Misc FP-C Flashcards

1
Q

MCI

A

More patients than resouces

Do the most good for the most people

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2
Q

When given priority questions

A

start with the first category that you aren’t given info about

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3
Q

Shock Index

A

HR/SBP – 0.8 or higher indicated high likelihood of peri-intubation problems

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4
Q

Indication for surgical airway

A

Cant intubate cant ventilate

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5
Q

Contraindicaitons for extraglottic airway

A

Obstruction, Intact Gag Reflex, Esophageal Disease]

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6
Q

Test for varices

A

Hepatic jugular reflex – Lay flat, elevate legs, press on RUQ and look for JVD. Sign of portal hypertension and therefore esophageal varices

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7
Q

Troubleshooting suction

A

Work from the machine back to the patient

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8
Q

Anion Gap

A

<12

Na+K)-(HCO3+Cl

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9
Q

Name for alveolar capillary junction

A

alveolar capillary membrane

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10
Q

Relationship between Ph and PCO2

A

For every change of 10 pCO2, pH will change by 0.08 in the OPPOSITE DIRECTION

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11
Q

Minute ventilation

A

6-8L/min or
Nonintubated: 60ml/Kg/min
Intubated: 120ml/Kg/min
Very Acidotic: 240ml/Kg/min

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12
Q

Mean airway pressure

pPlat

A
Mean Airway Pressure 10-20
	Plateau Pressure (pPlat) always <30
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13
Q

DOPES Equipment Failure

A

Work from pt to vent

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14
Q

Benzo overdose questions

A

Flumazenil is generally a bad idea

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15
Q

Coronary Perfusion

A

Closes coronary ostia during systole. Back pressure during closure perfuses coronary arteries.
HEART IS PERFUSED DURING DIASTOLE

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16
Q

Types of hypoxia

A

Hypemic and Histotoxic will not become cyanotic
Hypoxic (Gas exchange) – Get rid of obstructions or add pressure
Hypemic/Anemic (Hypovolemic or anemic)
Stagnant (Shock states other than hypovolemia)
Changes in altitude and G forces
Histotoxic (Cyanide, CO, etc)

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17
Q

Types of airway obstruction

A

Complete (CICO)
Obstruction w/ good air exchange (Stridor)
Partial w/ poor air exchange (Stridor, increased WOB, low SPO2)

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18
Q

Vent question w/ pancreatitis

A

ARDS

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19
Q

Cardiac question re pressors

A

Look for best measured amount and best physiological effect

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20
Q

Angina

A

Stable: CP relieved with rest or up to 3 NTG
Unstable: Chest pain unrelieved w/ 3 NTG or rest
NSTEMI: Unstable angina w/ cardiac markers or ischemic changes

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21
Q

Inferior STEMI question

A

No choice given for inferior, select posterior

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22
Q

Prinzmental’s Angina

A

CP WITH STEMI changes that goes away w/ NTG

23
Q

Hypoxia

A

SPO2 <94%

24
Q

Coronary Perfusion Pressure

A

(DBP-PCWP)

25
Q

Mimics likely to show up on exam

A

pacemaker, early repol, pericarditis

26
Q

Antidysrhythmics

A

“Some Boys Play Cards”

Sodium Beta Potassium Calcium

27
Q

Cocaine Use

A

No beta blockers

Paradoxycal tachycardia

28
Q

Wide complex tachycardia question that mentions another antidysrhythmic:

A

Procainimide

29
Q

Push Dose Epi

A

Epi when no pump available

30
Q

Bradycardia

A
"All trained Dogs Eat Iams"
Atropine
TCP
Dopamine
     On exam, dopamine dose likely to be inappropriate
Epi
Isoproterenol
31
Q

Percentage Meds

A

Percentage = mg/mL ie Dextrose 50% = 500mg/mL

“Pre-ecclamptic, hypertensive, no IV, give mag: 4gm of a 50% solution, split it? How many mL?”

32
Q

Beta Blocker Overdose

A

Bradycardic + Hypoglycemic – Beta Blocker Overdose

33
Q

Cereberal Perfusion Pressure

A

CPP = MAP-ICP
Greater than 60
Assume ICP 10

34
Q

Replacing volume

A

Measured amount w/ expected outcome – Warm isotonic crystalloids NS and LR – 10-20mL/Kg

35
Q

Large bore IV

A

> 100mL/min, “KVO” = 15mL/min, “Wide Open” = Bolus = 20mL/Kg

36
Q

Weather secnario

A

If given pt information followed by weather, weather will be bad

37
Q

LOAD

A

Lidocaine: ICP or reactive airway
Opiates: Manage pain, esp in head injury
Atropine: Kids or ketamine
Defasiculate: 10% dose of non depolarizing paralytic

38
Q

Cholinergic

Anticholinergic

A
Cholinergic = Sympathetic
Anticholinergic = Parasympathetic
39
Q

Meaning of S1 and S2

A

S1 - Mitral and Tricuspid Closure

S2 - Aortic and Pulmonic Closure

40
Q

Leading Cause of Aeromedical Accidents

A

Pilot Error

41
Q

ETT Cuff Pressure

A

20-30

42
Q

Intrathoracic Pressure During Inhalation

A

First lower, then higher

43
Q

Rhabdo Meds

A

Mannitol, Bicarb

44
Q

Pregnant Patient Position

A

Left Lateral

45
Q

Drug that increases preload

A

Vasopressin

46
Q

First line AAA therapy

A

Beta blockers

47
Q

Indications for Immediate C Section

A

Multiple Decel w/ Poor Variability
Sustained Brady
Sinusoidal Waveform

48
Q

Salicylate Overdose

A

Tinnitus, Dizziness, Tachy, Hot

49
Q

TCA Overdose

A

Hot, dry, seizure, tachy

50
Q

Metabolic Alkalosis Treatment

A

Replete Potassium, Fluids

51
Q

Bicarb Deficit Formula

A

(Wt/4) X Base Deficit = Bicarb Need

52
Q

Diabetes Insipidus Treatment

A

Vasopressin, Desmopressin, DDAVP

53
Q

DKA / HHNS Treatment

A

Fluids, Insulin

54
Q

Unknown overdose, intubated, IV fluids running, foley: What med would you expect to give

A

Bicarb