Interventions Flashcards
CPAP - Indications (MARSOO)
Maintains own airway, Accessory muscle use,
Respiratory Rate >24, SPO2 <94% on oxygen, Over 13, obeys commands
CPAP Contraindications (UDPAATTHS)
unable to fit mask,
decreased LOC, pneumothorax, aspiration risk,
Age under 13 years old, tracheostomy, traumatic cause
of SOB, hypoventilation, SBP <90v
PEEP Indications
Patients who remain hypoxemic (SpO2 < 90%) despite good bag-
valve mask ventilation techniques and airway management; it can be
combined with high-flow nasal cannula oxygenation to maximize oxygen
delivery
PEEP Contraindications CBPT
Patients in cardiac arrest
Blood Pressure: (>12 SBP ≤ 90 mmHg; <12 SBP ≤ lower limit for age range
as per pediatric vital signs
Known or suspected pneumothorax
Traumatic cause of respiratory arrest
Systolic BP Target - non-head injured patient
90 SBP
Systolic BP Target - head injured patient
120 SBP
Systolic BP Target - spinal cord injuries
120 SBP
Systolic BP Target - large burns
120 SBP
Systolic BP Target - medical
90 SBP
Medication Rates of Absorption - Topical
Hours to Days
Medication Rates of Absorption - Oral
30 - 90 minutes
Medication Rates of Absorption - Rectal
5 - 30 minutes (unpredictable)
Medication Rates of Absorption - SC Injection
15-30 minutes
Medication Rates of Absorption - IM Injection
10-20 minutes
Medication Rates of Absorption - Sublingual tablet
3-5 minutes
Medication Rates of Absorption - sublingual spray
3 minutes
Medication Rates of Absorption - Endotracheal
Unknown, unpredictable
Medication Rates of Absorption - IO
60 seconds
Medication Rates of Absorption - IV
30-60 seconds
Medication Rates of Absorption - Intracardiac
15 seconds
GCS Scale - Eyes
4 - Spontaneous
3 - To speech
2 - To Pain
1 - Unresponsive
GCS Scale - Verbal
5 - Oriented to person, place, and time
4 - Confused
3 - Inappropriate Words
2 - Incomprehensible Sounds
1 - No Response
GCS Scale - Motor
6 - Obeys Commands
5 - Moves to localized pain
4 - Flexion withdrawal from pain
3 - abnormal flexion (decorticate)
2 - abnormal extension (decerebrate)
1 - no response
Rule of nines - Adult
Head and neck - 9%
Chest and Upper Back - 9%
Arm - 9% (each arm)
Abdomen and Lower Back - 9%
Genital Area - 1%
Leg - 18% (each leg)