CCPC Review - Formulas, Flight Phys, AC Fundamentals Video Flashcards

1
Q

Ideal Gas Law

A

PV=nRT

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2
Q

ARDS Formula

A

= PaO2/FiO2

Normal > 400
Respiratory Distress/Failure = 300
ARDS <100

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3
Q

Dalton’s Equation (Oxygen at Altitude)

A

FiO2 x P1 / P2

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4
Q

Tank Time Equation (how much time a tank will have oxygen)

A

(Tank Factor)(psi)/lpm

Tank Factors:
H - 3.14
M - 1.65
E - 0.28
D - 0.16

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5
Q

Anion Gap Equation

A

(NA + K) - (Cl + HCO3)

> 16 = MUDPLIERS

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6
Q

PRBC Relationship (____ units of PRBC increases HGB by ____ and HCT by _____)

A

1 unit of PRBC increases HGB by 1 and HCT by 2-3%
(As long as bleeding has stopped!)

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7
Q

MAP

A

MAP = systolic + (2 x diastolic) / 3

NORMAL MAP = 70-90 mmHg

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8
Q

Cardiac Output (CO)

A

CO = HR x SV

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9
Q

Systolic BP

A

Systolic BP = CO x SVR

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10
Q

Afterload of Right side of the Heart

A

PVR

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11
Q

Afterload of the LEFT side of the heart

A

SVR

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12
Q

Coronary Perfusion Pressure

A

CPP = Diastolic BP - PCWP

NORMAL = 60-80 mmHg

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13
Q

Pediatric Maintenance Fluids

A

4/2/1:
- Glucose (D5 1/2 normal saline or D5 1/4 normal saline)
- 4 cc/kg for first 10 kg
- 2 cc/kg for second 10 kg
- 1 cc/kg from then on

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14
Q

Pediatric BP

A

Normal = 90 + 2(age)
Hypo = 70 + 2(age)
*NOT DECOMPENSATED unless < Hypo calculation

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15
Q

Pediatric Bolus

A

Neonate = 10 cc/kg
Heart Failure = 10 cc/kg
Infant = 20 cc/kg

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16
Q

Pediatric ET Tube Size

A

(16 + age)/4

Always have the half size below, the size you calculated, and the half size above prepped.
(Ex: ETT of 3; prep: 2.5/3/3.5)

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17
Q

Pediatric NG/OG Tube Size

A

2 x ETT size

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18
Q

Pediatric Chest Tube Size

A

4 x ETT size

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19
Q

Pediatric Urine Output

A

1-2 cc/kg/hr

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20
Q

Urine Output for Rhabdo

A

Pediatric: 2-4 cc/kg/hr
Adult: >100 cc/hr

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21
Q

Blood Glucose

A

Neonates = >40
Infant - Adult = >60

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22
Q

Normal Blood Volumes (neonate/infant/child)

A

Neonate = 80-90 cc/kg
Infant = 70-80 cc/kg
Child = 70-75 cc/kg

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23
Q

Pediatric Blood Product Admin

A

10 cc/kg

24
Q

Pediatric Ages

A

Neonate: <28 days
Infant: >28 days
Toddler: >2 years
Child: >8-10 years

25
Q

Cerebral Perfusion Pressure

A

CPP = MAP - ICP
CPP = (systolic+(2*diastolic))/3) - ICP

  • needs to be >60
  • Normal is 60-80
26
Q

ICP Ranges

A

Normal = 0-10
Mild = 20
Moderate = 30
Significant = 40
Severe = 50

27
Q

Parkland Formula

A

BURNS

= 4cc x kg x BSA

28
Q

Brooke Formula

A

BURNS

= 2cc x kg x BSA

29
Q

Consensus Formula

A

BURNS

= 2-4cc x kg x BSA

30
Q

ADULT Rule of Nines
- Head and Neck
- Chest
- Abdomen
- Arms
- Back
- Legs
- Perineum

A
  • Head and Neck = 9%
  • Chest = 9%
  • Abdomen = 9%
  • Arms = 9%
  • Back = 18%
  • Legs = 18%
  • Perineum = 1%
31
Q

CHILD Rule of 9’s

  • Head and Neck
  • Chest
  • Abdomen
  • Arms and Hands
  • Back
  • Legs and Feet
A
  • Head and Neck = 18%
  • Chest = 9%
  • Abdomen = 9%
  • Arms and Hands = 9%
  • Back = 18%
  • Legs and Feet = 14%
32
Q

The Henderson-Hasselbach Equation

A

Determines if a lab report is authentic.

H+=[24 x CO2] / HCO3

NORMAL H+ = 40 nEq/L

Expected fall in pH = 7.4 - [# over 40 H+ x 0.01]
*if <7.2; hang BICARB … pressers wont work under 7.2!

33
Q

4 types of Hypoxia + Tx

A

Hypemic - admin PRBC
Hypoxic - tx with O2 or lower altitude
Stagnant - increase perfusion
Histotoxic - find toxin and reverse it

34
Q

4 stages of Hypoxia

A

Indifferent - lose night vision at 5000’
Compensatory - HR/RR increase
Disturbance - Drunk (slurred speech/slow to respond/unsteady gait)
Critical - will die if don’t get help

35
Q

Time of Useful Consciousness

A

Rapid Decompression:
- 25,000 ‘ = 2-5 mins
- 35,000’ = 90 seconds
- 45,000’ = 15-30 seconds

36
Q

Emergency Locator Transponder Frequencies / Activate at how many G’s

A

121.5
406

4 G’s

37
Q

Inherent Risks of Flight

A

G-forces / Gravity
Weather
Fatigue
Thermal changes at altitude
Vibration / Noise

38
Q

Self-Induced Risks of Flight

A

Dehydration
Exhaustion
Alcohol
Tobacco
Hypoglycemia

39
Q

Relationship between altitude and temp

A

Every 1000’ gain = -2-degrees C

40
Q

4 forces that act on aircraft

A

Lift (counteracted by) Weight
Thrust (counteracted by) Drag

41
Q

ETT Cuff pressure goal

A

20-30 mmHg

42
Q

Sea Level

A

760 mmHg

43
Q

How many ATM for 99’ below sea level?

A

4 (water surface + 33 + 33 + 33)

44
Q

AMRM

A

Air Medical Resource Management / Crew Resource Management in flight world

45
Q

Pilot needs to have (hours of flights)

A

2000 hours total
1200 in helicopter
1000 Pilot in Command (helo or fixed wing)
100 PIC at night
5 hours aerial orientation (2 at night)

46
Q

FAA Minimums with Patient onboard

A

135

47
Q

Land:
- immediately
- as soon as possible
- as soon as practical

A

Immediately = engine fire; transmission failure
ASAP = chip light
As soon as practical = some type of inoperable equipment that does not impede the operation of the helicopter

48
Q

How many ways out do you need for:
- scene LZ
- hospital LZ

A
  • Scene: 1
  • Hospital: 2 (+ windsock for a permanent helipad)
49
Q

Post crash priorities

A

Immediately: in order turn off - throttle/fuel/battery

Then:
- meet at 1200 position / closest to 1200 upwind
- find shelter

50
Q

HAZMAT scene - where do you land?

A

Further in the direction of where the wind is coming from (if the wind is coming from the west, go farther west)

51
Q

Duty to Report

A

Child Abuse
Elder Abuse

52
Q

Law at play for anything aircraft/mechanic/pilot related

A

FAA

53
Q

At play for only interfacility transports

A

EMTALA

54
Q

Who is responsible for patient until arrived at receiving facility?

A

Sending physician

55
Q

Converting Celsius to Fahrenheit

A

(Temp in Celsius)(1.8) + 32

Example: 34 degrees Celsius
34*1.8 + 32 = 93.2