Exam (elaborations)
Air Methods Critical Care Exam Questions With Accurate Answers
- Module
- Institution
Air Methods Critical Care Exam Questions With Accurate Answers...
[Show more]
Seller
Follow
Easton
Reviews received
Content preview
Air Methods Critical Care Exam Questions WithAccurate Answers
Coopernail's Sign
bruising of the scrotum or labia
-indicating pelvic bleeding/ abdominal bleeding
-pelvic fx
Halstead's Sign
Marbled abdomen- bleeding
Cullen's sign
ecchymosis in umbilical area, seen with pancreatitis
Murphy's Sign
pain with palpation of the RUQ during inspiration
-indicative of cholecystitis
Factors fetal well-being
1.) Viability (most important)
2.) Fetal Heart rate
3.) Fetal movement
PEEP (positive end expiratory pressure)
-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 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
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
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 injured side.
Tracheobronchial injury
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
-fever
-hematemesis
,Fat embolus
Can form when a long bone is fractured and fat cells from yellow bone marrow are
released into the blood
-fever
-rash post fracture
Blood loss from humerus fracture
750 ml
blood loss from femur fracture
1500 ml
PAWP (pulmonary artery wedge pressure)
- 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
3 x ETT size or average 19.23 cm
Peds ETT depth
10 + age in years (cm)
Neonate ETT depth
6 + wt in kg (cm)
Adjust vent to change Co2
adjust rate and tidal volume
Adjust vent to change oxygenation
adjust PEEP, PAP
infant rule of nines
Head and neck - 21%
, Each arm - 10%
chest/stomach - 13%
back - 13%
butt/genitals - 6%
each leg - 13.5%
Sodium Bicarbonate
-acidosis
-drug of choice for cyclic antidepressant OD
-KG/4 x base deficit = mEq required
Digoxin
-cardiac glycoside
-can cause hypokalemia
-inotropes
-pediatric dose: 0.1 mg/ml
-adult 0.25 mg/ml
treatment for fetal distress
-Left lateral recumbent position
-O2
-Correct contributing factors
-continued re-evaluation
CHF considerations
-many are relatively hypovolemic
-diuretics cautiously
CVP catheter placement outside line markers
RA/CVP: 25-30 cm
RV: 35-45 cm
PA: 50-55 cm
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £12.19. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75057 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now