Final Exam Flashcards

1
Q

Snoring Respirations

A

Airway maneuvers to get tongue off the airway
OPA/NPA

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2
Q

Gurgling Sounds from Airway

A

Suction

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3
Q

Slow RR (<8) With Signs of Hypoperfusion (Cyanosis, Decreased LOA, etc)

A

OPA - if no gag
OR
NPA
BVM Ventilations

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4
Q

Fast RR (>28) With Associated Fatigue and Poor Oxygenation

A

OPA - if no gag
OR
NPA
BVM Ventilations

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5
Q

Apnea

A

OPA - if no gag
OR
NPA
BVM Ventilations

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6
Q

Oral Suction Pressure - Adult

A

500-550 mm Hg

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7
Q

Oral Suction Pressure - Child

A

200-220 mm Hg

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8
Q

Oral Suction Pressure - Infant

A

80-100 mm Hg

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9
Q

Deep Suction Pressure - Adult

A

100-150 mm Hg

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10
Q

Deep Suction Pressure - Child

A

100 - 120 mm Hg

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11
Q

Deep Suction Pressure - Infant

A

60 - 100 mm Hg

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12
Q

Portable Manual Suction - V Vac

A

Canister holds 425 mls

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13
Q

Battery Suction

A

45 mins of battery
Adult/peds
Holds 300 mls

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14
Q

Vehicle Suction

A

Holds min. 1.1 L
Adjustable pressure of 0-550 mm Hg

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15
Q

Low Flow Devices

A

Nasal cannula, simple face mask and nebulizer mask

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16
Q

Nasal Cannula

A

Max liter flow = 6 lpm
For more stable patients that can breath through their nose
Good for patients who can’t keep a mask on (vomiting)

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17
Q

Simple Face Mask

A

6-10 lpm
No reservoir bag
Not used often

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17
Q

Nebulizer Mask

A

4-6 lpm
Allows administration of Oxygen through the mask

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17
Q

Non-Rebreather Mask

A

12-15 lpm
Patient inhales from a reservoir bag but does not exhale back into it.

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17
Q

High Flow Devices

A

NRB, Filtered O2 mask

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18
Q

Filtered O2 Mask

A

Can run at low, medium or high concentrations
Compatible with nebulizer therapy
Can be used with any patient with suspected or confirmed respiratory infection

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19
Q

Ventilation Rates - Adult, Child and Infant

A

Adult - 1 every 6 seconds
Child - 1 every 3 seconds
Infant - 1 every 3 seconds

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20
Q

When do you Always Use Breathing Control?

A

If RR <8 or >28

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21
Q

Hypotension for Adults

A

<90 mm Hg

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22
Normotension for Adults
>100 mm Hg
23
Hypotension for Pediatrics
SBP <70mm Hg + (2 x age in years)
24
Normotension for Pediatrics
SBP ≥ 90 mm Hg + (2 x age in years)
25
Normal Temperature
36.1 - 37.2 degrees Celsius
26
Fever
>38 degrees Celsius BLS Indicated >38.5 degrees Celsius
27
Normal SPO2
97%-100%
28
Limb Lead Placement
White, right Snow over grass Smoke over fire
29
V1
Fourth intercostal space to the right of the sternum
30
V2
Fourth intercostal space to the left of the sternum
31
V3
Directly between leads V2 and V4
32
V4
Fifth intercostal space at the left mid-clavicular line
33
V5
Level with lead V4 at the left anterior axillary line
34
V6
Level with V5 at left mid-axillary line
35
Lung Sounds: Rhonchi
Continuous low-pitched sounds with expiration. Often associated with the presence of mucus
36
Lung Sounds: Wheezing
Continuous, high-pitched hissing wound. Air passing through a narrowed space. Can be inspiratory or expiratory.
37
Lung Sounds: Stridor
Continuous high-pitched whistle or squeaking sound. Usually with inspiration
38
Lung Sounds: Pleural Rub
Rough grating sounds of lungs on the lining. Heard with inspiration and expiration.
39
Lung Sounds: Crackles
Generally discontinuous. Rattling, bubbling or clicking. Fine Vs. Coarse. Associated with fluid.
40
Peritoneal Dialysis
Catheter placed in abdomen. Puts fluids in the peritoneal cavity and drains toxins/wastes Can be attached by a machine or done by gravity Done 3-5 times per week
41
Hemodialysis
Uses the blood 2 needles/tubes in arm for access Connected to a dialysis machine Machine dialyzes (filters) a few Oz of blood at a time and then returns it to the body Most often done at outpatient clinic but can be done at home Typically 3-5 times per week
42
How Much Blood Do Females and Males Have?
Males - 70 ml blood/kg Females - 65 ml blood/kg
43
How Much Blood Loss can the Body Tolerate?
Body can't tolerate an acute loss of more than 20% of total blood volume. If a typical adult loses more than 1 liter of blood, significant issues will occur
44
Arterial Bleed
Bright red blood Spurts with the pulse Difficult to control
45
Venous Bleed
Darker red blood Flows steadily Easier to manage
46
Capillary Bleed
Dark red Oozes slowly Likely to clot spontaneously
47
How Long do you Hold Pressure with a Hemostatic Dressing?
3 minutes
48
Flail Chest
3 or more ribs broken in 2 or more places
49
Normal Adult Heart Rate?
60 - 100 bpm
50
Bradycardia
<50bpm
51
Tachycardia
>100bpm
52
0-3 Months Normal Heart and Respiratory Rate
90 - 180 bpm 30 - 60 breaths per minute
53
3-6 Months Normal Heart and Respiratory Rate
80-160bpm 30-60 breaths per minute
54
6-12 Months Normal Heart and Respiratory Rate
80-140 bpm 25-45 breaths per minute
55
1-3 Years Normal Heart and Respiratory Rate
75-130 bpm 20-30 breaths per minute
56
6 Years Normal Heart and Respiratory Rate
70-110 bpm 16-24 breaths per minute
57
10 Years Normal Heart and Respiratory Rate
60-90 bpm 14-20 breaths per minute
58
Neonate CPR
<30 days 3:1 compression ratio - depth 1/3 diameter of chest 2 fingers just below the nipple line
59
Infant CPR
>30 days - <1 year 30:2 - 1 rescuer 15:2 - 2 rescuer
60
Pediatric CPR
1 year - evidence of puberty 30:2 - 1 rescuer 15:2 - 2 rescuer 1 handed CPR
61
Adult CPR
Puberty and older 30:2 1 and 2 rescuer 100-120 compressions/minute is goal Limit time off chest to <10 seconds
62
Portable Stretcher
Used in air ambulance Max weight: 350 pounds
63
Scoop Stretcher (or Adjustable Breakaway Stretcher)
Max weight: 500 pounds Weight of stretcher: 18 pounds Adjustable to 4 positions
64
Manta Mat
Max weight: 800 pounds Weight of mat: 5 pounds Holes at each end to allow for water drainage Not MOH mandated
65
Canvas Stretcher
Max weight: 350 pounds
66
Stair Chair
Max weight: 500 pounds Weight of chair: 33 pounds 5 position adjustable lifting bar
67
Proflexx Stretcher (Ferno)
Max weight: 700 pounds (standard); 1100 pounds (bariatric) Weight of stretcher: 92 pounds 9 adjustable heights 5 position drop frame to adjust stretcher length Adjustable head end: between 0 and 65 degrees 2 adjustable side rails 5 point harness and 2 adjustable lower body straps
68
Stryker Power Stretcher
Max weight: 700 pounds Weight of stretcher: 125 pounds Backrest can go from 0-73 degrees Side rails (called XPS) are adjustable to 7 positions
69
Pedi Mate
Max weight: 10-40 pounds; 10-100 pounds (pedimate plus) Weight of pedi mate: 3.5 pounds Adjust backrest of stretcher to 15-45 degrees
70
Spinal Board
Each pin must have a min. 300 pounds pull Must be able to hold min. 400 pounds when supported at both ends
71
KED
Max weight: 500 pounds Weight of KED: 8 pounds
72
Time of Rapid Ex
Patient should go from car to backboard in about 2 minutes.