{"id":116069,"date":"2023-08-25T06:45:51","date_gmt":"2023-08-25T06:45:51","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116069"},"modified":"2023-08-25T06:45:54","modified_gmt":"2023-08-25T06:45:54","slug":"tncc-notes-for-written-exam-latest-update-2023-2024-2","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/25\/tncc-notes-for-written-exam-latest-update-2023-2024-2\/","title":{"rendered":"TNCC Notes for Written Exam Latest Update 2023 \/ 2024"},"content":{"rendered":"\n<p>TNCC NOTES FOR WRITTEN EXAM<br>Notes taken from course, book in preparation for written exam.<br>What is kinetic energy (KE)?<br>KE equals 1\/2 the mass (M) multiplied by the velocity squared.<br>What is the Mnemonic for the Initial Assessment?<br>A = Airway with simultaneous cervical spine protection<br>B = Breathing<br>C = Circulation<br>D = Disability (neurologic status)<br>E = Expose\/Environmental controls (remove clothing and keep the patient warm)<br>What is the Mnemonic for the Secondary Assessment?<br>F = Full set of VS\/Focused adjuncts (includes cardiac monitor, urinary catheter, and<br>gastric tube)\/Family presence<br>G = Give comfort measures (verbal reassurance, touch, and pharmacologic and<br>nonpharmacologic management of pain).<br>H = Hx and Head-to-toe assessment<br>I = Inspect posterior surfaces<br>Where do you listen to auscultate breath sounds?<br>Auscultate the lungs bilaterally at the second intercostal space midclavicular line<br>and at the fifth intercostal space at the anterior axillary line.<\/p>\n\n\n\n<p>What are the late signs of breathing compromise?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tracheal deviation<\/li>\n\n\n\n<li>JVD<br>What are signs of ineffective breathing?<\/li>\n\n\n\n<li>AMS<\/li>\n\n\n\n<li>Cyanosis, especially around the mouth<\/li>\n\n\n\n<li>Asymmetric expansion of chest wall<\/li>\n\n\n\n<li>Paradoxical movement of the chest wall during inspiration and expiration<\/li>\n\n\n\n<li>Use of accessory muscles or abdominal muscles or both or diaphragmatic<br>breathing<\/li>\n\n\n\n<li>Sucking chest wounds<\/li>\n\n\n\n<li>Absent or diminished breath sounds<\/li>\n\n\n\n<li>Administer O2 via NRB or assist ventilations with a bag-mask device, as indicated<\/li>\n\n\n\n<li>Anticipate definitive airway management to support ventilation.<br>Upon initial assessment, what type of oxygen should be used for a pt breathing<br>effectively?<br>A tight-fitting nonrebreather mask at 12-15 lpm.<br>What intervention should be done if a pt presents with effective circulation?<\/li>\n\n\n\n<li>Insert 2 large caliber IV&#8217;s<\/li>\n\n\n\n<li>Administer warmed isotonic crystalloid solution at an appropriate rate<\/li>\n<\/ul>\n\n\n\n<p>What are signs of ineffective circulation?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tachycardia<\/li>\n\n\n\n<li>AMS<\/li>\n\n\n\n<li>Uncontrolled external bleeding<\/li>\n\n\n\n<li>Pale, cool, moist skin<\/li>\n\n\n\n<li>Distended or abnormally flattened external jugular veins<\/li>\n\n\n\n<li>Distant heart sounds<br>What are the interventions for Effective\/Ineffective Circulation?<\/li>\n\n\n\n<li>Control any uncontrolled external bleeding by:<\/li>\n\n\n\n<li>Applying direct pressure over bleeding site<\/li>\n\n\n\n<li>Elevating bleeding extremity<\/li>\n\n\n\n<li>Applying pressure over arterial pressure points<\/li>\n\n\n\n<li>Using tourniquet (last resort).<\/li>\n\n\n\n<li>Cannulate 2 large-caliber IV&#8217;s and initiate infusions of an isotonic crystalloid<br>solution<\/li>\n\n\n\n<li>Use warmed solution<\/li>\n\n\n\n<li>Use pressure bags to increase speed of IVF infusion<\/li>\n\n\n\n<li>Use blood administration tubing for possible administration of blood<\/li>\n\n\n\n<li>Use rapid infusion device based on protocol<\/li>\n\n\n\n<li>Use NS 0.9% in same tubing as blood product<\/li>\n\n\n\n<li>IV = surgical cut-down, central line, or both.<\/li>\n\n\n\n<li>Blood sample to determine ABO and Rh group<\/li>\n\n\n\n<li>IO in sternum, legs, arms or pelvis<\/li>\n\n\n\n<li>Administer blood products<\/li>\n\n\n\n<li>PASG (without interfering with fluid resuscitation)<\/li>\n<\/ul>\n\n\n\n<p>How do you assess Mnemonic &#8220;D&#8221;?<br>DISABILITY<br>A = Alert<br>V = Verbal<br>P = Pain<br>U = Unresponsive<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>GCS<\/li>\n\n\n\n<li>PERRL?<\/li>\n\n\n\n<li>Determine presence of lateralizing signs including:<\/li>\n\n\n\n<li>Unilateral deterioration in motor movements or unequal pupils<\/li>\n\n\n\n<li>Symptoms that help to locate area of injury in brain<br>What are the interventions for Disability?<\/li>\n\n\n\n<li>If assessment indicates a decreased LOC, conduct further investigation during<br>secondary focused assessments<\/li>\n\n\n\n<li>If pt is not alert or verbal, continue to monitor for any compromise to ABC&#8217;s<\/li>\n\n\n\n<li>If pt demonstrates signs of herniation or neurologic deterioration, consider<br>hyperventilation.<br>What is assessed and intervened for Expose\/Environmental Controls?<\/li>\n\n\n\n<li>Remove clothing<\/li>\n\n\n\n<li>Ensure appropriate decontamination if exposed to hazardous material<\/li>\n\n\n\n<li>Keep pt warm<\/li>\n\n\n\n<li>Keep clothing for evidence<br>What is the first thing assessed under the Secondary Assessment?<br>FULL SET VS \/ FOCUSED ADJUNCTS \/ FAMILY PRESENCE<\/li>\n\n\n\n<li>ABCDE should be completed<\/li>\n\n\n\n<li>Labs, X-rays, CT, Foley,<\/li>\n\n\n\n<li>Family Presence<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>TNCC NOTES FOR WRITTEN EXAMNotes taken from course, book in preparation for written exam.What is kinetic energy (KE)?KE equals 1\/2 the mass (M) multiplied by the velocity squared.What is the Mnemonic for the Initial Assessment?A = Airway with simultaneous cervical spine protectionB = BreathingC = CirculationD = Disability (neurologic status)E = Expose\/Environmental controls (remove clothing [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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