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I&M Final > IM Final Red Boxes - Sheet1 > Flashcards

IM Final Red Boxes - Sheet1 Flashcards

1
Q

Total peripheral resistance of maternal

A

Goes down because 2 parallel circuits

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2
Q

Maternal blood volume increases how much

A

35%

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3
Q

Maternal plasma volume increases how much

A

45%

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4
Q

Maternal erythrocyte volume increases how much

A

20%

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5
Q

Maternal platelets increase how much

A

0

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6
Q

Maternal minute ventilation

A

^50%

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7
Q

Maternal alveolar ventilation

A

^70%

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8
Q

Maternal tidal volume

A

^40%

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9
Q

Maternal respiratory rate

A

^15%

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10
Q

Maternal closing volume

A

unchanged or slightly decreased

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11
Q

Maternal Arterial pH

A

Unchanged

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12
Q

Maternal arterial PO2

A

^10mmHg

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13
Q

Maternal arterial PCO2

A

v10mmHg

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14
Q

Maternal airway resistance

A

v36%

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15
Q

Maternal vital capacity

A

unchanged

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16
Q

Maternal inspiratory lung capacity

A

unchanged

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17
Q

Maternal frc

A

v20%

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18
Q

Maternal tlc

A

unchanged

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19
Q

Maternal erv

A

v20%

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20
Q

maternal rv

A

v20%

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21
Q

maternal O2 consumption

A

^20%

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22
Q

Fetal heart rate

A

120-160

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23
Q

Fetal stress

A

vperfusion, hypoxia, vpH

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24
Q

NST

A

Nonstress test

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25
Q

NST looks at

A

FHR and movement over 15-60min period

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26
Q

want to see with NST

A

veriability and accelerations=negative NST

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27
Q

use vibrator for

A

transabdominal stimulation to increase FHR

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28
Q

BPP

A

Biophysical Profile

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29
Q

BPP monitors

A

fetal breathing, body movements, tone, heart rate reactivity, and amniotic fluid volume

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30
Q

CST

A

Contraction stress test

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31
Q

CST monitors

A

FHR over 10mins with 3 contractions(induced vs noninduced)

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32
Q

CST wants to see

A

variability and accelerations=negative CST

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33
Q

FSpO2

A

Fetal oxygen saturation

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34
Q

FSPO2 checked with

A

fetal scalp probe

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35
Q

concerning fetal SaO2

A

<30%

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36
Q

Normal fetal scalp blood gas pH

A

7.25-7.35

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37
Q

Normal fetal scalp blood gas SO2

A

30-50%

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38
Q

Normal fetal scalp blood gas PO2

A

18-22mmHg

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39
Q

Normal fetal scalp blood gas PCO2

A

40-50mmHg

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40
Q

pH vs APGAR

A

normal to high pH associated with higher apgar

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41
Q

SpO2 vs APGAR

A

normal to high SpO2 associated with higher APGAR

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42
Q

Classes of fetal heart rate variability

A

no, reduced, normal, increased

43
Q

No FHR variability

A

range undetectable

44
Q

Reduced FHR variability

A

0-<5beats/min

45
Q

Normal FHR variability

A

5-10beats/min

46
Q

Increased FHR variability

A

> 15beats/min

47
Q

tocograph

A

contraction graph

48
Q

FHR accelerations

A

well being

49
Q

FHR early decelerations

A

non pathological, normal, not from hypoxia

50
Q

FHR late decelerations

A

uteroplacental insufficiency, decreased uterine bf, hypoxia, chemoreceptors fire resulting in vagal discharge

51
Q

FHR variable decelerations

A

vagal firing in response to cord compression or sustained head compression

52
Q

APGAR

A

Activity, pulse, grimace, appearance, respiration

53
Q

APGAR min and max

54
Q

first question, who’s the painter

55
Q

Accuracy of peristaltic pump

A

”+/-5%”

56
Q

Accepted accuracy of infusion pumps

A

”+/-5%”

57
Q

BARD infusion accuracy for infusion and bolus

A

”+/-3%”

58
Q

How do you set up an infusion on a general pump?

59
Q

Most accurate pump

A

syringe pump

60
Q

BET scheme

A

Bolus elimination transfuse

61
Q

Target controlled infusion

A

they took our jobs

62
Q

Advantages of patient controlled analgesia

A

Pt autonomy, rapid pain relief, dosage tailored to requirements

63
Q

Key points to PCA system

A

route of administration, type of administration, ease of programming, ease of priming, power source, safety, security, portability, display, printout

64
Q

Where is POC useful

A

ER, ICU, CCU, Ob Suites, NICU, Burn unit, Trauma unit, OR

65
Q

Issues influencing intro of POC testing

A

Personnel and training, QC, proficiency testing, calibration, certification, records and doc, integration with central lab

66
Q

Analyzer

A

Evaluates blood permanently withdrawn from pt

67
Q

Monitor

A

In vivo or Ex vivo

68
Q

Preanesthesia check for offsite/mri

A

Emergency backup power to ensure pt protection for unforeseen circumstances. 10) Adequate means to illuminate the pt, anes machine, and monit equip. 13) If you’re giving gas, have equip to monitor everything just like in the OR

69
Q

Depth for esophageal stethoscope

70
Q

Depth for esophageal temp probe

A

38-42cm past teeth

71
Q

Depth of nasal temp probe

72
Q

Temp where regulation is lost

73
Q

Lower limit of survival

74
Q

Skin contributes what percent to control of thermoregulatory defense

75
Q

Major complications of mild perioperative hypothermia

A

surgical wound infection, morbid cardiac events, myocardial damage, duration of postanesthetic recovery, adrenergic activation, mortality after major trauma

76
Q

Potential benefits of mild perioperative hypothermia

A

dec mortality after brain trauma, inc glasgow score 12mos after brain trauma, neurologic outcome after cardiac arrest

77
Q

spinal anesthesia does to threshold of sweating and vasoconstriction/shivering

A

inc sweating threshold and dec vasoconstriction/shivering

78
Q

Skin and core temp relation

A

directly related

79
Q

Difference between temps of shivering and vasoconstriction

A

as little as .2 deg

80
Q

Heat loss

81
Q

Radiation loss

82
Q

Convection loss

83
Q

Evaporation/respiration loss

84
Q

Conduction heat loss

85
Q

Heat loss after 30min

86
Q

Heat loss after 1hr

87
Q

Heat loss levels after

A

3C loss after 3hr

88
Q

Change of shivering point gas vs spinal

A

Gas decreases shiv thresh more than spinal

89
Q

Temp variation in esphagus

90
Q

Measured temps highest to lowest(excl axillary and forehead)

A

Rectal-Bladder. Everything else is about the same

91
Q

Axilary and forehead temps compared to rest

A

2-3C lower but same trend

92
Q

Cooling and warming occur most rapidly where

A

esophagus and nasopharynx

93
Q

Dec temp of 2 L of RT fluid

94
Q

Dec temp of 4 L of RT fluid

95
Q

Dec temp of 2 L of 4C fluid

96
Q

Dec temp of 4 L of 4C fluid

97
Q

Measures heat dissipation

A

heated wire anemometer

98
Q

Measures pressure gradient

A

pseumotachometer

99
Q

All ventilators display what 3 things

A

volume, rate, and MV

100
Q

where to place pressure flow sensors

A

B&D on picture, both inspiratory and exiratory limbs

101
Q

why respirometer on expiratory limb?

A

So you can detect a disconnect early, even a ett leak

102
Q

Why place respirometer in positions A&B on exp limb?

A

So you can detect reverse flow and a malfunction unidirectional valve

103
Q

Pressure control flow volume loop shape

A

parallelogram

I&M Final (1 decks)

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