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30 Cards in this Set
- Front
- Back
Which of the following is true of the elderly trauma pt?
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all of the above.
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Even with intervention, survival is unlikely with blood loss over ____ percent of the total blood volume.
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35
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Which layer of the arteries controls the diameter of the vessel?
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Tunica media
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Which of the following vessels has the greatest ability to change diameter?
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Arterioles
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Managing a laceration with arterial bleeding most often requires?
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Direct pressure
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Which of the following represents the correct sequence for controlling hemorrhage from an extrimity?
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Direct pressure, elevation, pressure point compression
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Which of the following early signs of shock is easily missed?
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Tachycardia
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Which of the following results from anaerobic metabolism in shock?
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Metabolic acidosis
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Anaphylactic shock is a form of __________ shock.
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Distributive
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Which of the following is the preferred fluid for resuscitation in hemorrhagic shock?
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Whole blood
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Pericardial tamponade would most likely result in which of the following types of shock?
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Cardiogenic
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In a previously healthy individual, Which of the following types of shock may NOT result in the typical signs of cool, pale, moist skin, tachycardia and narrowed pulse pressure?
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Neurogenic
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Which of the following best describes definitive care for the trauma pt with ongoing, significant hemorrhage?
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Immediate surgery
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Which of the following is a manifestation of orthosatic hypotension?
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Your pt's blood pressure is 142/90 when she is supine, but 116/88 when she sits up.
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The phase of blood clotting in which the smooth muscle of an injuried blood vessel contracts is know as the ________ phase?
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Vascular
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Which of the following statements about the pt in neurogenic shock is NOT true?
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unopposed sympathetic nervous stimulation results in generalized pallor and diaphoresis
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A fracture of the femur may result in a hematoma that containsenough blood to make it a stage ___ hemorrhage?
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2
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Which of the following does NOT indicate compensated shock?
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Dropping level of consciousness
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Which of the following measures effectively controls bleeding in body cavities
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Surgery
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Which of the following mechanisms is responsible for accumulating lactic acid in shock?
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Anaerobic metabolism
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Which of the following terms is best described as the loss of blood from the vascular space?
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Hemorrhage
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In which of the following pt's with hemorrhage shock can you employ aggressive fluid resuscitation?
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A 26 y/o male with a gunshot wound involving the popliteal artery
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Which of the following findings indicated a progression from from compensated shock to decompensated shock?
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dropping level of consciousness
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Which of the following fluids is appropriate for the prehospital management of the hypovolemic shock?
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Lactated Ringer's
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A hematoma resulting from a fracture of the humerus may contain enough blood to make it a stage ___ hemorrhage?
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1
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Which of the following indicates that a pt has transitioned from compensated to decompensated shock?
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Hypotension
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The increase in myocardial contraction as a result of increased blood return to the heart BEST describes.
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Starling's law of the heart
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Which of the following guidelines applies to the prehospital administration of IV fluids in the pt with hemorrhagic shock?
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Administer isotonic crystalloid fluids only as necessary to maintain perfusion
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Your pt is a 29 y/o male who works in a meat-processing plant. He recieved a knife wound in the proximal antero-medial thigh, which is continuing to bleed on your arrival. He is restless, thirsty, and has pale, cool skin. He has a weak radial pulse of 130 and a blood pressure of 118/88. This pt is exhibiting signs and symtoms consistent wit a stage ___ hemorrhage.
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2
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For which of the following mechanisms of injury should you maintain the highest index of susicion for hemorrhagic shock?
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Frontal-impact motor vehicle collision at 45 mph.
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