Air Methods Critical Care Exam With
complete Solutions latest update!!
Coopernail's ,Sign ,- ,correct ,answers-bruising ,of ,the ,scrotum ,or ,labia
-indicating ,pelvic ,bleeding/ ,abdominal ,bleeding
-pelvic ,fx
Halstead's ,Sign ,- ,correct ,answers-Marbled ,abdomen- ,bleeding
Cullen's ,sign ,- ,correct ,answers-ecchymosis ,in ,umbilical ,area, ,seen ,with ,pancreatitis
Murphy's ,Sign ,- ,correct ,answers-pain ,with ,palpation ,of ,the ,RUQ ,during ,inspiration
-indicative ,of ,cholecystitis
Factors ,fetal ,well-being ,- ,correct ,answers-1.) ,Viability ,(most ,important)
2.) ,Fetal ,Heart ,rate
3.) ,Fetal ,movement
PEEP ,(positive ,end ,expiratory ,pressure) ,- ,correct ,answers--
Causes ,increased ,pulmonary ,vascular ,resistance
-Can ,cause ,hypotension ,over ,15 ,cmH2O
-Normal: ,5 ,cmH2O
- ,lowest ,pressure ,the ,lungs ,will ,see
,steps ,in ,resuscitation ,of ,the ,neonate ,- ,correct ,answers-
Dry, ,warm, ,position ,to ,open ,airway, ,suction ,mouth ,then ,nose
Tactile ,stimulation ,(HR<100 ,or ,apnea/IR ,breath ,rub ,back ,and ,put)
Oxygen ,near ,the ,face
Bag ,valve ,mask ,- ,unresponsive ,to ,tactile ,stim ,within ,a ,few ,sec ,(40-60bpm)
reposition ,head, ,reapply ,mask, ,suction ,again ,prn, ,if ,no ,response ,in ,30 ,sec
Intubate ,- ,if ,HR ,< ,60 ,after ,PPV ,for ,30 ,sec, ,then
Chest ,compressions ,- ,3:1 ,ratio ,(90 ,compressions ,/ ,30 ,breaths)
Drugs ,- ,epinephrine ,0.1-0.3ml/kg ,of ,1:10,000, ,through ,et ,tube ,or ,
(preferably) ,through ,umbilical ,venous ,line, ,volume ,loss ,give ,10ml/kg ,NS
pulmonary ,contusion ,- ,correct ,answers-Chest ,pain
bruising ,over ,sternum
Progressive ,dyspnea
decreased ,breath ,sounds ,on ,one ,side
rales
low ,sats ,despite ,being ,on ,o2
hemoptysis
irregular ,pulse-dysrthymia
ruptured ,diaphragm ,- ,correct ,answers-
abd ,contents ,herniate ,into ,the ,thoracic ,cavity ,compressing ,the ,lung
s/s: ,dyspnea, ,dysphagia, ,abd ,pain, ,sharp ,epigastric ,or ,chest ,pain ,radiating ,to ,L ,shoulder ,
(Kehr ,sign), ,bowel ,sounds ,heard ,in ,the ,lung ,fields ,on ,injured ,side, ,decreased ,breath ,sounds ,on ,injure
d ,side.
,Tracheobronchial ,injury ,- ,correct ,answers-1. ,hemoptysis
2. ,subcutaneous ,emphysema ,
3. ,air ,leak ,(PNEUMOTHORAX) ,+ ,PNEUMEDIASTINUM ,even ,after ,chest ,tube ,placement***
- ,advance ,ETT ,below ,level ,of ,injury ,into ,Right ,mainstem
esophageal ,perforation ,- ,correct ,answers--fever ,
-hematemesis
Fat ,embolus ,- ,correct ,answers-
can ,form ,when ,a ,long ,bone ,is ,fractured ,and ,fat ,cells ,from ,yellow ,bone ,marrow ,are ,released ,into ,the ,
blood
-fever
-rash ,after ,fracture
Blood ,loss ,from ,humerus ,fracture ,- ,correct ,answers-750 ,ml
blood ,loss ,from ,femur ,fracture ,- ,correct ,answers-1500 ,ml
PAWP ,(pulmonary ,artery ,wedge ,pressure) ,- ,correct ,answers-- ,Looks ,at ,the ,left ,side ,of ,the ,heart
- ,If ,elevated ,can ,indicate ,pulmonary ,congestion, ,CHF, ,cardiogenic ,shock
- ,Do ,not ,keep ,wedged ,for ,more ,than ,30 ,seconds
- ,Make ,sure ,balloon ,is ,deflated ,and ,have ,patient ,cough ,forcefully
-Normal: ,8-12
Adult ,ETT ,depth ,- ,correct ,answers-3 ,x ,ETT ,size ,or ,average ,19.23 ,cm
, Peds ,ETT ,depth ,- ,correct ,answers-10 ,+ ,age ,in ,years ,(cm)
Neonate ,ETT ,depth ,- ,correct ,answers-6 ,+ ,wt ,in ,kg ,(cm)
Adjust ,vent ,to ,change ,Co2 ,- ,correct ,answers-adjust ,rate ,and ,tidal ,volume
Adjust ,vent ,to ,change ,oxygenation ,- ,correct ,answers-adjust ,PEEP, ,PAP
infant ,rule ,of ,nines ,- ,correct ,answers-Head ,and ,neck ,- ,21%
Each ,arm ,- ,10%
chest/stomach ,- ,13%
back ,- ,13%
butt/genitals ,- ,6%
each ,leg ,- ,13.5%
Sodium ,Bicarbonate ,- ,correct ,answers--acidosis
-drug ,choice ,for ,cyclic ,antidepressant ,OD
-KG/4 ,x ,base ,deficit ,= ,mEq ,needed
Digoxin ,- ,correct ,answers--cardiac ,glycoside
-can ,cause ,hypokalemia
-inotropes
-pediatric ,dose: ,0.1 ,mg/ml
-adult ,0.25 ,mg/ml
complete Solutions latest update!!
Coopernail's ,Sign ,- ,correct ,answers-bruising ,of ,the ,scrotum ,or ,labia
-indicating ,pelvic ,bleeding/ ,abdominal ,bleeding
-pelvic ,fx
Halstead's ,Sign ,- ,correct ,answers-Marbled ,abdomen- ,bleeding
Cullen's ,sign ,- ,correct ,answers-ecchymosis ,in ,umbilical ,area, ,seen ,with ,pancreatitis
Murphy's ,Sign ,- ,correct ,answers-pain ,with ,palpation ,of ,the ,RUQ ,during ,inspiration
-indicative ,of ,cholecystitis
Factors ,fetal ,well-being ,- ,correct ,answers-1.) ,Viability ,(most ,important)
2.) ,Fetal ,Heart ,rate
3.) ,Fetal ,movement
PEEP ,(positive ,end ,expiratory ,pressure) ,- ,correct ,answers--
Causes ,increased ,pulmonary ,vascular ,resistance
-Can ,cause ,hypotension ,over ,15 ,cmH2O
-Normal: ,5 ,cmH2O
- ,lowest ,pressure ,the ,lungs ,will ,see
,steps ,in ,resuscitation ,of ,the ,neonate ,- ,correct ,answers-
Dry, ,warm, ,position ,to ,open ,airway, ,suction ,mouth ,then ,nose
Tactile ,stimulation ,(HR<100 ,or ,apnea/IR ,breath ,rub ,back ,and ,put)
Oxygen ,near ,the ,face
Bag ,valve ,mask ,- ,unresponsive ,to ,tactile ,stim ,within ,a ,few ,sec ,(40-60bpm)
reposition ,head, ,reapply ,mask, ,suction ,again ,prn, ,if ,no ,response ,in ,30 ,sec
Intubate ,- ,if ,HR ,< ,60 ,after ,PPV ,for ,30 ,sec, ,then
Chest ,compressions ,- ,3:1 ,ratio ,(90 ,compressions ,/ ,30 ,breaths)
Drugs ,- ,epinephrine ,0.1-0.3ml/kg ,of ,1:10,000, ,through ,et ,tube ,or ,
(preferably) ,through ,umbilical ,venous ,line, ,volume ,loss ,give ,10ml/kg ,NS
pulmonary ,contusion ,- ,correct ,answers-Chest ,pain
bruising ,over ,sternum
Progressive ,dyspnea
decreased ,breath ,sounds ,on ,one ,side
rales
low ,sats ,despite ,being ,on ,o2
hemoptysis
irregular ,pulse-dysrthymia
ruptured ,diaphragm ,- ,correct ,answers-
abd ,contents ,herniate ,into ,the ,thoracic ,cavity ,compressing ,the ,lung
s/s: ,dyspnea, ,dysphagia, ,abd ,pain, ,sharp ,epigastric ,or ,chest ,pain ,radiating ,to ,L ,shoulder ,
(Kehr ,sign), ,bowel ,sounds ,heard ,in ,the ,lung ,fields ,on ,injured ,side, ,decreased ,breath ,sounds ,on ,injure
d ,side.
,Tracheobronchial ,injury ,- ,correct ,answers-1. ,hemoptysis
2. ,subcutaneous ,emphysema ,
3. ,air ,leak ,(PNEUMOTHORAX) ,+ ,PNEUMEDIASTINUM ,even ,after ,chest ,tube ,placement***
- ,advance ,ETT ,below ,level ,of ,injury ,into ,Right ,mainstem
esophageal ,perforation ,- ,correct ,answers--fever ,
-hematemesis
Fat ,embolus ,- ,correct ,answers-
can ,form ,when ,a ,long ,bone ,is ,fractured ,and ,fat ,cells ,from ,yellow ,bone ,marrow ,are ,released ,into ,the ,
blood
-fever
-rash ,after ,fracture
Blood ,loss ,from ,humerus ,fracture ,- ,correct ,answers-750 ,ml
blood ,loss ,from ,femur ,fracture ,- ,correct ,answers-1500 ,ml
PAWP ,(pulmonary ,artery ,wedge ,pressure) ,- ,correct ,answers-- ,Looks ,at ,the ,left ,side ,of ,the ,heart
- ,If ,elevated ,can ,indicate ,pulmonary ,congestion, ,CHF, ,cardiogenic ,shock
- ,Do ,not ,keep ,wedged ,for ,more ,than ,30 ,seconds
- ,Make ,sure ,balloon ,is ,deflated ,and ,have ,patient ,cough ,forcefully
-Normal: ,8-12
Adult ,ETT ,depth ,- ,correct ,answers-3 ,x ,ETT ,size ,or ,average ,19.23 ,cm
, Peds ,ETT ,depth ,- ,correct ,answers-10 ,+ ,age ,in ,years ,(cm)
Neonate ,ETT ,depth ,- ,correct ,answers-6 ,+ ,wt ,in ,kg ,(cm)
Adjust ,vent ,to ,change ,Co2 ,- ,correct ,answers-adjust ,rate ,and ,tidal ,volume
Adjust ,vent ,to ,change ,oxygenation ,- ,correct ,answers-adjust ,PEEP, ,PAP
infant ,rule ,of ,nines ,- ,correct ,answers-Head ,and ,neck ,- ,21%
Each ,arm ,- ,10%
chest/stomach ,- ,13%
back ,- ,13%
butt/genitals ,- ,6%
each ,leg ,- ,13.5%
Sodium ,Bicarbonate ,- ,correct ,answers--acidosis
-drug ,choice ,for ,cyclic ,antidepressant ,OD
-KG/4 ,x ,base ,deficit ,= ,mEq ,needed
Digoxin ,- ,correct ,answers--cardiac ,glycoside
-can ,cause ,hypokalemia
-inotropes
-pediatric ,dose: ,0.1 ,mg/ml
-adult ,0.25 ,mg/ml
