TCAR SSM Review Exam with Questions and Answers

TCAR SSM Review Exam with Questions and Answers What are the suggested lab studies for someone in Trauma induced cogulaopthy? ANSWER Thromboelastography (TEG) Rotational Thromobelastometry (ROTEM) both testes provide real-time visual representation of clot formation and clot lysis Why is autotransfused blood better than banked blood? ANSWER It is fresher, warmer, releases O2 better, and costs less Banked blood causes what electrolyte abnormalities? ANSWER Elevated K-released from old or damaged blood cells Decreased Ca-citrate in blood binds with calcium so the ionized Ca level is low What nursing assessment would make you suspet low calcium? ANSWER Carpal spasm (Trousseau Sign) while checking BP What does SBP estimate for you? ANSWER SBP= CO--they go up & down together It is an indication of volume (preload) and contractility What does DBP estimate for you? ANSWER DBP is a measure of vascular resistance-afterload DBP reflects vasoconstriction due to sympathetic compensation