Critical Care

Question 1

What does G/T/P/A/L stand for?

Answer 1

Gravida (G): Number of pregnancies
Term (T): Number of pregnancies ending > 37 weeks to term
Para (P): Number of viable pregnancies
Nulliparity: Never given birth
Abortion (A): Number of pregnancies lost, spontaneous or elective (does it include stillbirth)
Living children (L): Number of current living children

Question 2

Betamethasone:

Answer 2

Corticosteroid given to mother during premature labor to accelerate lung development in the neonate.

Question 3

Tocolytics:

Answer 3

Given to suppress the premature labor. May stop labor altogether or buy time for administration of steroids for neonatal lung development.

Ex: Terbutaline (relaxes smoothe muscle)

Question 4

Mag sulfate:

Answer 4

Given IV to stop labor, also given for preclapmsia (dangerous hypertension/kidney failure during pregnancy). Watch for pulmonary edema and respiratory depression.

Question 5

Penicillin:

Answer 5

For group B strep positive mothers, 2 doeses given during delivery to prevent neonatal pneumonia and meningitis.

Question 6

What can transillumination be used to detect?

Answer 6

• Pneumothorax
• Hydrocele
• Hydrocephalus

Question 7

What color will Hydrocele appear on transillumination?

Answer 7

red

Question 8

How will pneumothorax appear fron transillumination?

Answer 8

reflect off the anterior chest wall

Question 9

How will internal bleed appear from transillumination?

Answer 9

Dark color

Question 10

What are the 3 types of bag valve masks?

Answer 10

• T-piece resuscitator
• Self inflating bag
• Flow inflating bag

Question 11

How does T-piece work?

Answer 11

Operator sets up a PIP and PEEP. Most reliable method for pressure delivery?

Question 12

How does a Flow inflating bag work?

Answer 12

Requires a gas source, can provide PEEP without a valve.

Question 13

How does a self-inflating bag work?

Answer 13

Easiest to use, does not require a gas source, need an additional PEEP valve to provide PEEP.

Question 14

What does the acronym MSMAID stand for?

Answer 14

M: monitors
S: suctioning
M: machines
A: airways
I: IV access
D: drugs

Question 15

What is the SELLICK Manuever?

Answer 15

Used to prevent regurgitation and AIDS with visulaization of the glottis during intubation.

Do not perform SELLICK Manuever during routine intubation only during cardiopulmonary arrest.

Question 16

What is the HOLINGER laryngoscope?

Answer 16

Used to intubate patients with TREACHER COLLINGS SYNDROME (TCS) inherited condition in which facial bones and tissues are not fully developed.

Question 17

What is the formula for ETT size for child < 1yr?

Answer 17

AGE/4+4

Question 18

Formula for ETT depth?

Answer 18

Tube size x 3

Question 19

What is the formula for ETT depth for preemie’s (under 3 kg)?

Answer 19

Add 6 to weight in kg

Question 20

What is one important fact about ETT size?

Answer 20

Always have one size smaller available

Question 21

ECMO is contraindicated in neonates ______ OR _______ due to systemic heparin given for clotting?

Answer 21

< 34 week; 2 kg

Question 22

What is the formula for O2 index?

Answer 22

(MAP x FiO2 x 100)/PaO2

Question 23

What is normal OI?

Answer 23

< 10

Question 24

If FiO2 is > 40 what should be recommended?

Answer 24

ECMO

Question 25

What are the P/F ratios for ARDS and ALI?

Answer 25

< 200 IRDS
< 300 ALI

Question 26

What is the formula for RAW?

Answer 26

pip-plat/flow (L/sec)

Question 27

What is the normal RAW?

Answer 27

30cmH20/L/sec

Question 28

What is the formula for peak flow?

Answer 28

PF (L/min)/60sec

Question 29

What is the formula for circuit complinace?

Answer 29

Total effective volume = delivered VT - [compressible factor x (PIP-PEEP)]