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Flight Paramedic Certification > Reference Charts > Flashcards

Reference Charts Flashcards

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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
Q

Fill in the blanks -

A
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26
Q

Fill in the blanks

A
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27
Q

Pediatric ETT size >1 year old

A

(16 + age) / 4

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28
Q

ETT depth

A

3 times the tube size

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29
Q

Suction/NG/Foley catheter size formula

A

2 x ETT size

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30
Q

Chest tube size

A

4 x ETT size

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31
Q

Fluid Resuscitation

A

Neonates: 10 ml/kg
Pediatrics: 20 ml/kg
Adult: 30 ml/kg

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32
Q

Fluid maintenance for pediatrics

A

4 - 2 - 1 Rule
1-10 kg: 4 ml/kg
10-20 kg: 2 ml/kg
>20 kg: 1 ml/kg

33
Q

Blood administration

A

O negative is the universal donor
10 ml/kg or base on H&H

34
Q

Target CVP for sepsis

A

8-12 mmHg
12 - 15 if history of HTN

35
Q

Normal Range of MAP (in the context of hemodynamics)

A

Mean Arterial Pressure
70 - 110 mmHg
perfusion goal is >65

36
Q

Normal range of SVR

A

Systemic Vascular Resistance
800 - 1200 dynes/cm2
represents the body’s response of vasoconstriction or ability to compensate

37
Q

Normal CVP (RAP)

A

Central Venous Pressure (Right Atrial Pressure)
2 - 6 mmHg
Identifies preload (low = dry, high = overloaded)

38
Q

Normal CI

A

Cardiac Index
2 - 4 L/min
Reflection of cardiac output to BMI

39
Q

Normal RV

A

Right Ventricular Pressure
20-30 / 0-5 mmHg
Reflection of right atrial kick

40
Q

Normal PA S/D

A

Pulmonary Artery pressure
15-25 / 8-15 mmHg
Indirectly reflects LV end diastolic pressure

41
Q

Normal PCWP

A

Pulmonary Capillary Wedge Pressure
8-12 mmHg
Direct reflection of left atrial pressure. Indirectly reflects LV end - diastolic pressure

42
Q

Normal Q

A

Cardiac Output
4 - 8 L/min

43
Q

Normal DO2

A

Delivery of oxygen
700 - 1400 ml/min

44
Q

Normal VO2

A

Consumption of oxygen
180 - 280 ml/min

45
Q

O2ER

A

Oxygen extraction ratio
20 - 25%
oxygen removed from the blood as it passes through capillaries

46
Q

SvO2

A

Central venous oxygen saturation via pulmonary artery catheter
>70%

47
Q

ScvO2

A

Central venous oxygen saturation via central line (reflects 5-8% > SvO2)
>70%

48
Q

Hemodynamic response to shock : Right Failure

A

CVP: high
CI: low
SVR: high
PCWP: low

49
Q

Hemodynamic response to shock: Hypovolemia

A

CVP: low
CI: low
SVR: high
PCWP: low

50
Q

Hemodynamic response to shock: Cardiogenic

A

CVP: high
CI: low
SVR: high
PCWP: high

51
Q

Hemodynamic response to shock: Neurogenic

A

CVP: low
CI: normal
SVR: low
PCWP: low

52
Q

Hemodynamic response to shock: Obstructive

A

CVP: high
CI: low
SVR: high
PCWP: high

53
Q

Hemodynamic response to shock: Sepsis

A

CVP: low
CI: low
SVR: low
PCWP: low

54
Q

CAMTS Day minimums

A

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
Q

CAMTS Night minimums with NVGs

A

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
Q

CAMTS Night minimums without NVG

A

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
Q

Brudzinski’s sign

A

In meningitis, flexion of the neck causes flexion of the hip and knees

58
Q

Chvostek’s sign

A

Spasm of the facial fuscles elicited by tapping the facial nerves secondary to hypocalcemia

59
Q

Cullen’s sign

A

Bluish discoloration around the umbilicus associated with intraperitoneal hemorrhage or uterine rupture

60
Q

Grey Turner’s sign

A

Bruising of the flank due to retroperitoneal bleeding often seen in pancreatitis.

61
Q

Kernig’s sign

A

In meningitis, the inability to completely extend the leg when sitting or lying

62
Q

Kehr’s sign

A

Referred left shoulder pain secondary to splenic injury

63
Q

McBurney’s Point

A

Rebound tenderness in RLQ with deep palpation secondary to appendicitis

64
Q

Trousseau’s sign

A

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
Q

ASA (aspirin) antidote

A

No specific antidote so treat with ventilatory support (Ve = 240 ml/kg/min), fluids, and bicarb

66
Q

Benzodiazepine antodote

A

Romazicon (Flumazenil)

67
Q

Beta - Blocker antidote

A

glucagon

68
Q

Calcium channel blocker antidote

A

Calcium gluconate or chloride

69
Q

Cocaine antidote

A

Benzodiazepine

70
Q

Coumadin antidote

A

Vitamin K

71
Q

Cyanide antidote

A

Amyl Nitrate, sodium nitrate, Sodium thiosulfate

72
Q

Digitalis antidote

A

Digibind

73
Q

Ethylene glycol/propylene glycol antidote

A

IV ethanol, Fomepizole

74
Q

Methanol antidote

A

IV ethanol, Fomepizole, folic acid

75
Q

Opioids antidote

A

Narcan

76
Q

Organophosphate antidote

A

Atropine, 2-Pam Chloride

77
Q

Potassium Cyanide antidote

A

Methylene Blue

78
Q

Tricyclic antidepressant antidote

A

Bicarb and hypertonic saline

79
Q

Tylenol antidote

A

Mucomyst

Flight Paramedic Certification (17 decks)

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