Elderly patients may not exhibit tachycardia in response to hypovolemia because of limited cardiac response to catecholamines. Why else might they not get tachy? - ANSWER-On a Beta-Blocker or have a pacemaker A FAST scan in an excellent way to diagnose cardiac tamponade. What signs sugget tamponade - ANSWER-Beck's Triad: JVD, muffled heard sounds and hypotension (will be resistant to fluid therapy). Will also likely be tachycardic Patients with a tension pneumo and patient with cardiac tamponade may present with many of the same signs. What findings will you see with a tension will you NOT see with tamponade? - ANSWER-Absent breath sounds and hyperresonance to percussion over the affected hemithorax. Immediate thoracic decompresion is warrented for anyone with absent breath sounds, hyperressonance to percussion, tracheal deviation, and - ANSWER-Acute respiratory distress & subcutaneous emphysema Can isolated intracranial injuries cause neurogenic shock? - ANSWER-NO How do you calculate total blood volume in an adult? - ANSWER-70 mL per kg. A 70 kg person has about 5 L of circulating blood. (70*70) = 4900 mL How do you calculate TBV in child - ANSWER-BW (kg) X 80-90 mLThe blood volume of an obese person is calculated based upon their weight -