Introduction to Critical Care
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Questions and Answers

What does the primary survey (ABCDE) stand for?

  • Airway, Breathing, Circulation, Disability, Exposure (correct)
  • Airway, Breathing, Circulation, Damage, Exposure
  • Airway, Brain, Circulation, Development, Exposure
  • Assessment, Breathing, Compression, Diagnosis, Exposure
  • In the presence of excessive bleeding, the sequence of assessment should change to CAB.

    True

    What is the goal when addressing excessive bleeding?

    To stop active bleeding

    What is the Glasgow Coma Scale used to assess?

    <p>Level of consciousness</p> Signup and view all the answers

    The temperature for a medical emergency in heat stroke can exceed ______ degrees.

    <p>104</p> Signup and view all the answers

    What are the symptoms of heat exhaustion?

    <p>Weakness, nausea, vomiting, headache, body temperature not elevated</p> Signup and view all the answers

    Which of the following is NOT a symptom of heat stroke?

    <p>Elevated blood pressure</p> Signup and view all the answers

    Anaphylaxis may occur from bee stings, presenting with skin reactions and bronchospasm.

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

    What should be done immediately in the event of severe snake bites?

    <p>Ensure patent IV lines and have resuscitation equipment available.</p> Signup and view all the answers

    A patient with heat stroke may exhibit ______ behavior.

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

    What should be monitored in patients with potential anaphylaxis?

    <p>Vital signs, blood pressure, and cardiac function</p> Signup and view all the answers

    Which type of heat stroke results from strenuous physical activity?

    <p>Exertional heat stroke</p> Signup and view all the answers

    What is the total score for a fully responsive individual on the Glasgow Coma Scale?

    <p>15</p> Signup and view all the answers

    What actions should be taken in the event of lightning injuries?

    <p>Assess for hypovolemia and shock and monitor for cardiac effects.</p> Signup and view all the answers

    Study Notes

    Healthy Work Environment

    • Essential for effective critical care delivery.

    Primary Survey (ABCDE)

    • Framework for rapid assessment: Airway, Breathing, Circulation, Disability, Exposure.
    • In cases of excessive bleeding, prioritize CAB (Circulation, Airway, Breathing) to halt active bleeding.
    • For trauma, establish two large bore IV accesses (antecubital or above).

    Secondary Survey and Resuscitation Interventions

    • Conduct comprehensive head-to-toe assessment after addressing immediate life threats to identify additional injuries.

    Airway Management

    • Spontaneous Breathing: Provide non-rebreather mask.
    • Ventilatory Support: Use bag valve mask with an appropriate airway and 100% oxygen.
    • Significant impairment requires endotracheal intubation and mechanical ventilation.

    Triage Categories

    • Emergent: Immediate life or limb threat (e.g., chest pain).
    • Urgent: Requires quick treatment but not life-threatening (e.g., abdominal pain).
    • Nonurgent: Can wait 7 hours for care without significant risks (e.g., strains, sprains).

    Glasgow Coma Scale (GCS)

    • Eye Opening Response (max 4): Spontaneous (4), Speech (3), Pain (2), No Response (1).
    • Best Verbal Response (max 5): Oriented x 3 (5), Confused (4), Inappropriate Words (3), Incomprehensible Sounds (2), No Response (1).
    • Best Motor Response (max 6): Obeys commands (6), Moves to localized pain (5), Flexion to pain (4), Decorticate response (3), Decerebrate response (2), No Response (1).
    • Total GCS Score: 15 (best response), 8 or less (comatose), 3 (totally unresponsive).

    Heat Exhaustion

    • Results from dehydration due to heavy perspiration and inadequate fluid/electrolyte intake.
    • Symptoms: Weakness, nausea, vomiting, headache, normal body temperature, hyponatremia.
    • Untreated can progress to heat stroke.

    Heat Stroke

    • Medical emergency with potential fatality if untreated.
    • Body temperature may exceed 104°F (40°C).
    • Types:
      • Exertional: Rapid onset from strenuous activity in hot, humid conditions.
      • Classical (non-exertional): Develops gradually from prolonged heat exposure.
    • Assessment includes history of heat exposure, elevated temperature, altered mental status, hypotension, tachycardia, oliguria, elevated cardiac troponin, and electrolyte imbalances.
    • Treatment involves emergency care, restoring thermoregulation, and following ABCDE protocol.

    Anaphylaxis from Arthropods and Bees

    • Symptoms include local reactions (swelling, urticaria), bronchospasm, laryngeal edema, hypotension, nausea, vomiting, and potential renal failure.
    • Monitor vital signs and cardiac function.
    • Administer medications: antihistamines, epinephrine, albuterol, corticosteroids.
    • Observe patients for 7 hours or consider admission.

    Snakebites

    • Significant risk of airway compromise and respiratory failure.
    • Ensure a patent IV line and have resuscitation equipment ready.
    • Consult Poison Control for antivenin guidance.

    Lightning Injuries

    • Highly preventable; can lead to varying effects:
      • Mild: Stunned or confused.
      • Moderate: Confusion or comatose, temporary paralysis.
      • Severe: Profound cardiac/CNS effects, potential cardiac arrest.
    • Assess for complications like cataracts, tympanic membrane rupture, cerebral hemorrhage, depression, PTSD, and Lichtenberg figures.
    • Monitor for hypovolemia and shock; may require ventilation.

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    MedSurg2.docx

    Description

    This quiz covers key concepts from the introduction to critical care, focusing on creating a healthy work environment and the essential rapid assessments needed in emergencies. Important topics include primary and secondary surveys, emphasizing the ABCDE approach and specific protocols for trauma situations. Test your understanding of critical care principles and practices.

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