Critical Care Paramedic Exam
Normal pH
7.35-7.45
Normal CO2
35-45
Normal HCO3
22-26 (good dating age)
Normal PaO2
80-100
Normal SaO2
> 95%
Base (deficit/excess)
(-2) - (+2)
Buffer systems: Bicarb reaction time
seconds
Buffer systems: Lungs reaction time...
without ramping during intubation or transport causes a potential for
decrease in functional reserve capacity, tidal volume, and preload
Sellick's maneuver and BURP
no longer recommended
External laryngeal manipulation (ELM)
current standard of practice
bougie adult size
15 Fr
bougie pediatric size
10 Fr
bougie neonatal size
6 Fr
supraglottic devices
provide little protection against aspiration
ETT cuff pressure
20-30 mmHg (25 is standard)
gold standard of confirming ET placement
chest X-Ray
distal tip of ET
2-3 cm (1 inch) above carina, at T3 or T4
7 p's for RSI success
preparation, preoxygenation, pretreatment, paralysis with induction, protect/position, placement
(with proof), post intubation management
LOAD
pretreatment for RSI
lidocaine, opiates, atropine (infants), defasiculating dose
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