Chapter 1,2,3 - resus

Question 1

indications for intubation

Answer 1

4 Ps
Patency of airway
Pos pressure ventilation
Protection from aspiration
Predict deterioration

Question 2

when should anticipate intubation

Answer 2

1. trauma
2. ODs
3. severe COPD
4. head injury

Question 3

6 Ps of RSI

Answer 3

PRep
PRe-oxygenate - 3-5 minutes
Pretreat with medss
Paralysis with induction
Place the tube with proof
Post-intunation mgmt

Question 4

3 ways to help intubation

Answer 4

1. BURP
2. bougie or tracheal tube introducer
3. video laryngoscope

Question 5

5 major causes pf resp distress

Answer 5

"breathing poorly can cause a lot of tension"
PE
pulmonary edeme (CHF)
Acute exacerbation of COPD
acute severe asthma
Tension pneumo

Question 6

5 possible substances blocking lung parenchyma

Answer 6

1. blood
2. fluid/edema
3. pus/infection
4. gastric contents
5. diffusion diseases

Question 7

4 possible problems with circulation in lungs

Answer 7

1. emboli
2. metablic -acidosis
3. anemia
4. methemoaglobinemia

Question 8

4 things that can invade pleural space

Answer 8

1. pneumothorax
2. blood
3. fluid - effusion
4. pus - epmynema

Question 9

3 possible reasons chest wall compliance issues

Answer 9

1. trauma
2. neurogenic
3. congenital - kyphosis/scoliosis

Question 10

3 cardiac causes

Answer 10

1. MI
2. tamponade
3. valvular and CHF

Question 11

what does SaO2 of 90% equal in pO2

Answer 11

60

Question 12

what is main PFT in ER

Answer 12

peak expiratory flow

- to assess limitations

Question 13

what is def. of resp failure

Answer 13

pO2 45

Question 14

2 types of resp failure

Answer 14

1. without CO2 retention - VQ mismatch or shunting
2. with CO2 retentions
   - V/Q mismatch and inadequate alveolar ventilation

Question 15

O2 delvery types and the o2 amounts

Answer 15

prongs - 25-40%
face mask - 50-60%
O2 reservoir mask - 90%
bag-valve AMBU - 100%
CPAP/biPAP

Question 16

3 main systems to think about with shock

Answer 16

1. pumps - R and L hearts
2. vessels - vasogenic and distributive
3. Blood - hypovolemic and distributive

Question 17

signs of shock

Answer 17

mental status
pulse - high
BP - insensitive marker for tissue perfusion
orthostatic vitals
resp rate - tachypnea
skin - cool and clammy
heart sounds - muffled in cardiac
JVP - low in hypo and sepsis, high in LV failure and R heart problems

Question 18

general mgmt

Answer 18

airway and monitoring

Question 19

Tx of hemmoragic shock

Answer 19

ABCs
control source
retore volume

Question 20

Tx of anaphylaxis

Answer 20

1. epi
2. crystalloid
3. anti H2
4. steroids
5. B2 agonsits

Question 21

Tx of cardio shock

Answer 21

ionotropes, ballon pump, angioplasty

Question 22

Tx of tension pneumoa

Answer 22

needle

Question 23

Tx of septic

Answer 23

cyrstalloid

ABx

Question 24

Tx of tamponade

Answer 24

crystalloid

pericardiocentesis

Question 25

Tx of PE

Answer 25

1. crsytalloid
2. inotropes
3. thrombolysis or surgey