QUESTIONS AND ANSWERS STUDY GUIDE
⩥ Pg 246 A soldier is stabbed in the liver, what quadrant is that?
Answer: Right Upper
⩥ How much fluid can the abdomen hold before you can begin to notice
it due to
distension? Answer: 1.5 Liters (1500Mls)
⩥ Pg 249 How much fluid can the abdomen hold in total Answer: All
Circulation Volume (10 Liters)
⩥ Pg 248 Which organ produces insulin and glucagon? Answer: The
Pancreas
⩥ Pg 248 Where do the small intestine and the pancreas meet? Answer:
The Duodenum
⩥ Pg 246 A Soldier was hit in the upper left quadrant with a baseball bat
by a guy with a running
start. They show signs of hypovolemic shock. What organ do you think
ruptured? Answer: The Spleen
,⩥ Pg 254 Your casualty is unconscious, their intestines are showing.
What antibiotic do you
administer? Answer: 1g of Ertapenem (invanz)
⩥ Pg 251 Your casualty was in an MVA in which their abdomen was
crushed. Their blood
pressure drops. Their heart rate increases. Explain why Answer:
Bleeding into the abdominal cavity has caused them to go into shock
⩥ Pg 263 Your casualty was found passed out in a smoke filled vehicle.
Why would you think they have inhalation burns. Answer: They were in
a closed space fire
⩥ Pg 263 If you suspect an inhalation injury, where do you expect to see
burns? Answer: Face and Scalp
⩥ Pg 259 Minor tissue damage that reddens the epidermis only is?
Answer: First degree Burns
⩥ Pg 259 A reddened blistered appearance is? Answer: Second degree
burns
⩥ Pg 261 The palm of a burn casualty's hand represents.
,___% estimated TBSA Answer: 1%
⩥ Pg 269 Urinary output for a burn casualty should be kept at? Answer:
30-50 ml per hour
⩥ How do you monitor urinary output? Answer: Urinary catheter
⩥ Pg 268 Casualty is 90 kgs. TSA is 47%. IV tubing is 15 gtts/ml. What
is the fluid per hour and
drops per minute? Answer: 150 drops per minute
47% rounds up to 50%
50x10=500mls per hour
Due to their weight you will add 100 ml to the hourly rate 500+100=
600 mls/hour
(600×15)60 -> reduce 15/60= ¼ which turns your equation into 600/4
⩥ Pg 268 A casualty is 185 kgs. They have burns to the face, anterior
trunk, posterior right arm,
anterior left leg. IV tubing is 10 gtts/ml. What is the TBSA? Answer:
36%
4.5=face
18= anterior trunk
4.5= posterior right arm
, 9= anterior left leg
⩥ Pg 268 A casualty is 122 kg. They have burns to the posterior trunk,
circumferential left arm,
and genitals. IV tubing is 15 gtts/ml. How many mis of fluid do you add
because of their
weight? Answer: + 400 mls
⩥ Pg Casualty is 102 kgs. They have burns to their face, circumferential
trunk, anterior left leg,
and circumferential right arm. IV tubing is 15 gtts/ml. What is their fluid
flow rate? Answer: 200 drops/min
4.5=face
36=circumferential trunk
9=anterior left leg
9= circumferential right arm
58.5=60
60x10=600+200=800mls/hour
(800x15)/60=200 drops per minute
⩥ Pg 268 Casualty is 73 kg. They have circumferential burns to both
legs. IV tubing is 15 gtts/ml.
What is their fluid flow rate? Answer: 100 gtts/min