199 QUESTIONS AND VERIFIED ANSWERS
What is the most reliable method of confirming and montioring correct
placement of an ET tube?
Continuous waveform capnography
We have an expert-written solution to this problem!
The upper airway consists of...
Nose, Mouth, Jaw, Oral Cavity, Pharynx, and Larynx
chest tube placement in a pregnant patient is 1-2 spaces higher
Because of the lifted diaphragm
What is the cause of physiological anemia in pregnant patients?
Hemodilitional anemia occurs. Plasma volume increases 30-50%.
Preterm Labor (PTL)
abruptio placentae
premature separation of the placenta from the uterine wall
,On a pregnant patient...
Chest compressions must be higher on the sternum.
Any preg patient 20 weeks pregnant or more with a uterus above the umbilicus
should have the uterus left laterally displaced during compressions to avoid
aortocaval compression. A 15 degree tilt of the long board or lateral
displacement.
What is the Maternal Fetal Triage Index?
A valid reliable 5 level triage tool that may assist in the triage of obstetric
trauma patients.
Displacing the uterus off the vena cava can improve CO by
approximately 30%!
Continuous fetal monitoring is recommended...
for all pregnant patients 20 or more weeks gestation... or (uterus above belly
button).
Fundal height measurement
equals the approximate gestational age in weeks, until week 32.
Belly button is 20 weeks
Height of last rib is 26 weeks
costal margin is 36 weeks
,Any fundal height indicating 23 or more weeks...
at the last rib and above is consistent with a viable fetus.
What type of blood should a pregnant trauma patient receive?
O-NEG baybay.
Initiate cardiotocography in any mother
20 or more weeks gestation, must be monitored for at least 6 hours.
What is the serum lab test that detects fetal red cells in the maternal circulation?
Kleinhauer Bette KB serum test. This lab is used to determine if hemorrhage of
fetal blood through the placenta and into maternal circulation. KB test is an
important detector of abruptio placentae, preterm labor and need to administer
Rh negative globulin when mom is Rh negative and fetus is Rh positive.
Continue fetal monitoring for a minimum of ---- hours for any viable pregnancy
and up to _____ hours if there is abdominal trauma
6..... 24
Sonography has __________ for diagnosis placental abruption,
POOR.... they miss 50-80% of abruptions.
, In addition to routine labs a
Prothrombin (PT ) and PTT and serial coags should be drawn. Beta Human
Chorionic gonadotropin (BHCG)
Measure and record fundal height every
30 minutes.
Pediatric Mechanisms of injury and biomechanics
Blunt trauma MVC > suffocations > drownings > fires/burns. No. 1 cause of
fatalities is TBI.
Primary Survey/ Resuscitation
Survival rates in pediatric emergency can be directly correlated with
1.RAPID AIRWAY MANAGEMENT,
2.INITIATION OF VENTILATORY SUPPORT, AND
3.EARLY RECOGNITION OF AND EARLY RESPONSE TO INTRA
abdominal AND intracranial hemorrhages
A STEMI is a __________ resulting from a _________.
Complete Occlusion of a coronary artery
caused by a ruptured Plaque leading to blood clot formation in the coronary.