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Air Methods Critical Care Exam with complete answers graded a+
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Air Methods Critical Care Exam with complete answers graded a+
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Air Methods Critical Care Examv v v v
Studyvonlinevatvhttps://quizlet.com/
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Air Methods Critical Care Exam with complete answers graded a+
1. Coopernail's Sign: bruising of the scrotum or labia v v v v v v v
-indicating pelvic bleeding/ abdominal bleeding v v v v
-pelvic fx v
2. Halstead's Sign: Marbled abdomen- bleeding v v v v
3. Cullen's sign: ecchymosis in umbilical area, seen with pancreatitis
v v v v v v v v
4. Murphy's Sign: pain with palpation of the RUQ during inspiration
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-indicative of cholecystitis v v
5. Factors fetal well- v v
being: 1.) Viability (most important) 2.) Fetal Heart r
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ate
3.) Fetal movement
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6. PEEP (positive end expiratory pressure): -
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Causes increased pulmonary vas- cular resistance
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-Can cause hypotension over 15 cmH2O
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-Normal: 5 cmH2O v v
- lowest pressure the lungs will see v v v v v
7. steps in resuscitation of the neonate: Dry, warm, position to open airw
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ay, suction mouth then nose
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Tactile stimulation (HR<100 or apnea/
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IR breath rub back and put) Oxygen near the face
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Bag valve mask - unresponsive to tactile stim within a few sec (40-
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60bpm) reposition head, reapply mask, suction again prn, if no res
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ponse in 30 sec Intubate - if HR < 60 after PPV for 30 sec, then
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Chest compressions - 3:1 ratio (90 compressions / 30 breaths)
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Drugs - epinephrine 0.1-0.3ml/
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kg of 1:10,000, through et tube or (preferably) through umbilical venous lin
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e, volume loss give 10ml/kg NS
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8. pulmonary contusion: Chest pai v v v
n bruising over sternum
v v v
Progressive dyspnea v
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, Air Methods Critical Care Exam
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decreased vbreathvsoundsvonvonevsidev
rales
low sats despite being on
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o2 hemoptysis
v
irregular pulse-dysrthymia v
9. ruptured diaphragm: abd contents herniate into the thoracic cavity comp
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ressing the lung v v
s/
s: dyspnea, dysphagia, abd pain, sharp epigastric or chest pain radiati
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ng to L shoulder (Kehr sign), bowel sounds heard in the lung fields on i
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njured side, decreased breath sounds on injured side.
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, Air Methods Critical Care Exam
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10.Tracheobronchial injury: 1. hemoptysis v v v
2. subcutaneous emphysema v
3. air leak (PNEUMOTHORAX) + PNEUMEDIASTINUM even after chest t
v v v v v v v v
ube placement***
v
- advance ETT below level of injury into Right mainstem v v v v v v v v
11.esophageal perforation: -fever v v
-hematemesis
12.Fat embolus: can form when a long bone is fractured and fat cells from y
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ellow bone marrow are released into the blood
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-fever
-rash after fracture v v
13.Blood loss from humerus fracture: 750 ml v v v v v v
14.blood loss from femur fracture: 1500 ml v v v v v v
15.PAWP (pulmonary artery wedge pressure): - v v v v v
Looks at the left side of the heart
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- If elevated can indicate pulmonary congestion, CHF, cardiogenic shock
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- Do not keep wedged for more than 30 seconds
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- Make sure balloon is deflated and have patient cough forcefully
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-Normal: 8-12 v
16.Adult ETT depth: 3 x ETT size or average 19.23 cm
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17.Peds ETT depth: 10 + age in years (cm) v v v v v v v v
18.Neonate ETT depth: 6 + wt in kg (cm) v v v v v v v v
19.Adjust vent to change Co2: adjust rate and tidal volume
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20.Adjust vent to change oxygenation: adjust PEEP, PAP v v v v v v v
21.infant rule of nines: Head and neck - v v v v v v v
v21% Each arm - 10% v v v v
chest/stomach - 13% v v
back - 13% v v
butt/genitals - v
v6% each leg -
v v v
v13.5%
22.Sodium Bicarbonate: -acidosis v v
-drug choice for cyclic antidepressant OD
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-KG/4 x base deficit = mEq needed
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23.Digoxin: -cardiac glycoside v v
-can cause hypokalemia
v v
-inotropes
-pediatric dose: 0.1 mg/ml v v v
-adult 0.25 mg/ml v v
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, Air Methods Critical Care Exam
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24.treatment
-O2
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