Critical Care Flashcards
What does G/T/P/A/L stand for?
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
Betamethasone:
Corticosteroid given to mother during premature labor to accelerate lung development in the neonate.
Tocolytics:
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)
Mag sulfate:
Given IV to stop labor, also given for preclapmsia (dangerous hypertension/kidney failure during pregnancy). Watch for pulmonary edema and respiratory depression.
Penicillin:
For group B strep positive mothers, 2 doeses given during delivery to prevent neonatal pneumonia and meningitis.
What can transillumination be used to detect?
- Pneumothorax
- Hydrocele
- Hydrocephalus
What color will Hydrocele appear on transillumination?
red
How will pneumothorax appear fron transillumination?
reflect off the anterior chest wall
How will internal bleed appear from transillumination?
Dark color
What are the 3 types of bag valve masks?
- T-piece resuscitator
- Self inflating bag
- Flow inflating bag
How does T-piece work?
Operator sets up a PIP and PEEP. Most reliable method for pressure delivery?
How does a Flow inflating bag work?
Requires a gas source, can provide PEEP without a valve.
How does a self-inflating bag work?
Easiest to use, does not require a gas source, need an additional PEEP valve to provide PEEP.
What does the acronym MSMAID stand for?
M: monitors
S: suctioning
M: machines
A: airways
I: IV access
D: drugs
What is the SELLICK Manuever?
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.
What is the HOLINGER laryngoscope?
Used to intubate patients with TREACHER COLLINGS SYNDROME (TCS) inherited condition in which facial bones and tissues are not fully developed.
What is the formula for ETT size for child < 1yr?
AGE/4+4
Formula for ETT depth?
Tube size x 3
What is the formula for ETT depth for preemie’s (under 3 kg)?
Add 6 to weight in kg
What is one important fact about ETT size?
Always have one size smaller available
ECMO is contraindicated in neonates ______ OR _______ due to systemic heparin given for clotting?
< 34 week; 2 kg
What is the formula for O2 index?
(MAP x FiO2 x 100)/PaO2
What is normal OI?
< 10
If FiO2 is > 40 what should be recommended?
ECMO
