Extra Bullshit

Question 1

Which thing in interdependent when it comes to systems of care?

Answer 1

Structure

Question 2

What are the H’s and Ts?

Answer 2

Hypovolemia
Hypoxia
Hyper/hypokalemia
Hypo/hyperthermia
Hydrogen Ion (acidosis)

Tension Pneumothorax
Tamponade
Toxins
Pulmonary thrombosis/embolism
Coronary thrombosis

Question 3

What is the ideal tidal volume?

Answer 3

500-600 ml

Question 4

OPA sizing?

Answer 4

Flange of OPA at mouth, tip of OPA at the angle of the mandible

Question 5

NPA sizing?

Answer 5

Tip of pt’s nose to earlobe

Question 6

When are nitrates contraindicated in ACS?

Answer 6

When right ventricular infarct is suspected.
Hypotension, clear lungs, and JVD are good signs of right ventricular infarct.

Question 7

Reperfusion goals

Answer 7

PCI within 90 minutes of original medical contact or
Fibrinolytics within 30 minutes of pt arrival at ED

Question 8

What are the 8 Ds of stroke care?

Answer 8

Detection
Dispatch (Rapid)
Delivery of pt
Door
Data
Decision
Drug/Device
Disposition- Rapidly admitting the pt to a stroke unit

Question 9

What is the most common type of stroke?

Answer 9

Ischemic

Question 10

What is symptomatic bradycardia

Answer 10

HR less than 50 BPM

Question 11

What does atropine do?

Answer 11

Blocks the stimulation of the heart by the vagus nerve.

Question 12

What does dopamine do?

Answer 12

Activates B1 adrenal receptor which:
Improves myocardial contractility
Increased sinoatrial node rate
Enhanced impulse conduction in the heart