NMS Medicine: Medicine: Dr. Watters Final Thoughts Flashcards


Set Details Share
created 9 years ago by jgaversa5
33 views
book cover
NMS Medicine
Chapter 3
show moreless
Page to share:
Embed this setcancel
COPY
code changes based on your size selection
Size:
X
Show:
1

what is so concerning about bilateral skipped facets

universally complete ligamentous disruption

2

what is concerning about unilateral facet skips

risk of twisting

3

what is a jefferson fracture

burst fracture of C1

4

what is a jefferson fracture usually from

axial load/diving injury

5

is jefferson fracture unstable

yes

6

what is a hangman's fracture

C2 torque injury

7

is hangman's fracture stable

generally not

8

what type of fracture is clay shoveler's fracture

spinous process fracture

9

are clay shoveler's fractures stable

generally yes

10

if you hvae a trauma patient that may have a cervical spine injury, when should you stabilize the cervical spine

at the same time you are assessing the ariway

11

what can increased intracranial pressure lead to in terms of cardiovascular symptosm

cushing's triad

12

what is cushing's triad

HTN
bradycardia
decreased/altered respiration

13

what types of things could epidural and subdural hematomas lead to cardiovascularly

cushing's triad

14

what is "spinal shock" referring to

loss of sympathetic tone

15

if s patient is hypotensive and showing symptoms of shock, but not tachycardic, what should you suspect

spinal shock/neurogenic shock

16

what is a pulmonary contusion due to

direct trauma (no fractures)

17

does a pulmonary contusion lead to immedate pain

delayed usually

18

what are some pulmoarny contusion symptosm

respiratory problems
delayed pain
stiff lungs
decreased oxygenation

19

what is the treatment for pulmonary contusion

supportive: oxygen and intubation

20

what can cardiac contusions lead to

dysrythmia

21

can EKG monitor see the effects of cardiac contusion

yes

22

if you hvae a hemo or pneumothorax and unstable vitals, what do you do

chest tube immediately

23

if you have a pericardial effusion/tamponade and unstable vitals, what do you do

pericardiocentesis immediately

24

what should be the first fucking thing you think of when you see shock

fluid boluses to increase preload

25

if a patient is aenmic in acute hemorrhage, what should you add in addition to fluids

blood products

26

if a patient has poor oxygenation where does it show

cyanosis
low pulse oximetry
high lactic acid
low ScvO2 (oxygen saturation of central veisn)

27

what should you consider giving if oxygenation is poor

blood

28

what is the order of things in trauma scenarios

abcs, order IVs, meds

29

what does hypercapnia present with

lethargy

30

what does hypoxia present with

confusion/agitation

31

what is the most common airway obstruction in unconscious patients

tongue

32

what should we always remember about breathing

Oxygenation AND ventilation