Chamberlain University NR 340 Critical Care Exam 2 ACTUAL EXAM
QUESTIONS WITH EXPERT QUESTIONS AND ANSWERS | GRADED A+ |
FULLY SOLVED & UPDATED | GUARANTEED PASSS
·Trauma - caused by injury or external force
o 3 types
▪ Blunt
·Most common type
·When something hits the body. Ex. Car accidents, falls, beatings.
Problem: Is you don’t always see the extent of the injury. Don’t know
what’s going on under the
, ·
surfa
ce.
·FAST Scan (Focused Assessment with Sonography for Trauma)
o Quick ultrasound of organs in the abdomen to determine any internal injuries ·
Abdominal injury most commonly associated with blunt forced trauma. ▪
Penetrating
· Anything that penetrates the body. Ex. Gunshot, stabbing, anything
that piercing the skin and is sticking out of you, ice picks. Less
Common.
· 2 Problems:
o High infection risk. Especially with injuries to
the abdomen.
o Did object hit any vital/internal
organs?
▪ Depending on what organ is hit it can leak into the body (i.e
stomach/GI contents). We look at this when someone gets
shot. Did it hit anything vital?
▪ Blasts
· 3 concerns
o What got blasted? What kind of shrapnel what is exploding? Anything that
explodes.
o Injury to internal hollow organ from shockwaves. Depends on
how close you are to the
o First concern: blast. What is blasted out of the bomb maybe a chemical
Whatever is being or object ex: screws
blasted out, chemicals from the bomb. Second concern: Trauma to our hollow
internal organs from the shock waves. Final Concern: Secondary injuries related
, to how close you were to the blast. Ex: Could be thrown a distance
injuring spinal cord.
o Secondary (tertiary) injuries (Blunt, head, spinal cord, burns, bleeding)
·Means to sort – based on the need of each patient.
·Any time you have multiple people in a large trauma. We triage patients by color.
·Color coding system
o Red – A B or C is compromised, priority. These individuals will get to the hospital
first; they will take the first ambulances or get flown out.
o Yellow – ABC intact but still has serious injury, second priority
▪ Femur factures with stable vitals, second degree burns (stable vitals)
o Green – Minor injury (sprains, minor burns, scratches, abrasions), least priority
people who will wait the longest and be bitching the longest.
o Black – Dead (no breathing, no pulse, fixed dilated pupil) use resources
elsewhere.
▪ Someone with Cardiac Tamponade with hill 3 specifics: Beck’s Triad JVD,
Hypotension, and muffled
· Trauma heart sounds Patient needs
Hospitals: pericardialcentesis
Trauma centers
get graded on scale 1 - 4
o Level 1 - most comprehensive Ex: Color Red o Level 4 – least comprehensive:
Stabilizes patient and ships them out elsewhere
·Trauma Team – when patient gets to hospital they are presented with a trauma team
o Preset
, o Doctor, trauma surgeon, nurses, respiratory therapist, lab, radiology, PCT o
Pastoral services (support of family or patient), end of life - last rights(prayers) Ex:
Priest, Pastor
o Security – shit gets wild. (gangs, domestic violence, famous people, patients
(medications)
·Primary Survey (see table)
o One to two minute evaluation tool in which we assess establish priorities and
treat at the very same time.
o Airway comes first always EXCEPT when patient was a spinal cord injury toy would
FIRST stabilize spine before
airway if suspected
spinal injury.
o Drug and alcohols effect on the trauma
▪ causes of trauma, withdrawals. neurological impairment
speak or swallow,
▪
If you make it to secondary survey and your patient starts to be unstable
what do you do? START
OVER, go back
to A
drooling, or high level
Survey
Primary Survey: spinal cord in-
decreased level of
A=Airway – is Rationale Abnormal Assessment conjury, vomit, blood or a
our patient Findings for- sciousness,
airways intact if facial/head
so move on to B, Obstructions can occur due Shallow, Treatment/Actions
if not perform an noisy breathing, to edema, posterior dis-
intervention. stridor, central cyanosis, placement
Assess airway First: Opening the airway
of the tongue, in- nasal flaring,
patency with a headtilt-chin-lift or
accessory musability to protect airway
Treatment, jaw-thrust maneuver
due cle use, anxiety, inability to to
QUESTIONS WITH EXPERT QUESTIONS AND ANSWERS | GRADED A+ |
FULLY SOLVED & UPDATED | GUARANTEED PASSS
·Trauma - caused by injury or external force
o 3 types
▪ Blunt
·Most common type
·When something hits the body. Ex. Car accidents, falls, beatings.
Problem: Is you don’t always see the extent of the injury. Don’t know
what’s going on under the
, ·
surfa
ce.
·FAST Scan (Focused Assessment with Sonography for Trauma)
o Quick ultrasound of organs in the abdomen to determine any internal injuries ·
Abdominal injury most commonly associated with blunt forced trauma. ▪
Penetrating
· Anything that penetrates the body. Ex. Gunshot, stabbing, anything
that piercing the skin and is sticking out of you, ice picks. Less
Common.
· 2 Problems:
o High infection risk. Especially with injuries to
the abdomen.
o Did object hit any vital/internal
organs?
▪ Depending on what organ is hit it can leak into the body (i.e
stomach/GI contents). We look at this when someone gets
shot. Did it hit anything vital?
▪ Blasts
· 3 concerns
o What got blasted? What kind of shrapnel what is exploding? Anything that
explodes.
o Injury to internal hollow organ from shockwaves. Depends on
how close you are to the
o First concern: blast. What is blasted out of the bomb maybe a chemical
Whatever is being or object ex: screws
blasted out, chemicals from the bomb. Second concern: Trauma to our hollow
internal organs from the shock waves. Final Concern: Secondary injuries related
, to how close you were to the blast. Ex: Could be thrown a distance
injuring spinal cord.
o Secondary (tertiary) injuries (Blunt, head, spinal cord, burns, bleeding)
·Means to sort – based on the need of each patient.
·Any time you have multiple people in a large trauma. We triage patients by color.
·Color coding system
o Red – A B or C is compromised, priority. These individuals will get to the hospital
first; they will take the first ambulances or get flown out.
o Yellow – ABC intact but still has serious injury, second priority
▪ Femur factures with stable vitals, second degree burns (stable vitals)
o Green – Minor injury (sprains, minor burns, scratches, abrasions), least priority
people who will wait the longest and be bitching the longest.
o Black – Dead (no breathing, no pulse, fixed dilated pupil) use resources
elsewhere.
▪ Someone with Cardiac Tamponade with hill 3 specifics: Beck’s Triad JVD,
Hypotension, and muffled
· Trauma heart sounds Patient needs
Hospitals: pericardialcentesis
Trauma centers
get graded on scale 1 - 4
o Level 1 - most comprehensive Ex: Color Red o Level 4 – least comprehensive:
Stabilizes patient and ships them out elsewhere
·Trauma Team – when patient gets to hospital they are presented with a trauma team
o Preset
, o Doctor, trauma surgeon, nurses, respiratory therapist, lab, radiology, PCT o
Pastoral services (support of family or patient), end of life - last rights(prayers) Ex:
Priest, Pastor
o Security – shit gets wild. (gangs, domestic violence, famous people, patients
(medications)
·Primary Survey (see table)
o One to two minute evaluation tool in which we assess establish priorities and
treat at the very same time.
o Airway comes first always EXCEPT when patient was a spinal cord injury toy would
FIRST stabilize spine before
airway if suspected
spinal injury.
o Drug and alcohols effect on the trauma
▪ causes of trauma, withdrawals. neurological impairment
speak or swallow,
▪
If you make it to secondary survey and your patient starts to be unstable
what do you do? START
OVER, go back
to A
drooling, or high level
Survey
Primary Survey: spinal cord in-
decreased level of
A=Airway – is Rationale Abnormal Assessment conjury, vomit, blood or a
our patient Findings for- sciousness,
airways intact if facial/head
so move on to B, Obstructions can occur due Shallow, Treatment/Actions
if not perform an noisy breathing, to edema, posterior dis-
intervention. stridor, central cyanosis, placement
Assess airway First: Opening the airway
of the tongue, in- nasal flaring,
patency with a headtilt-chin-lift or
accessory musability to protect airway
Treatment, jaw-thrust maneuver
due cle use, anxiety, inability to to
