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BCEN CFRN FINAL EXAM
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BCEN CFRN FINAL EXAM
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BCEN CFRN FINAL EXAMIf a patient develops bilateral infiltrates and has a low Pf Ratio < 200 what do they
have?
How quickly do s/s develop?
What is the difference between ARDS and Contusion? - ANSWER ARDS
12-24 hours
Contusion usually is limited to one lung and develops quicker.
What's the difference between a diaphragmatic hernia and perforated bowel in a
pediatric? - ANSWER Scaphoid Abdomen vs. Distended abdomen with fever
Why do elderly have more time for s/s with Subdural? - ANSWER Brain atrophy
allows for more swelling and bleeding to take place
What tells us about the oxygenation in a CO poisoning patient? - ANSWER The
PaO2
What can be given to prevent the hyperkalemia from a crush accident in a trauma
patient? - ANSWER Calcium gluconate
If you are crashing and you are in a forward facing seat without shoulder belts, what
position should you take?
How should you sit if there are shoulder belts? - ANSWER -Bend forward at the
waste and encircle knees with arms
-cross arms with an x and grasp shoulder harness
Why is it important neurologically for a neonate to be transported in an isolette? -
ANSWER -Vibration and noise can cause stress and neurological damage
What is the cardiac concern with lightning strikes? - ANSWER Lethal arrhythmias
What is a late sign of shock in children?
How do children compensate in shock? - ANSWER Hypotension
They increase their HR, SVR, Venous tone
How do you protect a ruptured globe? Should you exam or manipulate it - ANSWER
-You want to patch both eyes. You should not examine or manipulatre it
, If a fat patient's PIP is high on the aircraft, what can you do to decrease it? -
ANSWER -Sit the patient up
We know that opiates and fluids won't help a hypoxic patient with pulmonary
contusion, what will? - ANSWER -NIPPV
After you crash, what do you want to consider when you're looking for shelter? -
ANSWER -Look out for any physical hazards
What is the end product of all physiological and psychological stressors of transport?
- ANSWER -Fatigue
If your patient is showing increased signs of ICP, what can you do with the ventilator
to decrease the ICP? - ANSWER -Increase the RR to make them more alkalotic
When the DKA patient has a normal corrected sodium, what type of fluids do you
switch them to? Why?
What do you not use? - ANSWER -0.45 NS to avoid the hypernatremia for
aggressive fluid resus
-D5 or LR
What does a Le FORT 3 fx look like? - ANSWER -Facial asymmetry and
malocclusion
If a child is in septic shock, do you give fluids or ABX first? - ANSWER -IVF
When do you do sterile cockpit? - ANSWER -take off and landing
If you're transporting a patient with an EVD and it is open to drain but is not draining,
what is the problem? - ANSWER -Catheter is obstructed
What helps to reduce risk in transition of care? - ANSWER -Consistent format
If you're transporting a patient via RW for a long time, what do you need to ensure? -
ANSWER -Enough power source
If you go into the sky with an intubatred patient and the high pressure alarm goes off
and they become hypotensive and hypoxic, what do you do? - ANSWER -Needle
decompress for tension pneumo
If a fluid overloaded patient is tripoding, what do they need instead of a breathing
treatment or diagnostics? - ANSWER -NIPPV
If an intubated patient seizes and becomes hypoxic, what medication do you give
them? - ANSWER -Propofol
What is a late sign of hypoxia in thoracic trauma?
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