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Flight Paramedic Certification > Reference Charts > Flashcards

Reference Charts Flashcards

1
Q

PIP Definition

A

Peak inspiratory pressure - the point of maximal airway pressure

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2
Q

PEEP Definition

A

Positive End Expiratory Pressure - the pressure maintained in the airways at the end of exhalation

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3
Q

Vt Definition

A

Tidal Volume - the volume of gas entering the patient’s lungs during inspiration.

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4
Q

It Definition

A

Inspiratory time - the duration of inspiration

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5
Q

Et Definition

A

Expiratory Time - the duration of time in expiration

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6
Q

MAP Definition (in the context of ventilatioe an)

A

Mean Airway pressure - the average airway pressure throughout the respiratory cycle.

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7
Q

f Definition

A

Overall frequency - the sum of mandatory and spontaneous respirations

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8
Q

Pplat Definition

A

Plateau Pressure - the amount of pressure placed against the alveoli showing alveolar health

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9
Q

FiO2 Definition

A

Fraction of Inspired Oxygen - percentage of oxygen from 0.21-1.0

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10
Q

Pplat - PEEP definition

A

Driving pressure - alveolar opening pressure

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11
Q

I:E ratio Definition

A

Inspiratory vs expiratory time - the ratio of the duration of inspiration to the duration of expiration time

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12
Q

Pinsp Definition

A

Inspiratory pressure - for the pressure initiated ventilation

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13
Q

PS Definition

A

Pressure Support - pressure applied at the end of vent circut used in SIMV to augment the patient’s spontaneous breath.

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14
Q

Cstat Definition

A

Static compliance - compliance during periods without gas flow, such as during an inspiratory pause.
Cstat = (Pplat - PEEP)/Vt

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15
Q

Oxygen adjustment calculation

A

(FiO2 x P1) / P2
P1 = barometric pressure at patient pickup location
P2 = barometric pressure at flying altitude

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16
Q

Measuring oxygen delivery formulas

A

CaO2 = [1.34 x Hgb x SaO2] + PaO2 x 0.003
DO2 = CaO2 x Q
DO2= the amount of oxygen delivered each minute
CaO2 = the content of oxygen in the arteries

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17
Q

Measuring cellular uptake of Oxygen

A

Fick Formula = Cellular uptake of oxygen
[1.34 x Hgb x SvO2] + PaO2 x 0.003

O2ER = (SaO2 - SvO2)/SaO2

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18
Q

Inferior Infarct

A

12 Leads - II, III, aVF, and v4r
Coronary Artery occlusion - RCA
Treatment pearls - v4r, fluids, careful with nitro, watch for bradycardia

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19
Q

Anterior Infarct

A

12 leads - v1-v4
Coronary artery occlusion - LAD or Left Main
Treatment pearls - papilary muscle rupture, cardiogenic shock, FONA

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20
Q

Lateral Infarct

A

12 leads - 1, aVL, v5, v6
Coronary artery occlusion - Left circumflex
Treatment pearls - FONA

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21
Q

Posterior Infarct

A

12 leads - reciprocal v1-v4
Coronary artery occlusion - RCA/LCX
Treatment pearls - associated with inferior wall MI in 97% of cases

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22
Q

Left Main Insufficiency

A

12 leads - aVR
Coronary artery occlusion - Left Main
Treatment pearls - elevation in aVR - 1 mm with depression in v1-v4

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23
Q

Arterial Blood Gas Norms

A

pH: 7.35 -7.45
PaCO2: 35-45
HCO3-: 22-26
PaO2: 80-100
SaO2: >92%
BE: -2 to 2

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24
Q

Venous Blood Gas Norms

A

pH: 7.31-7.41
PaCO2: 41-51
HCO3-: 23-29
PaO2: 30-40
SaO2: 75%
BE: -2 to 2

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25
Fill in the blanks -
26
Fill in the blanks
27
Pediatric ETT size >1 year old
(16 + age) / 4
28
ETT depth
3 times the tube size
29
Suction/NG/Foley catheter size formula
2 x ETT size
30
Chest tube size
4 x ETT size
31
Fluid Resuscitation
Neonates: 10 ml/kg Pediatrics: 20 ml/kg Adult: 30 ml/kg
32
Fluid maintenance for pediatrics
4 - 2 - 1 Rule 1-10 kg: 4 ml/kg 10-20 kg: 2 ml/kg >20 kg: 1 ml/kg
33
Blood administration
O negative is the universal donor 10 ml/kg or base on H&H
34
Target CVP for sepsis
8-12 mmHg 12 - 15 if history of HTN
35
Normal Range of MAP (in the context of hemodynamics)
Mean Arterial Pressure 70 - 110 mmHg perfusion goal is >65
36
Normal range of SVR
Systemic Vascular Resistance 800 - 1200 dynes/cm2 represents the body's response of vasoconstriction or ability to compensate
37
Normal CVP (RAP)
Central Venous Pressure (Right Atrial Pressure) 2 - 6 mmHg Identifies preload (low = dry, high = overloaded)
38
Normal CI
Cardiac Index 2 - 4 L/min Reflection of cardiac output to BMI
39
Normal RV
Right Ventricular Pressure 20-30 / 0-5 mmHg Reflection of right atrial kick
40
Normal PA S/D
Pulmonary Artery pressure 15-25 / 8-15 mmHg Indirectly reflects LV end diastolic pressure
41
Normal PCWP
Pulmonary Capillary Wedge Pressure 8-12 mmHg Direct reflection of left atrial pressure. Indirectly reflects LV end - diastolic pressure
42
Normal Q
Cardiac Output 4 - 8 L/min
43
Normal DO2
Delivery of oxygen 700 - 1400 ml/min
44
Normal VO2
Consumption of oxygen 180 - 280 ml/min
45
O2ER
Oxygen extraction ratio 20 - 25% oxygen removed from the blood as it passes through capillaries
46
SvO2
Central venous oxygen saturation via pulmonary artery catheter >70%
47
ScvO2
Central venous oxygen saturation via central line (reflects 5-8% > SvO2) >70%
48
Hemodynamic response to shock : Right Failure
CVP: high CI: low SVR: high PCWP: low
49
Hemodynamic response to shock: Hypovolemia
CVP: low CI: low SVR: high PCWP: low
50
Hemodynamic response to shock: Cardiogenic
CVP: high CI: low SVR: high PCWP: high
51
Hemodynamic response to shock: Neurogenic
CVP: low CI: normal SVR: low PCWP: low
52
Hemodynamic response to shock: Obstructive
CVP: high CI: low SVR: high PCWP: high
53
Hemodynamic response to shock: Sepsis
CVP: low CI: low SVR: low PCWP: low
54
CAMTS Day minimums
Non Mountainous, Local: 800' - 2 miles Non Mountainous, Cross country: 800' - 3 miles Mountainous, Local: 800' - 3 miles Mountainous, Cross country: 1000' - 3 miles
55
CAMTS Night minimums with NVGs
Non Mountainous, Local: 800' - 3 miles Non Mountainous Cross country: 1000' - 3 miles Mountainous, Local: 1000' - 3 miles Mountainous Cross country: 1000' - 5 miles
56
CAMTS Night minimums without NVG
Non Mountainous, local: 1000' - 3 miles Non Mountainous, cross counstry: 1000' 5 miles Mountainous, Local: 1500' - 3 miles Mountainous, Cross country: 1500' - 5 miles
57
Brudzinski's sign
In meningitis, flexion of the neck causes flexion of the hip and knees
58
Chvostek's sign
Spasm of the facial fuscles elicited by tapping the facial nerves secondary to hypocalcemia
59
Cullen's sign
Bluish discoloration around the umbilicus associated with intraperitoneal hemorrhage or uterine rupture
60
Grey Turner's sign
Bruising of the flank due to retroperitoneal bleeding often seen in pancreatitis.
61
Kernig's sign
In meningitis, the inability to completely extend the leg when sitting or lying
62
Kehr's sign
Referred left shoulder pain secondary to splenic injury
63
McBurney's Point
Rebound tenderness in RLQ with deep palpation secondary to appendicitis
64
Trousseau's sign
Place BP cuff on upper arm and inflate cuff. Keep the cuff inflated for 3 minutes, the hand will withdraw up and spasm due to hypocalcemia
65
ASA (aspirin) antidote
No specific antidote so treat with ventilatory support (Ve = 240 ml/kg/min), fluids, and bicarb
66
Benzodiazepine antodote
Romazicon (Flumazenil)
67
Beta - Blocker antidote
glucagon
68
Calcium channel blocker antidote
Calcium gluconate or chloride
69
Cocaine antidote
Benzodiazepine
70
Coumadin antidote
Vitamin K
71
Cyanide antidote
Amyl Nitrate, sodium nitrate, Sodium thiosulfate
72
Digitalis antidote
Digibind
73
Ethylene glycol/propylene glycol antidote
IV ethanol, Fomepizole
74
Methanol antidote
IV ethanol, Fomepizole, folic acid
75
Opioids antidote
Narcan
76
Organophosphate antidote
Atropine, 2-Pam Chloride
77
Potassium Cyanide antidote
Methylene Blue
78
Tricyclic antidepressant antidote
Bicarb and hypertonic saline
79
Tylenol antidote
Mucomyst

Flight Paramedic Certification (17 decks)

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