AIR METHODS CRITICAL CARE FINAL EXAM ACTUAL
QUESTIONS AND ANSWERS SURE A+
✔✔Dantrium - ✔✔treatment for malignant hyperthermia
✔✔Sandostatin (octreotide) - ✔✔-drug for GI bleed
- 50 - 100 ug IV bolus
- 25 - 50 ug/hr IV
✔✔Neurogenic shock - ✔✔- CVP, CO, CO, PCWP, SVR: all DOWN
- distributive
- bradycardia/ hypotension
-spinal cord injuries above T6
✔✔Arterial Line - ✔✔-Radial, femoral
- Monitor pressures, blood draws, ABG's
- Maintain pressure bag at 300 mmHg
- Underdampening: air in the system, loose connection, decreased pressure bag,
altitude changes
- Overdampening: kinking, increased bag pressure, tip against wall
✔✔Most common re-perfusion dysrhythmia - ✔✔- AIVR (accelerated idioventricular
rhythm)
- expected after heart cath
✔✔Hypokalemia on ECG - ✔✔- PEAKED P's
- flat T's
✔✔Hyperkalemia on ECG - ✔✔- Flat P's
- Peaked T's
- treat with calcium
✔✔MAP goal with closed head injury - ✔✔80-110
✔✔Cardiac Injury - ✔✔- ST elevation
- 1 mm in 2 leads
✔✔Cardiac Ischemia - ✔✔- ST depression
- 1 mm in 2 leads
✔✔Anterior MI - ✔✔- V3, V4
- widow maker
- LAD
,✔✔Posterior MI - ✔✔- ST segment depression/ reciprocal changes
- noted in V1-V4
- ST elevation V6
✔✔Septal MI - ✔✔V1, V2
✔✔Inferior MI - ✔✔- II, III, aVF
RCA
- Check R side
- No nitro if R side
✔✔MAP formula - ✔✔(SBP + 2DBP)/3
✔✔Normal CPP heart - ✔✔- 50-60
- DBP-wedge
✔✔CPP goal with increased ICP - ✔✔- 70-90
- MAP-ICP
✔✔Normal ICP - ✔✔0 - 10 mmHg
✔✔GCS - ✔✔Mild 13-15
Moderate 9-12
Severe 3-8
✔✔Calcium - ✔✔8.5-10.5 mg/dL
✔✔Chloride - ✔✔95-105 mEq/L
✔✔Potassium - ✔✔3.5 - 5.5
elevated by metabolic acidosis
✔✔Sodium - ✔✔135-145 mEq/L
✔✔Lateral MI - ✔✔I, aVL, V5, V6
✔✔Cardiac Infarct - ✔✔Q wave > 25% the height of the R wave
✔✔Abdomen assessment order - ✔✔Inspection
Auscultation
Palpation
Percussion
✔✔Contraindications for thrombolytics - ✔✔-Hx of hemorrhagic stroke
, -CVA last 12 months
-SBP over 180
-Pregnancy/ 1 month post partum
✔✔Normal pediatric BP - ✔✔SBP: 90 + (2xage)
DBP: 2/3 SBP
-Drops after loss of 25% body fluid
✔✔Killers of vent patients in flight - ✔✔1. Pericardial Tamponade
2. Tension pneumothorax
3. Hypovolemia
✔✔Death from crush injury is due to? - ✔✔renal failure
✔✔Complications of crush injury - ✔✔DIC, Compartment Syndrome, Renal Failure,
Hyperkalemia
✔✔Cardiac output normal values - ✔✔4-8 L/min
SV x HR
✔✔Cardiac Index - ✔✔2.5-4 L/min/m2
✔✔Pulmonary artery systolic/ diastolic - ✔✔15 - 25/ 8 - 15
Assess pressures at end of exhalation
✔✔Chest tube insertion location - ✔✔4th intercostal space
1-2 spaces higher in pregnant woman
✔✔chest tube indications - ✔✔-pneumothorax
-large pleural effusion
-empyema
-chylothorax
-hemothorax
✔✔needle thoracostomy location - ✔✔- second intercostal space (below 2nd rib, above
3rd) midclavicular line
- 5th ICS anterior mid-axillary line
✔✔abruptio placentae - ✔✔- Dark, red blood
- Painful
- Placenta detaches from womb
- deprives baby O2
✔✔placenta previa - ✔✔- blood is red and painless
- part of placenta covers the opening in the mother's cervix
QUESTIONS AND ANSWERS SURE A+
✔✔Dantrium - ✔✔treatment for malignant hyperthermia
✔✔Sandostatin (octreotide) - ✔✔-drug for GI bleed
- 50 - 100 ug IV bolus
- 25 - 50 ug/hr IV
✔✔Neurogenic shock - ✔✔- CVP, CO, CO, PCWP, SVR: all DOWN
- distributive
- bradycardia/ hypotension
-spinal cord injuries above T6
✔✔Arterial Line - ✔✔-Radial, femoral
- Monitor pressures, blood draws, ABG's
- Maintain pressure bag at 300 mmHg
- Underdampening: air in the system, loose connection, decreased pressure bag,
altitude changes
- Overdampening: kinking, increased bag pressure, tip against wall
✔✔Most common re-perfusion dysrhythmia - ✔✔- AIVR (accelerated idioventricular
rhythm)
- expected after heart cath
✔✔Hypokalemia on ECG - ✔✔- PEAKED P's
- flat T's
✔✔Hyperkalemia on ECG - ✔✔- Flat P's
- Peaked T's
- treat with calcium
✔✔MAP goal with closed head injury - ✔✔80-110
✔✔Cardiac Injury - ✔✔- ST elevation
- 1 mm in 2 leads
✔✔Cardiac Ischemia - ✔✔- ST depression
- 1 mm in 2 leads
✔✔Anterior MI - ✔✔- V3, V4
- widow maker
- LAD
,✔✔Posterior MI - ✔✔- ST segment depression/ reciprocal changes
- noted in V1-V4
- ST elevation V6
✔✔Septal MI - ✔✔V1, V2
✔✔Inferior MI - ✔✔- II, III, aVF
RCA
- Check R side
- No nitro if R side
✔✔MAP formula - ✔✔(SBP + 2DBP)/3
✔✔Normal CPP heart - ✔✔- 50-60
- DBP-wedge
✔✔CPP goal with increased ICP - ✔✔- 70-90
- MAP-ICP
✔✔Normal ICP - ✔✔0 - 10 mmHg
✔✔GCS - ✔✔Mild 13-15
Moderate 9-12
Severe 3-8
✔✔Calcium - ✔✔8.5-10.5 mg/dL
✔✔Chloride - ✔✔95-105 mEq/L
✔✔Potassium - ✔✔3.5 - 5.5
elevated by metabolic acidosis
✔✔Sodium - ✔✔135-145 mEq/L
✔✔Lateral MI - ✔✔I, aVL, V5, V6
✔✔Cardiac Infarct - ✔✔Q wave > 25% the height of the R wave
✔✔Abdomen assessment order - ✔✔Inspection
Auscultation
Palpation
Percussion
✔✔Contraindications for thrombolytics - ✔✔-Hx of hemorrhagic stroke
, -CVA last 12 months
-SBP over 180
-Pregnancy/ 1 month post partum
✔✔Normal pediatric BP - ✔✔SBP: 90 + (2xage)
DBP: 2/3 SBP
-Drops after loss of 25% body fluid
✔✔Killers of vent patients in flight - ✔✔1. Pericardial Tamponade
2. Tension pneumothorax
3. Hypovolemia
✔✔Death from crush injury is due to? - ✔✔renal failure
✔✔Complications of crush injury - ✔✔DIC, Compartment Syndrome, Renal Failure,
Hyperkalemia
✔✔Cardiac output normal values - ✔✔4-8 L/min
SV x HR
✔✔Cardiac Index - ✔✔2.5-4 L/min/m2
✔✔Pulmonary artery systolic/ diastolic - ✔✔15 - 25/ 8 - 15
Assess pressures at end of exhalation
✔✔Chest tube insertion location - ✔✔4th intercostal space
1-2 spaces higher in pregnant woman
✔✔chest tube indications - ✔✔-pneumothorax
-large pleural effusion
-empyema
-chylothorax
-hemothorax
✔✔needle thoracostomy location - ✔✔- second intercostal space (below 2nd rib, above
3rd) midclavicular line
- 5th ICS anterior mid-axillary line
✔✔abruptio placentae - ✔✔- Dark, red blood
- Painful
- Placenta detaches from womb
- deprives baby O2
✔✔placenta previa - ✔✔- blood is red and painless
- part of placenta covers the opening in the mother's cervix
