infection
Risk of hypovolemia
The four interventions used to control hemorrhage in amputations - ANSWER- Direct
pressure
Pressure point
Elevation
Tourniquet
Describe primary wound closure - ANSWER- Immediate wound closure
Describe secondary wound closure - ANSWER- Allowed to close on own over time (for
clean wounds with significant tissue loss)
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