Page 1 of 56
AIR METHODS CRITICAL CARE
EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
NEW MODIFIED TESTED AND
APPROVED!!!
PALS Management of Severe Asthma - ✔✔✔ Correct Answer > In Addition
to all of the interventions for moderate to sever asthma...
-Consider Terbutaline 10mcg/Kg load over 5 minutes SQ or as a gtt 0.1
mcg/kg/min or IM epi as an alt.
-Bipap
-If refractory hypoxemia intubate.
Epi Dose, Flight nurse trick - ✔✔✔ Correct Answer > 0.1ML/kg no matter
what concentration according to Bill.
,Page 2 of 56
PALS Defibrillation dose - ✔✔✔ Correct Answer > 2 J/kg
PALS Cardioversion dose - ✔✔✔ Correct Answer > 0.5-1 J/KG
PALS Calcium Dose & Indication - ✔✔✔ Correct Answer > Only for
known/suspected hypocalcemia
20 mg/kg Calcium Chloride SLOW IV push
PALS Increased ICP Cushings Triad - ✔✔✔ Correct Answer > Caused by
increased ICP and impending herniation.
-Irregular Breathing
-Hypertension
-Tachycardia
In adults it's bradycardia
Hyperventilate the patient to prevent further increases in ICP
-hypertonic saline, Osmotic agents (dose?)
,Page 3 of 56
-Treat pain and agitation aggressively once airway is established.
-Avoid hyperthermia
PALS management of respiratory distress due to poisoning - ✔✔✔
Correct Answer > -Support airway
-give antidote
-call poison control
Ventilation Management - ✔✔✔ Correct Answer > a Tidal volume is 5-
7mL/Kg aprox. 500ml for an adult
-
hemodynamic changes in Cardiogenic shock - ✔✔✔ Correct Answer > SBP
(Down)
SVR (UP)
CVP (UP)
CO (Down)
PAP (UP)
, Page 4 of 56
Wedge (UP)
PVR (UP)
Coags (PT/INR/PTT) - ✔✔✔ Correct Answer > PT 11-14s
PTT (20-40 sec) heparin
INR (0.9-1.2) Coumadin
Platelets : 150-450k
Blood Gas - ✔✔✔ Correct Answer > pH: 7.35-7.45
PaCO2: 35-45
PaO2: 80-100
HCO3: 22-26
chemistry panels (renal, hepatic, comprehensive, metabolic) -
✔✔✔ Correct Answer > Na+ 135-145
Cl- 95-105
AIR METHODS CRITICAL CARE
EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
NEW MODIFIED TESTED AND
APPROVED!!!
PALS Management of Severe Asthma - ✔✔✔ Correct Answer > In Addition
to all of the interventions for moderate to sever asthma...
-Consider Terbutaline 10mcg/Kg load over 5 minutes SQ or as a gtt 0.1
mcg/kg/min or IM epi as an alt.
-Bipap
-If refractory hypoxemia intubate.
Epi Dose, Flight nurse trick - ✔✔✔ Correct Answer > 0.1ML/kg no matter
what concentration according to Bill.
,Page 2 of 56
PALS Defibrillation dose - ✔✔✔ Correct Answer > 2 J/kg
PALS Cardioversion dose - ✔✔✔ Correct Answer > 0.5-1 J/KG
PALS Calcium Dose & Indication - ✔✔✔ Correct Answer > Only for
known/suspected hypocalcemia
20 mg/kg Calcium Chloride SLOW IV push
PALS Increased ICP Cushings Triad - ✔✔✔ Correct Answer > Caused by
increased ICP and impending herniation.
-Irregular Breathing
-Hypertension
-Tachycardia
In adults it's bradycardia
Hyperventilate the patient to prevent further increases in ICP
-hypertonic saline, Osmotic agents (dose?)
,Page 3 of 56
-Treat pain and agitation aggressively once airway is established.
-Avoid hyperthermia
PALS management of respiratory distress due to poisoning - ✔✔✔
Correct Answer > -Support airway
-give antidote
-call poison control
Ventilation Management - ✔✔✔ Correct Answer > a Tidal volume is 5-
7mL/Kg aprox. 500ml for an adult
-
hemodynamic changes in Cardiogenic shock - ✔✔✔ Correct Answer > SBP
(Down)
SVR (UP)
CVP (UP)
CO (Down)
PAP (UP)
, Page 4 of 56
Wedge (UP)
PVR (UP)
Coags (PT/INR/PTT) - ✔✔✔ Correct Answer > PT 11-14s
PTT (20-40 sec) heparin
INR (0.9-1.2) Coumadin
Platelets : 150-450k
Blood Gas - ✔✔✔ Correct Answer > pH: 7.35-7.45
PaCO2: 35-45
PaO2: 80-100
HCO3: 22-26
chemistry panels (renal, hepatic, comprehensive, metabolic) -
✔✔✔ Correct Answer > Na+ 135-145
Cl- 95-105
