Disaster Triage and Lab Values Quiz
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Questions and Answers

A patient with an airway obstruction would receive a ______ tag.

red

Major injuries that require treatment can wait for ______ to 2 hours.

1

Minor injuries, also referred to as the 'walking wounded,' receive a ______ tag.

green

Expected and allowed to die, a patient would be assigned a ______ tag.

<p>black</p> Signup and view all the answers

Normal Sodium (Na) levels range from ______ to 145.

<p>135</p> Signup and view all the answers

A neutropenic precaution is indicated when the ANC is less than ______.

<p>1000</p> Signup and view all the answers

An antidote for Warfarin is ______.

<p>Vitamin K</p> Signup and view all the answers

In Respiratory Acidosis, the pH would be ______ or low.

<p>low</p> Signup and view all the answers

For heart failure, the patient should be positioned upright with legs dangling to decrease ______ return and lung congestion.

<p>venous</p> Signup and view all the answers

After cataract surgery, the patient should be in a ______ position.

<p>semi-fowlers</p> Signup and view all the answers

In case of a DVT, elevation of the leg should be above ______ level.

<p>heart</p> Signup and view all the answers

For autonomic dysreflexia, the patient should be placed in a high-______ position to improve oxygenation.

<p>fowlers</p> Signup and view all the answers

After a craniotomy, the head should be elevated between ______ to 45 degrees.

<p>30</p> Signup and view all the answers

Airborne precautions include diseases like Measles, Chicken pox, and _____.

<p>Tuberculosis</p> Signup and view all the answers

In droplet precautions, a surgical mask is required when within ____ feet of the client.

<p>3</p> Signup and view all the answers

For contact precautions, infections like RSV and skin infections are managed with a private room or _____.

<p>cohort</p> Signup and view all the answers

After a mastectomy, the patient's affected arm should be elevated on a _____.

<p>pillow</p> Signup and view all the answers

During a rectal enema, the patient should be in the ____ position.

<p>Semi-fowlers</p> Signup and view all the answers

Before a thoracentesis, the patient should ____ their bladder.

<p>empty</p> Signup and view all the answers

For cardiac catheterization, it is critical to check the patient's allergy to _____.

<p>shellfish</p> Signup and view all the answers

After an above the knee amputation, the patient should keep the stump elevated on a _____.

<p>pillow</p> Signup and view all the answers

After a lumbar puncture, the patient should lie ______ for 4-12 hours.

<p>supine</p> Signup and view all the answers

For total hip replacement, the client should avoid ______ to prevent dislocation.

<p>adduction</p> Signup and view all the answers

Post-gastrectomy, it is essential to restrict ______ during meals.

<p>fluids</p> Signup and view all the answers

During an amniocentesis, the patient should lie on their ______ side.

<p>right</p> Signup and view all the answers

For a pulmonary function test, the patient should hold their breath mid-______.

<p>expiration</p> Signup and view all the answers

In a 24-hour creatinine clearance test, all urine should be saved and kept in the ______.

<p>fridge</p> Signup and view all the answers

Tube feedings should not be administered if bowel sounds are ______.

<p>absent</p> Signup and view all the answers

Endotracheal tubes are used to maintain a patent airway with ______ ventilation.

<p>mechanical</p> Signup and view all the answers

The cuff of the endotracheal tube inflates to prevent ______ and ensure tidal volume.

<p>aspiration</p> Signup and view all the answers

After any eye surgery, patients should move ______ and avoid bending over.

<p>slowly</p> Signup and view all the answers

A normal range for albumin is between ______ g/dL.

<p>3.4 - 5</p> Signup and view all the answers

Troponin I levels rise within ______ hours after cardiac injury.

<p>3</p> Signup and view all the answers

HDL cholesterol levels should be greater than ______ mg/dL.

<p>40-60</p> Signup and view all the answers

A potential antidote for lithium toxicity is ______.

<p>Digibind</p> Signup and view all the answers

The normal range for LDL cholesterol is less than ______ mg/dL.

<p>130</p> Signup and view all the answers

Hyperkalemia is defined as having potassium levels greater than ______ mEq/L.

<p>5</p> Signup and view all the answers

In Cushing's syndrome, symptoms include moon face and buffalo ______.

<p>hump</p> Signup and view all the answers

For adolescents and adults, a normal fasting blood glucose level ranges from ______ mg/dL.

<p>70-110</p> Signup and view all the answers

Chvostek's sign is associated with ______ deficiency.

<p>calcium</p> Signup and view all the answers

Symptoms of hypernatremia include a flushed ______.

<p>skin</p> Signup and view all the answers

The normal range for triglycerides is less than ______ mg/dL.

<p>150</p> Signup and view all the answers

Patients with Addison's disease often exhibit ______ skin pigmentation.

<p>bronze</p> Signup and view all the answers

A critical condition associated with severe hyperthyroidism is known as a ______ storm.

<p>thyroid</p> Signup and view all the answers

In diabetes insipidus, patients often experience ______.

<p>polydipsia</p> Signup and view all the answers

If it is a dry suction system there is no ______ and you control the amount of suction with a dial on the wall.

<p>bubbling</p> Signup and view all the answers

The ______ nerve is responsible for the sense of smell.

<p>Olfactory</p> Signup and view all the answers

The ______ nerve is associated with pupil constriction and eye movement.

<p>Oculomotor</p> Signup and view all the answers

During the crisis of Trust vs ______, infants develop skills to build a trusting relationship.

<p>Mistrust</p> Signup and view all the answers

Children in the Early Childhood stage engage in ______ play, allowing them to express independence while playing nearby others.

<p>Parallel</p> Signup and view all the answers

The ______ stage of Erikson's development involves children developing social, physical, and learning skills.

<p>School Age</p> Signup and view all the answers

One of the key milestones for an infant at 2-3 months is that the posterior ______ closes.

<p>fontanel</p> Signup and view all the answers

A major concern during the infant period is ______ baby syndrome, often associated with colic.

<p>shaken</p> Signup and view all the answers

The ______ nerve controls tongue movement and can be tested for asymmetry.

<p>Hypoglossal</p> Signup and view all the answers

In the stage of Late Childhood, play is characterized by ______ and cooperative activities.

<p>associative</p> Signup and view all the answers

Flashcards

Red Tag Triage

Immediate threat to life, treat immediately (airway, shock, severe bleeding).

Yellow Tag Triage

Major injuries, treatment within 1-2 hours.

Green Tag Triage

Minor injuries, treatment can be delayed 2-4 hours.

Black Tag Triage

Expected death, prepare for morgue.

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Sodium (Na) level

Normal range: 135-145 mEq/L.

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Blood Glucose Normal Range

70-110 mg/dL

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Uncompensated Acidosis

pH is abnormal, either PaCO2 or HCO3 is abnormal.

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Urine Specific Gravity

Measure of urine concentration/particle amount.

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Airborne Precautions

Used for contagious diseases spread through the air, like measles, chickenpox (Varicella), and Tuberculosis.

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Droplet Precautions

Used for contagious diseases spread through large droplets, like influenza and pneumonia.

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Contact Precautions

Used for contagious diseases spread through direct contact, like wound infections and skin infections.

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Mastectomy Positioning

Post-operative positioning for mastectomy involves elevating the affected arm.

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Post-Homorroidectomy Positioning

Side-lying (lateral) position is typical post-op. A pillow under puncture site for pressure.

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Below-knee Amputation Positioning

Initial positioning focuses on elevating the affected leg. Prone position for exercises to prevent hip contracture, sitting up or lying.

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Cardiac Catheterization Preparation

Important to empty the patient's bladder; check shellfish allergy.

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Thoracentesis Positioning

Patient needs to empty their bladder before the procedure.

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Pulses First, Then Pain

After procedures, assess bilateral pulses BEFORE asking about pain. Keep patient flat or with head of bed elevated no more than 30 degrees.

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Heart Failure Positioning

Position patients upright with legs dangling over the edge of the bed to decrease venous return and lung congestion. Elevate feet at rest, but NOT above the level of the heart.

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DVT Positioning

Elevate the affected leg above heart level to reduce swelling. Avoid prolonged sitting or standing.

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Cataract Surgery Positioning

Semi-Fowler's position with the patient on their back or non-operative side. Immediately post-op, position the patient face down.

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Autonomic Dysreflexia Positioning

High Fowler's position is recommended to improve oxygenation. For hemorrhagic strokes, elevate head of bed to 30 degrees. For ischemic strokes, keep the patient flat.

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Normal Albumin levels

3.4 - 5 g/dL

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PSA levels after DRE

Drawn 48 hrs after DRE, can be falsely elevated otherwise

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Saw palmetto effect on PSA

Artificially lowers PSA levels

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Normal Troponin I level

< 0.4 ng/mL

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High Troponin T level

1.5 ng/mL, indicates possible heart attack

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Normal BNP level

< 0.2 pg/mL

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High BNP level

100 pg/mL, suggests heart failure

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Normal ESR level

0-20 mm/hr

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Normal HDL cholesterol level

40 mg/dL (men) / > 50 mg/dL (women)

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Normal LDL cholesterol level

< 130 mg/dL

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Normal Triglyceride level

< 150 mg/dL

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Normal Cholesterol level

< 200 mg/dL

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Normal AST & ALT levels

8-20 U/L

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Normal HbA1c level

4-6%

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Post-Gastrectomy Diet

A diet tailored to prevent dumping syndrome, a rapid emptying of stomach contents into the small intestine after surgery. It involves eating smaller, more frequent meals, limiting carbohydrates and fiber, and increasing protein and fat.

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Miller-Abbott or Cantor Tube

A long tube inserted through the nose and into the small intestine for decompression and removal of intestinal secretions. It is typically used for paralytic ileus (a condition where the bowels stop working).

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Amniocentesis Positioning

The patient lies on their right side with an empty bladder.

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Total Hip Replacement Positioning

AVOID ADDUCTION (bringing legs together). Abduction pillows, trochanter rolls, and trapeze bars are critical to prevent complications.

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MRI Pre-Procedure

Bowel prep the night before, stop metformin 48 hours prior, remove all metal objects.

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Myelogram

A procedure that uses contrast dye injected into the lumbar spine to visualize the vertebral canal and diagnose conditions like tumors, cysts, or herniated discs.

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Pulmonary Function Test (PFT) Positioning

Side-lying or with arms raised on pillows, hold breath mid-expiration.

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Lung Biopsy Diet

AVOID HIGH PROTEIN DIET BEFORE THE TEST.

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24-Hour Creatinine Clearance Test

Collect all urine for 24 hours and keep in the fridge. Avoid strenuous activity.

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Tube Feedings

Do not administer if bowel sounds are absent, residual is greater than 100ml, or if the feeding bag is empty. Flush the tube with saline before and after medications and feedings.

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Dry Suction System

A suction system that does not produce bubbles and allows for control of suction strength using a dial.

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Cranial Nerve I

The olfactory nerve is responsible for the sense of smell.

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Cranial Nerve II

The optic nerve is responsible for vision.

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Cranial Nerve III

The oculomotor nerve controls pupil constriction and eye movement.

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Cranial Nerve V

The trigeminal nerve is responsible for chewing, sensation in the face, and the corneal reflex.

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Cranial Nerve VII

The facial nerve is responsible for facial expressions, taste, and tear production.

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Cranial Nerve VIII

The auditory or vestibulocochlear nerve is responsible for hearing and balance.

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Erikson's Stage: Trust vs. Mistrust

This stage occurs from birth to 18 months and focuses on developing trust in caregivers.

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Erikson's Stage: Autonomy vs. Shame and Doubt

This stage, from 18 months to 3 years, focuses on developing independence and self-control.

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Colic

Recurrent episodes of unexplained inconsolable crying in infants, often characterized by redness, sweating, and quivering.

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Study Notes

Disaster Triage

  • Red Tag (Class I): Immediate threat to life, treat right away (e.g., airway obstruction, profound hemorrhage)
  • Yellow Tag (Class II): Requires immediate attention (e.g., shock)
  • Green Tag (Class III or Nonurgent): Major injuries that need treatment within 1-2 hours, minor injuries can wait 2-4 hours
  • Black Tag (Class IV or Expectant): Treatment can be delayed more than 2 hours, or expected to die, cardiac arrest

Lab Values

  • Sodium (Na): 135-145
  • Potassium (K): 3.5-5.0
  • Calcium (Ca): 8.6-10.2
  • Magnesium (Mg): 1.3-2.3
  • Chloride (Cl): 97-107
  • Phosphorous (P): 2.5-4.5
  • Creatinine: 0.6-1.2
  • WBC: 5,000-10,000
  • RBC: ANC < 1000 = neutropenic
  • BUN: 10-20
  • Glucose: 70-110
  • Hgb: 12-18
  • Hct: (3x Hgb) 36-54
  • Platelets: 150,000-400,000
  • PT: 11-13 (pre-teen age)
  • INR: 0.8-1.1 (warfarin: multiply by 1.5-2.5)
  • aPTT: 30-40 (warfarin: 2-3 (multiply by 1.5-2.5), heparin: 45-70 (multiply by 1.5-2.5))

Additional Information

  • Anticoagulants prolong blood clot formation time

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Description

Test your knowledge on disaster triage categories and essential lab values. This quiz covers critical concepts such as immediate threats to life and the normal ranges for key laboratory tests like sodium and potassium. Perfect for healthcare professionals looking to refresh their skills.

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