Exam (elaborations)
PCC 4 Final Exam 2024!!
- Course
- Institution
PCC 4 Final Exam 2024!!
[Show more]
Content preview
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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Americannurse. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76945 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now