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Clinical Medicine Lecture - Professor Kramer > Emergency pt. 1 > Flashcards

Emergency pt. 1 Flashcards

1
Q

Nasal cannula: 1 L/min

A

21-24 %

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2
Q

Nasal cannula: 2 L/min

A

25-28%

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3
Q

Nasal cannula: 3 L/min

A

29-32%

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4
Q

Nasal cannula: 4 L/min

A

33-36%

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5
Q

Nasal cannula: 5 L/min

A

37-40%

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6
Q

Nasal cannula: 6 L/min

A

41-44%

  • *nothing above 6 liters is going to make them feel better this is like the max we can take in
  • *
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7
Q

Simple oxygen face mask : Flow rates ?

A

6-10 L/min

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8
Q

Simple oxygen face mask: 6-10 L/min Deliver O2 ?

A

35-60%

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9
Q

Face mask withO)2 reservoir (non-rebreather mask): Flow rates ?

A

6-15 L/min

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10
Q

Face mask with O2 reservoir (non-rebreather mask): 6 L/min delivered O2 ?

A

60%

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11
Q

Face mask with O2 reservoir (non-rebreather mask): 7 L/min delivered O2 ?

A

70%

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12
Q

Face mask with O2 reservoir (non-rebreather mask): 8 L/min delivered O2 ?

A

80%

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13
Q

Face mask with O2 reservoir (non-rebreather mask): 9 L/min delivered O2 ?

A

90%

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14
Q

Face mask with O2 reservoir (non-rebreather mask): 10-15 L/min delivered O2 ?

A

95-100%

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15
Q

Venturi mask: 4-8 L/min delivered oxygen ?

A

24-40 %

ABG

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16
Q

Venturi mask: 10-12 L/min delivered oxygen ?

A

40-50%

ABG

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17
Q

Adult-8yo: Compression to breathing by age - Single provider compression: ventilation?

A

30:2

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18
Q

Adult-8yo: Compression to breathing by age - Two provider compression: ventilation ?

A

30:2

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19
Q

Adult-8yo: Compression to breathing by age - If advanced airway ?

A

6:1

blow the air in during recoil of the CPR

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20
Q

Adult-8yo: Compression to breathing by age - Compression depth ?

A

5 cm

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21
Q

Adult-8yo: Compression to breathing by age - Hand positioning on sternum ?

A

2 hands

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22
Q

Puberty-1yo: Compression to breathing by age - Single provider compression: ventilation ?

A

30:2

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23
Q

Puberty-1yo: Compression to breathing by age - Two provider compression: ventilation ?

A

15:2

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24
Q

Puberty-1yo: Compression to breathing by age - If advanced airway (intubated) ?

A

6:1

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25
Q

Puberty-1yo: Compression to breathing by age - Compression depth ?

A

5cm (at least 1/3rd chest)

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26
Q

Puberty-1yo: Compression to breathing by age - Hand positioning on sternum ?

A

1-2 hands

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27
Q

Infants: Compression to breathing by age - Single provider compression: ventilation ?

A

30:2

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28
Q

Infants: Compression to breathing by age - Two provider compression: ventilation ?

A

15:2

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29
Q

Infants: Compression to breathing by age - If advanced airway ?

A

6:1

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30
Q

Infants: Compression to breathing by age - Compression depth ?

A

4 cm (at least 1/3rd chest)

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31
Q

Infants: Compression to breathing by age - Hand positioning on sternum ?

A

2 fingers

32
Q

CAP - outpatient tx ?

A

Azithromycin

Doxy

33
Q

CAP - outpatient tx consider?

A

augmentin

levo

34
Q

CAP - hospitalized tx ?

A

fluoroquinolone

35
Q

CAP - hospitalized tx consider ?

A

Macrolide
plus
ceftriaxone

36
Q

CAP - hospitalized ICU bed tx ?

A

Fluoroquinolones

plus

beta lactam = ampicillin, ceftriaxone

37
Q

CAP - hospitalized ICU bed tx consider ?

A

Fluoroquinolne

plus

clinda

38
Q

HCAP outpatient tx. ?

A

Fluoroquinolones

39
Q

HCAP outpatient tx. consider ?

A

Macrolide
plus
augmentin

40
Q

HCAP early/low-risk MDR tx ?

A

Fluoroquinolones

41
Q

HCAP early/low-risk MDR tx consider ?

A

Ceftriaxone
or
Zosyn

42
Q

HCAP late/high-risk MDR tx ?

A

Cefepime or Ceftriaxone

plus

levo

plus

vanco

43
Q

VAP tx. ?

A

Cefepime or Ceftriaxone

plus

levo

plus

vanco

44
Q

Aspiration PNA tx. ?

A

clinda

45
Q

Aspiration PNA tx. consider?

A

augmentin

or

imipenem

46
Q

Neonates organism ?

A

GBS

listeria

staph

pseudomonas

47
Q

Neonates tx. ?

A

Ampicillin

naficillin
plus
genta

48
Q

Neonates tx. alternate ?

A

vanco
plus
cefotaxime

49
Q

1-3 month organism ?

A

Chlamydia

s.pneumo

50
Q

1-3 month tx. ?

A

erythromycin
or
amoxicillin

51
Q

1-3 month tx. alternate ?

A

Cefuroxime

52
Q

3mo-5yr organism ?

A

s.pneumo

mycoplasma

Chlamydia

53
Q

3mo-5yr tx. ?

A

amoxicillin

maybe macrolide

54
Q

3mo-5yr tx. alternate ?

A

Cefuroxime
or
ceftriaxone

55
Q

5yr-18yr organism ?

A

mycoplasma

s. pnuemo

56
Q

5yr-18yr tx. ?

A

marcolide

57
Q

5yr-18yr tx. alternate ?

A

augmentin
or

Cefuroxime
plus
macrolide

58
Q

Lobar consolidation description ?

A

non segmented, homogenous consolidation involving one lobe

maybe bronchograms

59
Q

Lobar consolidation organism ?

A

S.pneumo

K.penumo

L.p

60
Q

Bronchopneumonia description ?

A

Peribronchial thickening

poorly defined opacities

patchy

61
Q

Bronchopneumonia organism ?

A

staph

H. flu

62
Q

Interstitial pneumonia description ?

A

edema and infiltrate in alveolar space, surrounding small airways

63
Q

Interstitial pneumonia organisms ?

A

M. pneumonia

viruses

64
Q

Abscess description ?

A

air-fluid level adjacent parechymal consolidation

65
Q

Abscess organisms ?

A

staph

pseudo

anaerobes

66
Q

Effusion description ?

A

Assumes shape of pleural space, air fluid level present

67
Q

Effusion organisms ?

A

10% s. pneumonia

50% H.flu or L.p

68
Q

Pneumatocele description ?

A

thin walled, gas filled spaced

69
Q

Pneumatocele organsims ?

A

50% staph

children

70
Q

S. pneumonia ?

A

rust colored

lobar infiltrate

71
Q

Staph ?

A

After virus infection

multi lobar

patchy

72
Q

Klebsiella p. ?

A

alcoholics or nursing home patients

brown currant jelly

upper lobe infiltrate, bulging fissure sign

73
Q

Pseudomonas ?

A

hospitalized, debilitated, immunocompromised

abscess formation

74
Q

H. flu ?

A

elderly and COPD

75
Q

Legionella ?

A

Gi sxs.

N/V/D

76
Q

Mycoplasma ?

A

upper and lower respiratory tract sxs.

non productive cough

interstitial infiltrates

reticulonodular pattern

Clinical Medicine Lecture - Professor Kramer (28 decks)

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