ATCN EXAM Review Questions and Answers Graded A 2024
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The approach to trauma care typically begins with what? - notification that a trauma patient is arriving
When preparing to receive a trauma patient, what should you keep in mind? - safe practice, safe care
What does "Safe practice" mean when receiving trauma patients? - take into consideratio...
ATCN EXAM Review Questions and Answers Graded A 2024 The approach to trauma care typically begins with what? - notification that a trauma patient is arriving When preparing to receive a trauma patient, what should you keep in mind? - safe practice, safe care What does "Safe practice" mean when receiving trauma patients? - take into consideration the protection of the team (universal precautions/PPE/preparing equipment prior to patient arrival) What does "Safe care" mean when receiving trauma patients? - that the patient is going to the right hospital, in the right time, for the right care Trauma primary survey for "A"? - airway and alertness with simultaneous cervical spinal stabilization Trauma primary survey for "B"? - breathing and ventilation Trauma primary survey for "C"? - circulation and hemorrhage control Trauma primary survey for "D"? - disability (neurological status: AVPU/GCS) Trauma primary survey for "E"? - exposure and environmental control Trauma primary survey for "F"? - full set of vital signs and family presence Trauma primary survey for "G"? - get resuscitation adjuncts (LMNOP) Which resuscitation adjunct under the "G" primary assessment is this? -"L" - laboratory studies (ABG's/Type and cross) Which resuscitation adjunct under the "G" primary assessment is this? -"M" - monitor for continuous cardiac rhythm and rate assessment Which resuscitation adjunct under the "G" primary assessment is this? -"N" - naso/orogastric tube consideration Which resuscitation adjunct under the "G" primary assessment is this? -"O" - oxygenation and ventilation analysis (pulse oximetry/ETCO2/capnography) Which resuscitation adjunct under the "G" primary assessment is this? -"P" - pain assessment and management Trauma primary survey for "H"? - history and head to toe assessment Trauma primary survey for "I"? - inspect posterior surfaces 1.chest pain 2.air hunger 3.respiratory distress 4.tachycardia 5.hypotension 6.tracheal deviation away from injury 7.unilateral absence of breath sounds 8.elevated hemithorax w/out respiratory movement 9.neck vein distention 10.cyanosis (late sign) - 10 Signs and sx of tension pneumothorax 1. Becks Triad= increased venous pressure(distended neck veins), decreased arterial pressure(hypotension), muffled heart tones 2. PEA 3. JVD &/or Kussmauls sign 4. Use FAST to dx - Signs and sx of cardiac tamponade Careful assessment of the pt's breath sounds is paramount to differentiate the two - tension pneumothorax can often be confused with cardiac tamponade, how do you differentiate? 1. Needle decompression - large bore needle 2nd intercostal space midclavicular line 2. chest tube 4 or 5th intercostal space mid axillary - Tx of tension pneumothorax -Acidosis - Hypothermia - Coagulopathy (blood can't clot resulting in continued bleeding) - triad of death Head = 9% Chest (front) = 9% Abdomen (front) = 9% Upper/mid/low back and buttocks = 18% Each arm = 9% (front = 4.5%, back = 4.5%) Groin = 1% Each leg = 18% total (front = 9%, back = 9%) - rule of 9's adult Anterior/Posterior Head - 9% Each Anterior/Posterior Torson - 18% Each Anterior/Posterior Arms - 4.5% Each
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