Download Advanced Trauma Life Support (ATLS) 10th Edition Exam Questions And Answers and more Exams Nursing in PDF only on Docsity! Advanced Trauma Life Support (ATLS) 10th Edition Exam Questions And Answers MIST Pneumonic [10.1] - - - correct answer ✅Mechanism (and time) of Injury Injuries found and suspected Symptoms and signs Treatment Initiated Primary Survey (ABCDE) [10.1] - - - correct answer ✅A-airway/cervical spine, B-breathing, c-circulation with hemorrhage control d-disability (assess Neuro status) e-exposure/environmental control DOPE [Ultimate ATLS Prep] - - - correct answer ✅Reasons for deterioration in an intubated patient Dislodgement Obstruction Pneumothorax Equipment Failure Advanced Trauma Life Support (ATLS) 10th Edition Exam Questions And Answers Shock index calculation [Ultimate ATLS Prep] - - - correct answer ✅HR/SBP Normal = 0.5=0.7 Volume Loss = >0.9 AMPLE [10.1] - - - correct answer ✅(Allergies, Medications, Past Illnesses/Pregnancy, Last Meal, Events/Environment related to injury) Definitive airway definition - - - correct answer ✅Tube placed in trachea with cuff inflated below vocal cords, tube connected to a form of oxygen enriched assisted ventilation and the airway secured in place with an appropriate stabilizing method. [10.2, pg24] Laryngeal Trauma Triad of Signs - - - correct answer ✅Hoarseness (dysphonia) Subcutaneous Emphysema Palpable fracture Advanced Trauma Life Support (ATLS) 10th Edition Exam Questions And Answers Shock definition - - - correct answer ✅an abnormality of the circulatory system that results in inadequate organ perfusion and tissue oxygenation [10.3, pg44] Types of shock - - - correct answer ✅Hypovolemic - blood and fluid loss Cardiogenic - HF Obstructive - Tension pneumo, cardiac tamponade, PE Distributive - Septic, anaphylactic, neurogenic(injury to cervical or upper thoracic spine) [10.3, pg44] Stroke volume determined by - - - correct answer ✅preload (venous capacitance, volume status, mean venous systemic pressure - RAP) afterload (aka PVR) contractility Advanced Trauma Life Support (ATLS) 10th Edition Exam Questions And Answers [10.3, pg44] Earlies measurable circulatory sign of shock - - - correct answer ✅Tachycardia [10.3, pg45 SBP can be maintained until up to ___% of blood volume is lost. - - - correct answer ✅30%. Therefore is unreliable early. [10.3, pg46] Cardiac Tamponade s/s - - - correct answer ✅JVD, narrow pulse pressure, hypotension ( Becks Triad) Tachycardia insufficient response to fluid therapy Advanced Trauma Life Support (ATLS) 10th Edition Exam Questions And Answers [10.3, pg47] Failure of fluid resuscitation to restore organ perfusion and tissue oxygenation suggests (2) reasons - - - correct answer ✅continuing hemmorrhage neurogenic shock [10.3, pg48] normal adult blood volume - - - correct answer ✅7% of ideal body weight in kg. So 70kg person has about 5 liters [10.3, pg48] Classes of hemorrhagic shock and their signs and symptoms chart - - - correct answer ✅Class 1 - like a person that donated 1 unit of blood. ~750ml Class 2 - crystalloid is required. 1500ml Class 3 - perhaps blood. 2000ml Advanced Trauma Life Support (ATLS) 10th Edition Exam Questions And Answers Minimal or No response : >40%EBL, Emergency blood release, class 4 hemorrhageimmediate need for blood MTP, [10.3, pg53] Before infusing crystalloid should be heated to - - - correct answer ✅39C (102.2F [10.3, pg55] Massive Transfusion Definition - - - correct answer ✅>10units PRBCS in 24hrs or >4units PRBC in 1hour [10.3, pg55] The goal of resuscitation is to - - - correct answer ✅restore organ perfusion and tissue oxygenation Advanced Trauma Life Support (ATLS) 10th Edition Exam Questions And Answers [10.3, pg58] Most common cause of tension pneumothorax - - - correct answer ✅Mechanical ventilation with positive pressure ventilation in patients with visceral pleural injury [10.4, pg66] needle chest decompression - - - correct answer ✅8cm (3.1inches) over the needle catheter in the 5th interspace slightly anterior to midaxillary line [10.4, pg66] Massive hemothorax definition - - - correct answer ✅> 1500 milliliters of blood or one third or more of the patient's total blood volume in the chest cavity. Most commonly caused by penetrating wound that disrupts the systemic or hilar vessels. Advanced Trauma Life Support (ATLS) 10th Edition Exam Questions And Answers Suspeced when shock is associated with absence of breath sounds or dullness to percussion. Tx : chest tube 28-32fr. Immediate return of >1500ml of blood indicates need for urgent thoracotomy. [10.4, pg68] Cardiac Tamponade s/s - - - correct answer ✅JVD, narrow pulse pressure, hypotension ( Becks Triad) Paradoxical venous pressure (Kussmauls sign) - rise in venous pressure when breathing spontaneously PEA can be cause by cardiac tamponade FAST is 90% accurate in identifying pericardial fluid for the experienced operator.
