Finals Exam Flashcards

1
Q

What is Boyle’s law?

A

The pressure of a gas is inversely proportional to its volume. (Pressure up, volume down. Pressure down, volume up)

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2
Q

What is Charles’s law?

A

If the pressure is constant, the volume of a gas is directly proportional to temperature. (Temperature up, volume up. Temperature down, volume down)

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3
Q

What is Guy Lussac’s law?

A

Volume is constant, the pressure of a gas is directly proportional to its temperature. (Temperature up, pressure up. Temperature down, pressure down.)

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4
Q

What is Daltons Law?

A

Non reacting gaseous mixture, the total pressure exerted is equal to the sum of the partial pressures of the individual gases.

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5
Q

How to calculate Dalton’s law?

A

[partial pressure (oxygen) + partial pressure (nitrogen)] = total atmospheric pressure.

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6
Q

What is sea level pressure?

A

760

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7
Q

How to calculate PAO2?

A

(FIO2 x atmospheric pressure)

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8
Q

How do you calculate changes in fio2 due to elevation changes?

A

PAO2/ atmospheric pressure @ destination

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9
Q

What is Henry’s law?

A

The solubility of a gas is directly proportional to its partial pressure. (Partial pressure up, solubility up. Partial pressure down, solubility down)

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10
Q

What law is the reason PEEP matters?

A

Henry’s law

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11
Q

What is Grahams law?

A

The rate of diffusion of a gas across a membrane is inversely proportional to its total molecular mass and directly proportional to its solubility.

(Big stuff don’t fit in small holes. Larger gas molecules will take longer to diffuse across a membrane.)

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12
Q

What is barobariotrauma?

A

Condition where bariatric patients have large amounts of nitrogen dissolve out of their fat tissue upon ascent to lower atmospheric pressures.

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13
Q

What is barosinusitis?

A

Inflammation of the sinuses during pressure change.

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14
Q

When does barisinusitis typically occur?

A

Typically during ascent

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15
Q

What is barodontalgia?

A

Toothache caused by elevation changes

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16
Q

When does barodontalgia typically occur?

A

Ascent

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17
Q

What is barotitis media?

A

Failure if the middle ear to equalize to changing atmospheric pressures

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18
Q

When does barotitis media typically occur?

A

Descent

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19
Q

What is hypoxic hypoxia?

A

Type of hypoxia that occurs at altitude. Caused by lack of oxygen.

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20
Q

What is histotoxic hypoxia?

A

Something is preventing normal uptake or used of oxygen by cells despite adequate delivery

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21
Q

What are the 2 most common causes for histotoxic hypoxia?

A

Cyanide poisoning and carbon monoxide poisoning

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22
Q

How do you tell the difference between cyanide and carbon monoxide poisoning?

A

Cyanide- produced by burning synthetics (carpet/plastics) can cause pulmonary edema.
CO- possible to be produced during combustion of most things, very likely in combustion of hydrocarbons. Should not produce pulmonary edema

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23
Q

What is hypemic hypoxia?

A

Hypoxia caused by inadequate oxygen delivery due to anemia.

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24
Q

When do you transfused PRBC’s?

A

Hemoglobin under 7.

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25
Q

1 unit of PRBC causes what coags change?

A

Hemoglobin to go up by 1 and hematocrit to go up by 3.

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26
Q

What is stagnant hypoxia?

A

The lack of blood flow caused by excessive G-forces.

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27
Q

Normal PIP?

A

20-25. Less than 40

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28
Q

Normal tidal volume?

A

6-8 CC/KG of IBW

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29
Q

How to calculate IBW?

A

Men: 50 + (2.3 x inches over 5ft)

Women: 45 + (2.3 x inches over 5ft)

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30
Q

Normal Pplat?

A

Less than 30

31
Q

Normal PEEP?

A

3-5

32
Q

What does PEEP do to vitals?

A

Increase O2, but drop BP

33
Q

Normal RR?

A

12-20

34
Q

What does f stand for?

A

Frequency (number of breaths.)

35
Q

Normal I-Time?

A

Adults: 1 second
Infants: 0.3 seconds

36
Q

Normal HCO3?

A

22-26

37
Q

Normal PaCO2?

A

35-45

38
Q

Normal pH?

A

7.35-7.45

39
Q

Normal PaO2?

A

80-100

40
Q

How do you sedate an asthmatic patient on a vent?

A

Ketamine

41
Q

What is Succinylcholine?

A

Depolarizing neuromuscular blocker

42
Q

What does succinylcholine target?

A

Nicotinic acetylcholine receptors on the post synapse

43
Q

Does for Succinylcholine?

A

1-2 mg/kg

44
Q

What Can succinylcholine cause?

A

Fasciculations, malignant hyperthermia

45
Q

Contraindications for succinylcholine?

A

Anything that causes Hyper K, crush injuries, Burns, renal failure. Any neuromuscular autoimmune disorders (ALS, MS, MG)

46
Q

Treatment for malignant hyperthermia?

A

Dantrolene/ dantrium

47
Q

What is rocuronium?

A

Non- depolarizing neuromuscular blocker.

48
Q

Dose of Rocuronium?

A

1 Mg/kg

49
Q

What is vecuronium?

A

Non depolarizing neuromuscular blocker

50
Q

What is the dose of Vecuronium?

A

0.1 Mg/kg

51
Q

Normal capno ranges?

A

35-45

52
Q

What capnography wave form would you see for bronchospasms?

A

Shark fin

53
Q

What do you do in event of a crash?

A

Ensure proper safety restraints, turn off oxygen, knees to chest, follow pilot commands

54
Q

What do you do immediately after a crash?

A

Follow pilot commands, exit immediately

55
Q

What is the number 1 survival priority after a crash?

A

Seek shelter

56
Q

What is the ELT (Emergency Location Transmitter) frequency?

A

121.5 MHZ

57
Q

Who is in charge of search and rescue with a downed aircraft?

A

Civil air patrol under the US Air Force

58
Q

What is the pitot tube?

A

Used to measure fluid flow and Velocity

59
Q

When is there a sterile cockpit?

A

Take off, landing or emergency procedures

60
Q

Levels of atmosphere?

A

Troposphere- stratosphere- mesosphere

61
Q

What is the troposphere?

A

Clouds and rain visible in this region. Most flights occur in this region, commercial airlines fly in the upper portion of this region.

62
Q

What is the appropriate minimum weather conditions for day non mountainous?

A

800 feet and 2 miles

63
Q

What is the appropriate minimum weather conditions for day mountainous?

A

800 feet and 3 miles

64
Q

What is the appropriate minimum weather conditions for night non mountainous?

A

800 feet and 3 miles

65
Q

What is the appropriate minimum weather conditions for night mountainous?

A

1000 feet and 3 miles

66
Q

What are NVG’s?

A

Night vision goggles

67
Q

What are NVG’s used for?

A

utilized for improved visualization during low light scenarios.

68
Q

Minimum candlepower for helicopter spotlight?

A

400,000

69
Q

How often should helmets be checked?

A

Once per year minimum

70
Q

Lasers and aircraft’s?

A

Reports show lasers pointed at aircraft’s increase crash risk

71
Q

Inferior MI affects what leads?

A

Elevation in 2, 3, AVF
Depression in 1, AVL

72
Q

What artery is affected in an Inferior MI?

A

RCA. Sometimes PDA

73
Q

If inferior MI is present with RVI you should do?

A

Administer fluids

74
Q

What leads are effected in Anterior MI?

A

Elevation in V3, V4