JVD - correct answer ✔ Tamponade
Tracheal disruption - correct answer ✔ right main stem intubation
Can't bag, can't ventilate - correct answer ✔ Cric
Pt was involved in a MVA, can't visualize cords, can't bag... - correct answer ✔
Cric
Heat Stroke - correct answer ✔ LOC + respiratory alkalosis & metabolic acidosis
Heat Exhaustion - correct answer ✔ Body can still sweat
Vent question - if Obstructive... - correct answer ✔ ...then lower ventilation rate
to emphasize exhale.
Vent question - if Injury... - correct answer ✔ ...higher rate & lower volume to
protect sensitive lungs.
High PCWP (Pulmonary Capillary Wedge Pressure) - correct answer ✔ Limit fluid,
left ventricular failure
Babies - correct answer ✔ No fat
Pt can move upper extremities but can't flex... - correct answer ✔ Bicep & Deltoid
= Spine C6 (pg. 245)
Flexion of forearm - correct answer ✔ C5 - C6
Subtle seizures for kids - correct answer ✔ Bicycling, lip smacking, etc.
PE on 12-lead changes, minimal - correct answer ✔ usually Tachy
Tx for Tetralogy of Fallot (pg. 483) - correct answer ✔ keep PDA (Patent Ductus
Arteriosus) open, give Prostaglandin, limit O2 (only thing keeping them alive is
open ductus, closes w/ O2)
Question of when TPA is NOT contraindicated, believe it said "Precluded"... -
correct answer ✔ ...3/4 of the ?'s were obvious, like recent head bleed, recent GI
bleed, etc.
Bowel sounds in Left chest - correct answer ✔ Diaphragm rupture
Two questions regarding Useful Consciousness... - correct answer ✔ ...sources
say always put..."least amount of time".
Pt is leaving sending facility at a certain at FiO2 0.40 , receiving facility is at this
altitude. Whats is the correct FiO2 for flight? Formula is for mmHg!!! - correct
answer ✔ (% of O2 Pt is on X pressure of sending) / pressure at altitude (mmHg)
Use Assist Control with Caution due to... - correct answer ✔ Breath Stacking
Inferior Wall MI, what can be affected? - correct answer ✔ Right Ventricle
How do you prevent release of Nitrogen in Flight...Barobariatrauma or whatever?
- correct answer ✔ Give high flow O2 before flight.
High altitude - correct answer ✔ Hypoxia Hypoxemia
ICP range - correct answer ✔ 0 - 10 mmHg
CVP (central venous pressure) range - correct answer ✔ 2-6 mmHg
PAWP (pulmonary artery wedge pressure) range - correct answer ✔ 8-12 mmHg
Measures Left Heart Preload
SVR (systemic vascular resistance) range - correct answer ✔ 800-1200 dynes
Squeeze of the vessels, Decreased - neuro shock (distributive).
Increased - HTN, aortic stenosis and vasoconstrictors.
CI (cardiac index) range - correct answer ✔ 2.5 - 4.4 L/min/m2
Know how to calculate MAP since you will have an ICP question. - correct answer
✔ MAP = [ (DBP x 2) + SBP ] / 3
CPP = MAP - ICP
NAVEL - correct answer ✔ nerve, artery, vein, empty space, lymph
...they ask where is bla bla Artery compared to Vein.
Vein is Medial compared to Artery...Nerve is outermost and Lymph is innermost.
Which artery supplies the foot? - correct answer ✔ Popliteal Artery
Early Inflation error picture in... - correct answer ✔ IABP (intra-aortic balloon
pump)
Absolute contraindication for IABP - correct answer ✔ Aortic insufficiency
Which is worse for the Pt...
High or Low temp w/ High or Low humidity? - correct answer ✔ Low temp / Low
humidity
Decompression sickness - correct answer ✔ Arterial gas embolism
(FiO2 x P1) / P2 = FiO2 required for ascent
P1 = starting pressure
P2 = cruising altitude
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