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ADVANCED TRAUMA LIFE SUPPORT (ATLS) LATEST 2024 ACTUAL EXAM TEST BANK 300 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+ $12.99
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ADVANCED TRAUMA LIFE SUPPORT (ATLS) LATEST 2024 ACTUAL EXAM TEST BANK 300 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

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ADVANCED TRAUMA LIFE SUPPORT (ATLS) LATEST 2024 ACTUAL EXAM TEST BANK 300 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+

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  • January 17, 2024
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  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • advanced trauma
  • ADVANCED TRAUMA LIFE
  • ADVANCED TRAUMA LIFE
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dennohz2000
Elderly patients may not exhibit tachycardia in response to hypovolemia because
of limited cardiac response to catecholamines. Why else might they not get tachy?
- ANSWER-On a Beta-Blocker or have a pacemaker


A FAST scan in an excellent way to diagnose cardiac tamponade. What signs
sugget tamponade - ANSWER-Beck's Triad: JVD, muffled heard sounds and
hypotension (will be resistant to fluid therapy). Will also likely be tachycardic


Patients with a tension pneumo and patient with cardiac tamponade may present
with many of the same signs. What findings will you see with a tension will you
NOT see with tamponade? - ANSWER-Absent breath sounds and hyperresonance
to percussion over the affected hemithorax.


Immediate thoracic decompresion is warrented for anyone with absent breath
sounds, hyperressonance to percussion, tracheal deviation, and
- ANSWER-Acute respiratory distress & subcutaneous emphysema


Can isolated intracranial injuries cause neurogenic shock? - ANSWER-NO


How do you calculate total blood volume in an adult? - ANSWER-70 mL per kg.
A 70 kg person has about 5 L of circulating blood. (70*70) = 4900 mL


How do you calculate TBV in child - ANSWER-BW (kg) X 80-90 mL

,The blood volume of an obese person is calculated based upon their
weight - ANSWER-ideal


Fluid replacement should be guided by , not simply by the initial
classification (Class I-IV) - ANSWER-The patient's response to initial replacement


How much blood volume is lost with Class I hemorrhage? - ANSWER-Up to 15%
Donating 1 pint, or ~500 mL of blood is about 10% volume lose and would
classify as Class I Hemorrhage.
Transcapillary refill and other compensatory mechanisms restore blood volume
within 24 hours


How much blood volume is lost with Class II hemorrhage> - ANSWER-15-30%
(750-1500 mL in a 70 kg adult)


How do you treat a Class II hemorrhage - ANSWER-Usually just crystalloid
resuscitation


Subtle CNS changes such as anxiety, fright, and hostility would be expected in
patient with a Class hemorrhage - ANSWER-II


How much blood volume is lost with Class III hemorrhage? - ANSWER-30-40%
(2000 mL in a 70 kg adult)


A patient with inadequate perfusion, marked tachycardia and tachypnea, significant
mental status change, and a measurable fall in systolic blood pressure likely has a

,Class Hemorrhage - ANSWER-III or IV - these patients requre a blood
transfusion, which depends on their response to initial fluid resuscitation. The first
priority is stopping the hemorrhage.


Loss of more than 50% of blood volume results in loss of consciousness. -
ANSWER-50


How much blood volume is lost with Class IV hemorrhage? - ANSWER-More
than 40%. Unless very aggressive measures are taken the patients will die within
minutes


A Class Hemorrhage represents the smallest volume of blood lost that is
consistently associated with a drop in systolic blood pressure - ANSWER-III


Up to mL of blood loss is commonly associated with femur fractures -
ANSWER-1500


Unexplained hypotension or cardiac dsyrhythmias (usually bradycardia from
excessive vagal stimulation) are often caused by especially in children -
ANSWER-gastric distention


How much crystalloid should you give an adult for an initial fluid resuscitation
bolus? for kids - ANSWER-Adults: 2 L
Kids: 20 mL/kg (may repeat and give as much as 60 mL/Kg but wit high reserve in
kids, if they're in shock they should get blood sooner rather than later

, Each mL of blood loss would be replaced with mL of crystalloid, thus
allowing for replacement of plasma volume lot into interstitial and intracellular
saces - ANSWER-3


Blood on the floor x four more is mneumonic for occult blood loss where? -
ANSWER-Chest, pelvis, retroperitoneum, and thigh


For children UNDER 1 year of age, UOP should be mL/Kg/Hr -
ANSWER-2


Would patients in EARLY hypovolemic shock be acidodic or alkalotic? -
ANSWER-Alkalotic - respiratory alkalosis from tachypnea ......followed later by
mild metabolic acidosis in the early phase of shock


"Rapid Responders" whose vital signs return to normal (and stay there) after fluid -
ANSWER-I or II


"Transient responders" are associated with Class hemorrhage - ANSWER-
II or III


What differential diagnosis shoudl you always consider for "non-responders"
following fluid resuscitation? - ANSWER-Non-hemorrhagic causes e.g. tension
pneumothorax, tamponade, blunt cardiac injury, MI, acute gastric distention,
neurogenic shock

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