PAAM Forms/#s Flashcards
FIO2% on canula formula
=(lpm x 4) + 20 ,EX 1lpm=24%
D cylinder tank life in mins
=(Tank pressure in psi X 0.16) / LPM
E cylinder tank life in mins
=(tank pressure in psi X 0.28) / LPM
M cylinder tank life in mins
=(tank pressure in psi X 1.56) / LPM
rule of thumb suction size form
Intubation ETT size # X 2
How to estimate PEDI uncuffed ET tube size:
Pedi cuffed ETT size:
= (Age /4) + 4 OR (Age + 16) /4
= (Age /4) + 3.5
How to estimate PEDI Kg weight:
(Age + 4) x 2 = (Old Way)
(Age x 3) + 7 = (New Way)
Pedi tidal vol=
5-7mL/kg
Adult RR
Infant RR
5-6 secs (10-12 per min)
3-5 secs (12-20 per min)
Non-rebreather mask oxygen & LPM:
80% & 15LPM
BVM oxygen & LPM:
100% & 15LPM
Simple face mask oxy and LPM:
40-60% & 6-10LPM
Straight blades sizing:
Robert Shaw Fibre Optic Blades=
Seward Fibre Optic Blades=
Wisconsin Fibre Optic Blades=
preferred for pedi use
= 0 & 1 Neonatal & infant use
= 1 & 2 Pedi & Infant use
= 0, 1, 2, 3, 4, Pedi & infant use`
oxygen saturation form:
=O2 content / O2 capacity x 100%
oxygen content of the arterial blood formula:
CaO2= (SaO2 X Hgb X 1.34) + (0.003 X PaO2)
ETCO2 normal range:
=35-45mmHg
pH normal range:
= 7.35 - 7.45
End Tidal Gradient:
Formula:
=Dif/ of partial pressure arterial CO2(PaCO2)& end-tidal CO2(ETCO2)
=PaCO2 - ETCO2 = End - Formula gradient
% of how CO2 is transported in body:
70% bicarbonate ion,23% bound to hemoglobin, 7% dissolved in plasma
Adult ETT ~sizing range
Pedi ETT ~sizing range
=(6.0 - 9.0)
=(2.5 - 5.5)
Adult suctioning time limit
Pedi suctioning time limit
Neonate suctioning time limit
Tracheostomy suctioning time limit
15 secs
10 secs
5 secs
5-10 secs
Pedi ETT sizing form Sizing hack
correct tube size by matching diameter of the child’s smallest finger
depth of insertion of the distal tip for pediatric ET tubes
2-3 cm below the vocal cords b/c deeper insertion can result in mainstem intubation/ injury to the carina.
calculate alveolar volume,
minute volume,
alveolar minute volume?
= Tidal Volume - Dead Space
=RR x Tidal Volume
= Alveolar Volume x RR
Oxy% inhaled and exhaled:
=inhale 21% & exhale 16%
Max CPAP LPM:
6LPM
What is PEEP and how much do we usually use?
Positive expiratory end pressure 5cmH2o
King LT-D sizes:
3 yellow, 4 Red, 5 purple
normal bicarbonate ion to carbonic acid ratio
20:1
Carbonic Acid-Bicarbonate Buffer system formula:
CO2 + H20 <> H2CO3 <> H + HCO3
Carbonic acid:
H2CO3
Bicarbonate ion:
HCO3
NG/OG Gastric distention & Decompression saline admin/
30-50mL
Broselow Tape color sizing:
6-7Kg Pink, 8-9Kg Red, 10-11Kg Purple, 12-14Kg Yellow, 15-18Kg White, 19-23Kg Blue, 24-29Kg Orange, 30-36Kg Green
Surgical Cric/ vertical & Horizontal incision:
V= 2-4cm & H= 1-2cm
ABG normal range:
Alkalosis:
Acidosis:
= 22-26
= >26
= <22
Normal ECG Speed:
ECG Horizontal boxes small box:
Horizontal 5 smalls/1big box:
Vertical boxes Small box:
Vertical Big box= 0.5mV
2 Vertical Big boxes:
Isoelectrical line:
= 25mm/sec
= 0.04secs
= 0.20secs
= 0.1mV or 1mm
= 0.5mV
= 1mV
= no electricity & baseline
(P wave) P WAVE duration:
PRI WAVE:
>5 boxes is & from:
Limb leads amplitude
PRECORDIAL leads amplitude:
= <0.12secs
= (Atrium phase0) 0.12-0.20secs 3-5 small boxes
= bradycardia AV slowing down too much
= <2.5mm/mV
= <1.5MM
(QRS Complex) Q wave morphology:
R wave morphology:
S wave morphology:
Interval duration:
= 1st negative deflection
= 1st positive deflection after P wave
= any negitive deflection after R wave
= 0.04-0.12secs/ 1-3 small boxes
(T wave):
Interval duration= variable (QT calculation)
Box duration:
limb leads Amplitude:
precordial leads Amplitude:
= up in all leads but aVR & V1, slightly asymmetric w/ downslope steeper >slope
= variable (QT calculation)
= 5 small boxes
= <5mm
= <10mm
(Carbon monoxide Poisoning Lvls) Mild:
Moderate:
Severe:
Fatal:
= 15-20% → N/V, dizziness, blurred vision, H/A
= 21-40% → confused, syncope, chest P., dys/Tpnea/cardia, weakness
= 41-59% → Dysrhythmias, hypotension
= >60% → Death
(MetHemoglobin Lvls) 1-3%:
3-15%:
15-20%:
25-50%:
50-70%:
70%:
= Normal
= discoloration, grayish-blue
= Cyanotic, asymptomatic
= CNS H/A, N/V, Confusion, Chest pain
= AMS, delirium
= Fatal
Comfortable distance:
Intimate space:
Personal space/distance:
Public distance:
= 4 to 12 feet
= 0 to 1.5 feet (palpation & serious assess here)
= 1.5 to 4 feet (most of assess done here)
= 12 feet or more
Lighting ground current ? yards from strike:
= 50 yards
Action circle:
= 50ft circle radius minimum
BP bladder length of cuff should cover:
BP cuff should cover ? of upper arm:
BP bladder width of cuff should cover at least:
= between 80-100% of the arm circumference.
= 2/3s (measured from the acromion to the olecranon.)
= 40-50% of the mid-arm circumference.
Respiratory Acidosis:
Respiratory Alkalosis:
Metabolic Acidosis:
Metabolic Alkalosis:
= Slow breathing, high ETCO2
= Rapid breathing, low ETCO2
= Rapid deep breathing, low ETCO2
= Slow breathing, high ETCO2
