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Drug Cards > Formulas & #s > Flashcards

Formulas & #s Flashcards

1
Q

Parkland Burn Form for:
form:

A

= (BSA >20% only 2 & 3 degree burns)
= 4 mL x BSA x Weight (kg) = ½ 1st 8 Hrs & ½ next 16Hrs

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2
Q

(60%) Fluid compartments % of water:

A

45% intracellular
15% extracellular (outside cell)
Interstitial 10.5% Intravascular 4.5%

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3
Q

(Blood vol/ loss) Pelvis:
Femur:
Humorous:

A

= 2-3Liters
= 1.5Liters per femur
= 750ml per humorous

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4
Q

(Class II Hemorrhage) 1 injuries:
2Compensation for blood:
3Blood Loss: 15 - 30%
4Pulse:
5Blood Pressure:
6Pulse Pressure:
7Capillary Refill:
8Ventilation Rate:
9Urine Output (mL/hr):
10Mental Status:

A

1= 1/2 Humorous fractures, a femur fracture, 1 full Hemopneumo
2= 1st line comp/ no longer maintain perfusion & 2ndary employed
3= 15 - 30% 750mLs-1.5L
4= > 100BPM
5= Normal
6= Starts to narrow
7= 2-3 secs
8= 20-30RR
9= (mL/hr) 20-30
10= Mildly Anxious

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5
Q

(Class III Hemorrhage)1 injuries/fractures:
2 Compensation to blood:

3 Blood Loss:
4 Pulse:
5 Blood Pressure:
6 Pulse Pressure:
7 Capillary Refill:
8 Ventilation Rate:
9 Urine Output (mL/hr):
10 Mental Status:

A

1= 2 Humorous, 1-2femur, 1 full Hemopneumo
2= Both 1&2nd comp/ responses failing to maintain perfusion & entering/in Decompensated Shock! (SBP <90)
3= Blood Loss: 30 - 40%, (1500 - 2000 mL’s)
4= >120
5= Starts to decrease
6= Narrows more
7= 3-4secs
8= 30-40
9= 5-10mL/hr
10= Anxious/Confused

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6
Q

(Class IV Hemorrhage) 1 injuries:
2= Compensation to blood:
3= blood loss:
4= Pulse:
5= Blood Pressure:
6= Pulse Pressure:
7= Capillary Refill:
8= Ventilation Rate:
9= Urine Output (mL/hr):
10= Mental Status:

A

1= GSWs, multiple major fractures, Pelvis
2= Irreversible Shock!
3= > 40% (>2000mLs) of total blood
4= > 140 & barely palpable in central arteries
5= Very low
6= Narrows more
7= > 5 seconds
8= > 40 or agonal
9= Negligible
10= Lethargic or Unconscious

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7
Q

(Critical Criteria) 3rd & 2nd Degree criteria:
Any 2nd or 3rd degree burns involving:
Burn types that’re critical & Rx:

A

= 3rd>10% & 2nd>30%
= Face, Hands, Genitalia, Circumferential, Feet, (Dipping), Airway
= Chem, high voltage, Burns w/ major trauma go trauma center 1st then burn center

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8
Q

(Non& Hemorrhagic treatment) If hemorrhage can be controlled:
If hemorrhage cannot be controlled:

Med for Sig/hemorrhage, in/external (after external controlled)

A

= IV/IO therapy (don’t delay transport) can administer 20 mL/kg bolus.
=administer just enough IV fluid to obtain a radial pulse (permissive hypotension therapy!)NO MORE SBP 80-90 (IV fluids Warm)
= Tranexamic Acid (TXA) Adult 1G/10 mins (mix in 50 mL of NS) follwed w/ 1G/8Hrs (500 mL bag) & Pediatric Not recommended

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9
Q

(Wallace Rule of 9s) used only for:
Adult %s:
infants (0-1):
Form:

A

= burns >10%
= 1 genitals, 9 head thoracic & ABDMN, distal anterior (applies to other areas) arm 4 ½
= head 18, arm 9, legs 13.5, 18 front thoracic & ABDMN
= # of child -1 > take away from head then give to each leg (Applicable up 10y/o) For every year beyond age 1, subtract 1 from head / that # & add it evenly between the 2 legs.

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10
Q

Class 1 hem:
Class 2 hem:
Class 3 hem:
Class 4 hem:

A

= max15% (750 mL’s) SNS main compensatory
= 15-30% (750-1500 mL’s)RAAS
= 30-40% (1.5-2L’s) comp to decomp SBP90
= >40% (>2Ls) irreversible

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11
Q

1Stages of healing:

A

1= Hemostasis, Inflam/, Epithelialization, Neovasc/, Collagen synthesis

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12
Q

Adult Men weight from:
Adult Women weight from:

A

=50 kg + 2.3 kg X (Height (in)- 60)
=45.5 kg + 2.3 kg X (Height (in)-60)

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13
Q

Pulse pressure:
MAP:
CPP Cerebral Perfusion:

A

= SBP-DBP
= (PP/3) + DBP
= (MAP-ICP) + 10

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14
Q

CPP Cerebral Perfusion:

A

= (MAP-ICP) + 10

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15
Q

Pulse pressure:

A

= SBP-DBP

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16
Q

MAP:

A

= (PP/3) + DBP

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17
Q

Blood:
Plasma:
Leukocytes:
Erythrocytes:

A

= Mixture of water, cells, proteins, & suspended elements.
= makes up 55% of the blood volume
= WBC & platelets make up the “Buffy Coat”
= RBC make up 45%

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18
Q

BP bladder width should cover at least:
BP bladder length should cover between:
BP cuff should cover:

A

= 40 - 50% of the mid-arm circumference.
= 80-100% of the arm circumference.
= 2/3 of distance of upper arm (from the acromion to the olecranon)

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19
Q

Cardiac output formula:

A

= SV x HR

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20
Q

Blood Pressure formula:

A

= (SV x HR) x SVR / CO x SVR

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21
Q

Cardiac Output:
Cardiac Output Formula:
Blood Pressure formula:

A

= amount of blood pumped by the heart in 1 min (70mL)
= SV x HR
= (SV x HR) x SVR

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22
Q

Celsius# to degrees Fahrenheit form
Fahrenheit# to Celsius form

A

C# to F=(C# -32) / 1.8
F# to C= (1.8 x F) + 32

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23
Q

Child Burn form:

A

(age#-1 from the head) / between 2 legs

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24
Q

(Class I Hemorrhage) 1 injuries:
2Compensation for blood:
3Blood Loss:
4Pulse:
5Vent rate, BP & Pulse Pressure:
6Cap-Refill:
7Urine Output (mL/hr):
8Mental Status:

A

1= Broken humorous 750mL
2= Healthy PTs can easily compensate for such blood volume loss
3= Blood Loss: < 15% (<750 mL’s)
4= Pulse: Slightly Tachy
5= all Normal
6= Cap-Refill <2secs
7= 30mL/Hr or more
8= Slightly Anxious

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25
Q

Compartment Syndrome:
Rx
6 Ps:

A

= When injured, soft tissues within the compartment swell. Reduces blood flow to muscles and nerve tissues Deep, burning pain out of proportion to apparent injury. Leg most common location
= make pain tollerable/take edge off
= Pain – Pallor (loss of collor/ pale)– Paralysis (lack m-nt) – Paresthesia (lack of sense) – Pressure (feeling of tension) – Pulses (diminished or absent)

26
Q

Controlled hemo/ fluid dosing

A

20mL/Kg Warm NS

27
Q

Ejection Fraction (EF):

<45% usually indicates:
<30%:

A

= Ratio of blood pumped from the ventricle to the amount remaining @ the end of diastole/ %of blood pumped out from ventricle (60-70%)
=<45% usually indicates in or going to CHF
=<30% in CHF & chronic cardiac crip on oxy

28
Q

End-tidal gradient= Difference between partial pressure of arterial CO2(PaCO2) & end-tidal CO2(ETCO2). Formula=

A

PaCO2 - ETCO2 = End - Formula gradient

29
Q

ETCO2 levels <10 mmHg indicates

A

NO ROSC

30
Q

ETT size range~

A

Adults (6.0-9.0) women~7-8 & man~8-9
Pedi tubes(2.5-5.5)

31
Q

ETCO2 Lvs in head-injured intubated PT shouldn’t drop below:
When vent/ing a adult PT, each breath should have tidal volume of:

A

= 30 mmHg
= approximately 500mL

32
Q

FIO2% on nasal canula formula

A

(lpm x 4) + 20 ,ex 1lpm=24%

33
Q

Fluid accounts for ~% of the body’s weight, Only ~% of the fluid is contained in our vascular system

A

= 60% of the body’s weight, Only about 7% of the fluid is contained in our vascular system

34
Q

fluid replacement after perfusion rule:
4 2 1rule/ formula :

A

=back to normovolemia Used for every hr after to maintain
= [A] 4ml/kg 1st 10 [B]2m/Kg 2nd 10kg [C]1ml/kG after per hour Used for every hour after to maintain

35
Q

Force:
Force formula:

A

= force related to a objects mass(weight) and/or achange in velocity
= mass x Acceleration

36
Q

Handtevy=

A

your hand 1,3,5,7,9 10,15,20,25,30→ weight in pedis

37
Q

calculate alveolar volume,
minute volume,
alveolar minute volume?

A

= Tidal Volume - Dead Space
=RR x Tidal Volume
= Alveolar Volume x RR

38
Q

How to estimate PEDI ET tube size: Uncuffed
Cuffed

A

Uncuffed ET: (Age /4) + 4 OR (Age + 16) /4
Cuffed ET = (Age /4) + 3.5

39
Q

How to estimate pedi weight

A

(Age + 4) x 2 = Approximate weight in kg (Old Way)
(Age x 3) + 7 = Approximate weight in kg (New Way

40
Q

hypoglycemic with PEDIs trick:
hypoglycemia Rx for neonate:
hypoglycemia Rx for infant:

A

= Lots of sick kids hypoglycemic so use bone marrow for BGL
= <45BGL neonate
= <60BGL infant

41
Q

If you were administering isotonic crystalloid solutions, how much would move out of the intravascular compartment within 1 hour?

A

2/3s would move out

42
Q

Kinetic energy:
Kinetic Energy form:

A

=energy of a object in motion (by objects mass & its velocity
= (Mass x Velocity ^2)/ 2 ½ x mv^2

43
Q

Lbs→ Kg=

A

of pounds / 2.2

44
Q

Lightning can still strike you if proximity up to:

A

up to 50yrds can strike you

45
Q

Moderate criteria) Superficial:
Partial thickness burns:
Full thickness burns:

A

= BSA >50%
= BSA <30%
= BSA <10%

46
Q

Normal blood pH range=

A

7.35 - 7.45 mmHg

47
Q

oxygen saturation form=

A

O2 content / O2 capacity x 100%

48
Q

Pedi intubation ETT location=

A

ETT Insertion is 2-3 cm below the vocal cords

49
Q

Phrenic nerve location

A

C-3-5

50
Q

Pulse pressure:
Pulse pressure signifies:
Pulse pressure <25 mmHg may be seen w/

A

= dif/ between DBP & SBP pressures (PP= SBP-DBP)
= amount of force the heart generates with each contraction
= PTs w/ sings of shock

51
Q

Respiration ratio=

A

1 sec inhalation 2 sec exhalation

52
Q

RSI Ideal Body Weight) Men formula
Women formula

A

Men= 50 kg + (2.3 kg X (Height (in) - 60)
Women= 45.5 kg + (2.3 kg X (Height (in) - 60)

53
Q

Rule of palm:

A

use of PT hand = 1% of BSA (burns <10%)

54
Q

“rule of thumb” for estimating the proper depth of an ETT=

A

Depth should be ~3x ETT size

55
Q

Stroke volume:

3 factors that affect stroke volume:

A

= amount of blood ejected by heart in 1 contraction, varies 60-100mLs w/ average 70mL
= preload, afterload, & contractility

56
Q

Suction catheter size w/ ETT~ form:

A

ETT# x2

57
Q

Suctioning time limits:

A

Adults 15 secs max,
Children= 10 secs max,
Infants=5 secs max,
ET/Trach tube= 5-10 secs max

58
Q

The blood volume of an infant or young child is proportionally:
Population most at risk for trauma & trauma death:

A

= ~20%> than that of an adult
= Young adult male

59
Q

Triplicate method:
6 sec method:
R to R small box method:
R to R big box method:

A

= for HR> Big box RR descends 300,150,100,75,50,50,43,38
= Count # of complexes in a 6-sec strip X 10
= Count small boxes between R waves then /1500 EX: 1500 / 22 = 68
= (only regular rhythm) Count big boxes between R waves then divide 300 by this number EX 300 / 4 = 75

60
Q

Ventri mask oxy%s:

A

24%, 28%, 35%, & 40%.

61
Q

JumpSTART made for:
At what age do we use JumpSTART vs. START:

A

= Pedi injuries hit dif physchologically
= 8Yrs 45kG 100lbs

Drug Cards (10 decks)

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