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Emerg > Chapter 1,2,3 - resus > Flashcards

Chapter 1,2,3 - resus Flashcards

1
Q

indications for intubation

A 
4 Ps
Patency of airway
Pos pressure ventilation
Protection from aspiration
Predict deterioration
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2
Q

when should anticipate intubation

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

6 Ps of RSI

A 
PRep
PRe-oxygenate - 3-5 minutes
Pretreat with medss
Paralysis with induction
Place the tube with proof
Post-intunation mgmt
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4
Q

3 ways to help intubation

A
  1. BURP
  2. bougie or tracheal tube introducer
  3. video laryngoscope
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5
Q

5 major causes pf resp distress

A 
"breathing poorly can cause a lot of tension"
PE
pulmonary edeme (CHF)
Acute exacerbation of COPD
acute severe asthma
Tension pneumo
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6
Q

5 possible substances blocking lung parenchyma

A
  1. blood
  2. fluid/edema
  3. pus/infection
  4. gastric contents
  5. diffusion diseases
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7
Q

4 possible problems with circulation in lungs

A
  1. emboli
  2. metablic -acidosis
  3. anemia
  4. methemoaglobinemia
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8
Q

4 things that can invade pleural space

A
  1. pneumothorax
  2. blood
  3. fluid - effusion
  4. pus - epmynema
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9
Q

3 possible reasons chest wall compliance issues

A
  1. trauma
  2. neurogenic
  3. congenital - kyphosis/scoliosis
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10
Q

3 cardiac causes

A
  1. MI
  2. tamponade
  3. valvular and CHF
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11
Q

what does SaO2 of 90% equal in pO2

A

60

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12
Q

what is main PFT in ER

A

peak expiratory flow

- to assess limitations

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13
Q

what is def. of resp failure

A

pO2 45

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14
Q

2 types of resp failure

A
  1. without CO2 retention - VQ mismatch or shunting
  2. with CO2 retentions
    - V/Q mismatch and inadequate alveolar ventilation
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15
Q

O2 delvery types and the o2 amounts

A 
prongs - 25-40%
face mask - 50-60%
O2 reservoir mask - 90%
bag-valve AMBU - 100%
CPAP/biPAP
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16
Q

3 main systems to think about with shock

A
  1. pumps - R and L hearts
  2. vessels - vasogenic and distributive
  3. Blood - hypovolemic and distributive
17
Q

signs of shock

A 
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
18
Q

general mgmt

A

airway and monitoring

19
Q

Tx of hemmoragic shock

A

ABCs
control source
retore volume

20
Q

Tx of anaphylaxis

A
  1. epi
  2. crystalloid
  3. anti H2
  4. steroids
  5. B2 agonsits
21
Q

Tx of cardio shock

A

ionotropes, ballon pump, angioplasty

22
Q

Tx of tension pneumoa

23
Q

Tx of septic

A

cyrstalloid

ABx

24
Q

Tx of tamponade

A

crystalloid

pericardiocentesis

25
Q

Tx of PE

A
  1. crsytalloid
  2. inotropes
  3. thrombolysis or surgey

Emerg (53 decks)

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