Lab1KKdoc
1-After a brain injury, the first step is to assess respiratory rate for rate, and depth and the cardiac system for rate and rhythm. Where is the respiratory and cardiac center located?
It is located in the medulla oblongata
2-When the patient arrives into the ED, what is the most urgent question for the trauma team to ask the transport team?
What type of trauma has the patient experienced? What medicine or treatment has been given to the patient?
3-What test would you order to rule out an axonal injury?
An MRI (magnetic resonance imaging) should be ordered for the patient.
4-What type of herniation manifests as symptoms of pinpoint pupils and cheyne -stokes respirations and describe cheyne -stokes respirations
Uncal herniation
5-What is mannitol and why would you administer it?
Mannitol promotes diuresis in the prevention or treatment of the oliguric phase of acute renal failure before irreversible renal failure becomes established. It would be administered intravenously.
6-Define the Glascow Coma Score
The Glasgow Coma Scale (GCS) is the most common scoring system used to describe the level of consciousness in a person following a traumatic brain injury. It is used to help gauge the severity of the injury. The test is simple, reliable, and correlates well with outcome following severe brain injury.
7-if you noticed CSF leakage from the nose, ear or ecchymosis around the mastoid process of the temporal bone, what would be your suspect diagnosis?
Basilar skull fracture- often called ‘racoon eyes’ (bruising of the orbits of the eyes that result from blood collecting there as it leaks from the fracture site); and retroauricular ecchymosis known as ‘battle sign’ (bruising over the mastoid process).
8-Define Wernicke’s aphasia
People with serious comprehension difficulties have what is called Wernicke’s aphasia. They often say many words that don’t make sense or may fail to realize they are saying the wrong words. They may string together a
It is located in the medulla oblongata
2-When the patient arrives into the ED, what is the most urgent question for the trauma team to ask the transport team?
What type of trauma has the patient experienced? What medicine or treatment has been given to the patient?
3-What test would you order to rule out an axonal injury?
An MRI (magnetic resonance imaging) should be ordered for the patient.
4-What type of herniation manifests as symptoms of pinpoint pupils and cheyne -stokes respirations and describe cheyne -stokes respirations
Uncal herniation
5-What is mannitol and why would you administer it?
Mannitol promotes diuresis in the prevention or treatment of the oliguric phase of acute renal failure before irreversible renal failure becomes established. It would be administered intravenously.
6-Define the Glascow Coma Score
The Glasgow Coma Scale (GCS) is the most common scoring system used to describe the level of consciousness in a person following a traumatic brain injury. It is used to help gauge the severity of the injury. The test is simple, reliable, and correlates well with outcome following severe brain injury.
7-if you noticed CSF leakage from the nose, ear or ecchymosis around the mastoid process of the temporal bone, what would be your suspect diagnosis?
Basilar skull fracture- often called ‘racoon eyes’ (bruising of the orbits of the eyes that result from blood collecting there as it leaks from the fracture site); and retroauricular ecchymosis known as ‘battle sign’ (bruising over the mastoid process).
8-Define Wernicke’s aphasia
People with serious comprehension difficulties have what is called Wernicke’s aphasia. They often say many words that don’t make sense or may fail to realize they are saying the wrong words. They may string together a