TNCC Questions & Answers – 8th Edition
When do you establish IV access?
Right after the circulatory assessment
At what point to you evaluate need for transfer or definitive care?
After the primary survey
How do you palpate the iliac crests?
Downward and medially
The 3 components of the pediatric assessment triangle
Skin circulation, work of breathing, general appearance
What type of fluids should you give kids with normal blood glucose?
Fluids with dextrose to prevent hypoglycemia
How much fluid do you give a kid?
20mL/kg
What assessment finding gives concern for severe brain injury?
Bulging fontanels
Parkland formula
3mL x the weight in kg x % TBSA = the fluid to go over 24 hours
How do you give the fluid over 24 hours in parkland formula?
First half over 8 hours and second half over 16 hours
Normal baseline FHR
120-160
What does Kleihauer-Betke test for?
Tests for fetal RBCs I. Maternal circulation, which is abnormal and could indicate
fetomaternal hemorrhage has occurred
Symptoms of abruptly placentae
Dark red bleeding, sudden sharp abdominal pain, “board-like” uterus, increased
FHR
Symptoms of uterine rupture
Sudden sharp abdominal or suprapibic pain, asymmetry of uterus, decreased FHR
What degree to you tilt the supine pregnant patient to prevent supine hypotension?
15 degrees
3 parts of the trauma triad of death
Hypothermia, coagulopathy, metabolic acidosis
Examples of obstructive shock
Tension pneumo, cardiac tamponade, pulmonary artery embolism
Symptoms of stage 1 of shock
Change in neuro status, increased DBP, decreased UO, tachycardia