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.Drug Doses/Info > TxWes Guide pt2 > Flashcards

TxWes Guide pt2 Flashcards

1
Q

List the formula for Celcius ⇉ Farenheit

A

°F = [(9/5) x °C) + 32]

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2
Q

If my patient’s temp is 96.8°F, what is it in °C?
94°F?

A

96.8ºF ⇉ 36°C
94ºF ⇉ 34.5°C

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3
Q

What is the formula for Farenheit ⇉ Celcius?

A

°C = [(5/9) x (°F - 32)]

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4
Q

If my patients temp is 38°C, what is it in °F?
40°C?

A

38°C ⇉ 100 °F
40°C ⇉ 104 °F

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5
Q

A nice pattern to help do quick temp conversions.

A
  1. If you start at 95°F - celcius is 35.
  2. As you increase in 0.9°F, each °C goes up by 0.5°
    :)
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6
Q

AIRWAY CLASSIFICATION

Describe a Mallampati 1.

A

PUSH
Pillars, Uvula, Soft/Hard Palate, and fauces

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7
Q

AIRWAY CLASSIFICATION

Describe a Mallampati 2.

A

USH
Uvula, Soft/Hard Palate, and fauces

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8
Q

AIRWAY CLASSIFICATION

Describe a Mallampati 3.

A

uSH
Base of uvula, Soft/Hard Palate

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9
Q

AIRWAY CLASSIFICATION

Describe a Mallampati 4.

A

H
Hard Palate only

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10
Q

AIRWAY CLASSIFICATION

List the Cormack-Lehane view grade: Full view of entire glottic opening.

A

Grade 1

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11
Q

AIRWAY CLASSIFICATION

List the Cormack-Lehane view grade:
Neither glottis nor epiglottis seen.

A

Grade 4.

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12
Q

AIRWAY CLASSIFICATION

List the Cormack-Lehane view grade:
Only epiglottis seen.

A

Grade 3.

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13
Q

AIRWAY CLASSIFICATION

List the Cormack-Lehane view grade:
Only posterior portion of glottic opening.

A

Grade 2.

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14
Q

List the normal blood gas values:
pH
PaO₂
PaCO₂

A

pH: 7.35-7.45
PaO₂: 90-100
PaCO₂: 35-45

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15
Q

List the normal blood gas values:
HCO₃⁻
BE
SaO₂

A

HCO₃⁻: 22-26
BE: -2 to 2
SaO₂: 95-98%

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16
Q

Formula for VO₂

A

10 x kg(3/4) = VO₂

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17
Q

Formula for VCO₂

A

8 x kg(3/4) = VCO₂

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18
Q

What does this formula describe?

[FiO₂ x (Pb - PH₂O)] - PaCO₂ / 0.8

A

Alveoar Gas/Air Equation

https://youtu.be/vrjK4gxa-48

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19
Q

Formula for arterial O₂ content/dL

A

(Hgb x 1.34 x SaO₂) + (PaO₂ x 0.003)

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20
Q

PBW (predicted body weight) equation for a male.

A

50 + 0.91(cm height - 152.4)kg = male PBW

PBW is used to determine your tidal volume (5 - 8cc/kg).

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21
Q

PBW (predicted body weight) equation for a female

A

45.5 + 0.91 (cm height -152.4)kg = female PBW.

PBW is used to determine your tidal volume (5 - 8cc/kg).

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22
Q

Formula for MAP.

What is the normal adult range?

A

[SBP + (2xDBP) / 3]
or
[DBP + 1/3(SBP-DBP)]

Normal range: 70-105mmHg

23
Q

Normal CO

A

4-8 L/min

24
Q

Formula for CI

Normal range for CI?

A

(CO / BSA)

2.5 - 4 L/min

25
Q

Normal CVP range?

A

2-6 mmHg

26
Q

Normal PCWP?

What does PCWP measure?

A

8-12 mmHg

Helps measures LA pressure, along with L heart function (mitral valves & LV filling pressure).

27
Q

Normal PVR?
(pulmonary vascular resistance)

A

50 - 350 dynes/cm/sec⁻⁵

28
Q

Normal SVR?

A

700 - 1400 dynes/cm/sec⁻⁵

29
Q

Normal EF?

A

55-70%

30
Q

Normal mPAP? sPAP? dPAP?

A

mPAP: ~15mmHg
sPAP: 15-30 mmHg
dPAP: 5-15 mmHg

31
Q

Formula for Shock Index

A

(HR / SBP)

> 1 = increased M&M & chance of Mass Transfusion protocol (MTP)

32
Q

EBV of premature infant

A

95mL/kg

33
Q

EBV of full-term infant

A

85mL/kg

34
Q

EBV of infant - 12mo

A

80mL/kg

35
Q

EBV of male adult/child

A

75mL/kg

36
Q

EBV of female adult/child

A

65mL/kg

37
Q

EBV of morbid obese (BMI >40)

A

60mL/kg

38
Q

Allowable blood loss (ABL) formula

A

[(EBL x initial Hct) - (EBV x Hct allowable)] x3

Hct allowable = 30%

39
Q

Fluid Replacement Equivalent

Crystalloids

A

3ml / 1ml EBL

40
Q

Fluid Replacement Equivalent

Colloids

A

1ml / 1ml EBL

41
Q

Fluid Replacement Equivalent

Whole Blood

A

1ml / 1ml EBL

*same as colloids

42
Q

Fluid Replacement Equivalent

PRBC

A

0.5ml / 1ml EBL

PRBC Hct = 70%

43
Q

Fluid Replacement Equivalent

How much EBL is in a fully soaked 4x4 gauze? Raytech?

A

4x4 ≈ 10 mL
Raytech ≈ 20 mL

44
Q

Fluid Replacement Equivalent

How much EBL is in a fully soaked ‘lap’ sponge?

A

100-150cc

45
Q

What is the 4-2-1 rule for maintenance fluids?

A

1st 10kg = 4cc/kg/hr
2nd 10kg = 2cc/kg/hr
Every kg >20 = 1cc/kg/hr

46
Q

How do you accomodate for an NPO deficit with maintenance fluids?

A

(maintenance rate x #hrs NPO)

47
Q

What are the estimated evaporated losses?
(minimal, moderate, severe)

A

Minimal = 0 - 2 mL/kg/hr
Moderate = 2 - 4 mL/kg/hr
Severe = 4 - 8 mL/kg/hr

48
Q

ASA Class

A patient with an ASA I would exhibit what?

A

Normal healthy patient

49
Q

ASA Class

A patient with an ASA II would exhibit what?

A

Mild systemic disease (no functional limitations)

50
Q

ASA Class

A patient with an ASA III would exhibit what?

A

Severe systemic disease (some functional limitations)

51
Q

ASA Class

A patient with an ASA IV would exhibit what?

A

Severe systemic disease with constant threat to life

52
Q

ASA Class

A patient with an ASA V would exhibit what?

A

Moribund (near death) patient not expected to survive without surgery

53
Q

ASA Class

A patient with an ASA VI would exhibit what?

A

Brain dead patient, organs procured

.Drug Doses/Info (22 decks)

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