Week 3 IO

Question 1

Intraosseous=

Answer 1

ridgid needle into the cavity of the bone to transport fluids to venous system

Question 2

Most common IO site=

Answer 2

medial malleolus of distal tibia
You can identify the proximal epiphysis by palpating the condyles.

Question 3

pediatric PT establish intraosseous access on the medial aspect of the proximal tibia=

Answer 3

site is from 2-3 fingerbreadths below the tibial tuberosity.

Question 4

adult / geriatric PTs place the IO at=

Answer 4

distal part of the tibia 1-2 fingerbreadths above the medial malleolus.

Question 5

Trocar=

Answer 5

sharp, pointed part of IO aiding in puncturing bone

Question 6

Manual IO needles:

Answer 6

Jamshidi IO
EZ-IO T.A.L.O.N
Monoject IO=
COOK IO

Question 7

Spring Loaded IOs:

Answer 7

Bone injection gun (BIG)=
Fast1=

Question 8

IO Drill needle sizes:

Answer 8

15mm (pink) 3-39kg
25mm (blue) >3kg
45mm (yellow) >40kg

Question 9

Complications of IO:

Answer 9

fracture, Infiltration (solution collects locally in tissues instead of canal), Growth plate damage, complete insertion/puncture, PE, Infection

Question 10

Contraindications of IO:

Answer 10

fracture, osteogenesis imperfecta, osteoporosis, establishment of peripheral IV line

Question 11

IO sites:

Answer 11

proximal tibia (~2 inches for stability)
proximal humorous (in peoples way)
distal tibia (easier for manual IO),
Sternal (for adults)
Distal femur (for kids)

Question 12

IO pain→

Answer 12

flushing fluid into the bone is painful so admin/ 2% Lidocaine 20-40mg) to a conscious PT

Question 13

Osmosis solute=

Answer 13

m-vt L→H

Question 14

Simple diffusion=

Answer 14

m-vt of MOLECULES H→L

Question 15

Facilitated diffusion most common w/?

Answer 15

glucose & insulin

Question 16

Ph normal range

Answer 16

7.35 - 7.45

Question 17

HaLden happens in

Answer 17

Lungs

Question 18

BohR off in

Answer 18

the body ( the bull Bohr bucks off waste)

Question 19

Chemoreceptors

Answer 19

receptors & monitors Ph (oxy & Co2)

Question 20

Active transport=

Answer 20

molecules L→H w/ need of ATP “against concentration gradient

Question 21

98% of K+ belongs

Answer 21

Intracellular

Question 22

Hypertonic sol/=

Answer 22

creates a pull from the cells into the intravascular compartment (crenation= cells shrivel up)

Question 23

Hypotonic sol/=

Answer 23

lower tenacity causes cells to swell → blood into the cells “hypo makes you a hippo”.

Question 24

“Lysic” =

Answer 24

cell cut/killed

Question 25

Hydrostatic pressure comes from

Answer 25

heart left ventricle

Question 26

Hydrostatic pressure is

Answer 26

greatest in arteries

Question 27

Veins have what for what pressure system

Answer 27

valves & a low pressure system

Question 28

Oncotic osmotic pressure b/c big proteins can’t be pushed out thus what

Answer 28

brings back solutes

Question 29

Hydrostatic P. can push stuff out of capillaries b/c

Answer 29

they’re permeable (holes) but proteins to big

Question 30

Scalp veins are around skull-

Answer 30

very fragile have to push fluids & meds slowly b/c scalp vein can blow easy

Question 31

PALS =

Answer 31

pediatric advance life support (AHA)

Question 32

Cortical bone=

Answer 32

compact bone in diaphysis

Question 33

Cancellous bone=

Answer 33

spongy bone in epi/metaphysis

Question 34

medullary canal has

Answer 34

yellow bone marrow

Question 35

the 2 veins from femur

Answer 35

Nutrient & emissary veins

Question 36

if Pronounce tuberosity in proximal tibia do what

Answer 36

go medial

Question 37

Angle of Lewie=

Answer 37

~2nd rib

Question 38

precipitation=

Answer 38

crystals in blood from med interaction

Question 39

Osteogenesis imperfecta=

Answer 39

Brittle Bones Disease

Question 40

BIG IO only in

Answer 40

proximal tibia & Humerous

Question 41

FAST1-IO only in

Answer 41

12 y/o UP manubrium site

Question 42

PUSH PULL method for IO fluids w/

Answer 42

/ attached 3 way stopcock for kids