accs Flashcards
(285 cards)
1
Q
rule out narrowing of coronary arteries under fluoroscopy
A
angiogram
2
Q
best position to prevent aspiration
A
lateral flat
3
Q
cohb normal
A
1-3% 5-12% for smokers
4
Q
chocolate abg
A
methb
5
Q
treatment for metHb
A
methylene blue
6
Q
transudative pleural fluid
A
chf
7
Q
exudative pleural fluid
A
infection/inflammation
8
Q
what is the absolute contraindication for lung transplant
A
progressive neuromuscular disease
9
Q
c/t placement
A
2nd interspace
10
Q
hemothoracic placement
A
4/5
11
Q
how to intubate with cervical/spinal precautions
A
modified jaw thrust/flex bronchoscopy
12
Q
vfib
A
shock at 360
13
Q
pvc
A
lidocaine/amio
14
Q
afib shock
A
start at 50
15
Q
how to diagnosie CF
A
sweat chrolide >60
16
Q
brady
A
atropine
17
Q
CXR tuburculosis
A
caviation in upper lobes
18
Q
inhaled anesthetics
A
halothane, enflurane
19
Q
another name for auto peep
A
dynamin hyperinflation
20
Q
magnesium
A
1.4-2
21
Q
anion gap
A
3-11
22
Q
cortisol
A
10-20
23
Q
head injury with seizures give what
A
dilantin
24
Q
MG meds
A
mestion/neostigmine
25
ast
5-40
26
alt
7-56
27
what can rule out pe
d-dimer
28
stroke volume
50-100st
29
stroke volume equation
HRxCO
30
cardiac index equation
co/2
31
RBC
4-6
32
hematocrit
45%
33
HB equation
RBC x 3
34
neutrophils show
bacterial
35
lymphocytes show
viral
36
eosinophils show
allergic
37
troponin
<.2
38
platelet
150,000-400,00
39
BNP greater can show
CHF
40
normal BNP
100
41
creatinine
.6-1.2
42
BUN
6-24
43
ammonia
10-20
44
CK-MB greater then10.5 show
MI
45
INR
.8-1.3
46
what do you see on an EKG with an MI
flipped t waves
47
higher the INR means
thinner
48
lower INR means
thicker
49
GFR
100-130
50
what is the flow rate at which blood passes through the kidneys
GFR
51
if GFR is less then 60 waht does that show
kidneys compromised
52
GFR is less then 15 what does that show
kidney failure
53
na
135-145
54
CL
80-100
55
phospate
25-45
56
increase in phosphate shows
renal failure
57
calcium
88-104
58
spiral CT is the best choice to rule out
PE
59
central venous catheter should be in what location
right atrium or vena cava
60
may be seen in patients exposed to chemicals, near drowning, etc
DAH diffuse alveolar hemorrhage
61
cvp
2-6
62
pap
14
63
64
pcwp
4-12
65
central sleep apnea med
dopram
66
another name for cisatracurium
nimbex
67
another name for cisatracurium
cardiogenic
68
69
what drug increases cardiac contractility
dopamine
70
IBW for males
50 + 2.3 (ht in inch-60)
71
IBW females
45.5 + 2.3(ht in inch - 60)
72
medications to lower pulmonary blood pressure
sildenafil (revatio) hydralazine (apresoline) and flolan
73
treatment for ischemic strokes
thrombolytics
74
most accurate lab for renal function
creatininer
75
normal creatinine
.6-1.2
76
normal urine output
.5ml/hr/kg
77
anuria
no urine production
78
oliquire
decrease in urine production
79
gi prophylaxis
VAP bundle
80
for refractory hypoxia what should you do
inhaled prostacyclin
81
COPD feeding is
high protein low carbs
82
hormones produced by the ventricles of the heart
BNP
83
protein
6-8.5
84
CXR deep sulcus sign
Pneumo
85
copd pt s/p surgery requiring multi days on vent, think what ETT
cass
86
stroke volume
50-100
87
hyperlucent fields on CXR
bronchitis
88
SVR normal
1440
89
PVR normal
160-200
90
k
3.5-5
91
ICP
5-10
92
normal ET placement at what rib
4th rib
93
normal ET placement near heart
aortic notch
94
normal ET placement at what t level
t4
95
Pulm art cath location
tip in the right lower lung field
96
what scan detects pulmonary emboli
v/q scan
97
costophrenic angles on CXR
pleural effusions
98
flattened diaphragm on cxr
copd
99
fluffy infiltrates on cxr
pulm edema
100
wedge shaped infiltrates
pulm edema
101
butterfly or bat wing on cxr
pulm edema
102
plate like or patchy infiltrates
ards/ atelectasis
103
reticulogranular pattern
ARDS
104
concave border or interface
pleural effusion
105
consolidation or haziness
pneumonia
106
deep sulcus sign on CXR
pneumo
107
when you hear third space shifting what do you need to think of
renal fail, fluid overload
108
hematocrit equation
HBG x 3
109
HGB equation
RBC x 3
110
what two lab values will test for thyroid function
t4 tsh
111
ventilation is determined by what in HFOV
delta p and frequency
112
what xray can determine masses or pulm lesions
oblique
113
off balance K+ can lead to what
cardiac dysfunction
114
what xray determines pleural effusion
lateral decubitus
115
what can relax the heart muscle during an MI
nitro
116
precedex
dexmedetomidine
117
what reverses ativan/versed
romazicon (flumazenil)
118
119
romazicon reverses what
benzos
120
when can tb pts come out of isolation
until afb is done x 3 days
121
tx for tb
inh, ethambutol
122
what med should you avoid giving to a pt with thermal injuries
succs
123
meds that lower pre load
digitalis (digoxin)
124
normal PAP
9-18
125
PCWP normal
4-12
126
what tube ventilates each lung
double lumen, endobronchial, carlens tube
127
what ETT will reduce VAP and prevents cuff channel formation
polyeurethane cuffed ETT
128
what MMHG should you set CASS at
20
129
what reverses vecuronium
neostigmine
130
ve equation
RR x VT
131
what is coumadin
blood thinner
132
prone position is contraindicated with
copd, paralyzed, pulm hemmorrhage
133
nasally intubated at
26-28
134
pulm art pressure greater then what suggest PHTN
25t
135
average output of urine
600-1800
136
if you see terminology like third spacing, fluid shifting what med should you give
aldactaline
137
wedge shaped infiltrates on CXR
PE
138
air bronchograms on CXR
pneumonia
139
what is a contraindication of a heart cath
high INR
140
fent
sublimaze
141
dilaudid
hydromorphone
142
tx for central sleep apnea
dopram
143
if you have a pt with increasing ICP despite hyperventilation what drug should you use
mannitol
144
if a pt is having a cholinergic crisis with MG what should you give
atropine
145
levels to look at to know if ETT is in the right place
t4 4th rib level with aortic notch
146
normal INR
.8-1.3
147
what med do you nebulize with TB
isoniazid (INH)
148
what disease can you see diplopia or ptosis with
MG
149
tensilon test is for
MG
150
what test do you pay attention to when giving heparin
PTT
151
what test do you pay attention to when giving coumadin
PT
152
what does pentobarbital (nembutal) used for
high ICP
153
what is the name of the bougie that has ventilation and oxygenation ports
airway exchange cath
154
good trach for a pt with trachial malacia
foam cuff
155
good trach for abnormal airway
distal
156
precedex
dexmetomidinep
157
prop
dipravan
158
aerosolized med for HIV
pentamadine
159
if you have a pt that is actively bleeding but also has a PE what is your tx choice
IVC filter
160
HFOV what adjust oxygenation
map and %insp
161
HFOV what adjust ventilation
amp and frequency
162
1 hz =
60 RR
163
HFOV amplitude
VT
164
HFOV frequency
RR
165
a decrease in frequency in HFOV does what with VT
increase
166
an increase in frequency in HFOV does what with VT
decreases
167
normal bias flow
40l/min
168
to decrease PACO2 in HFOV what 3 things to do
increase amplitude, decreases frequency, increase insp time
169
+ cultures "coccus" treat with
think "icillian"
170
- cultures think what for treatmetn
"mycin:
171
normal o2 index for ecmo
40
172
Heliox another name is
flolan/prostaglandin
173
normal hertz for HFOV
5-6
174
normal bias flow in HFOV
40l/min
175
if paco2 is off by a little bit what do we adjust
vt
176
if paco2 is off by alot what should we adjust
rr
177
cstat equation
vt/plat-peep
178
cdyn
vt/pip-peep
179
starting dose for nitric
20
180
if you have rebound hypertension or hypoxemia
increase dose
181
tensilon test
mg
182
anticholinesternase therapy another names
neostigmine/mestinonin
183
1st degree heart block
pr interval prolonger
184
2nd degree heart block
p wave occasional missing QRS
185
3rd degree
no correlation between p and QRS
186
n resp quotent on indirect calometry
1.2
187
what serum protein shows exudative
>.5
188
what serum protein shows transudatiev
<.5
189
amount available for a squeeze with heart
pre load
190
normal PVR
20-200
191
normal svr
800-1600
192
pulmonary afterload is
PVR
193
force the right ventricle must overcome to produce pulm blood flow
PVR
194
force the left ventricle must overcome to produce systemic blood flow
SVR
195
hydromorphone
dilaudid
196
naloxone
narcan
197
lorazapam
ativan
198
midazolam
VERSED
199
diazepam
valiu
200
diprivan
prop
201
dexmedetomidine
precedex
202
formula for MAP
diastolic + diastolic + systolic /3
203
formula for CPP (cerebral perfusion pressure)
map-icp
204
increase in PAP does what with PCWO
decrease
205
an increase in PAP and decrease in PCWP means what problem
pulm vasculature
206
what does nipride do
pulm vasodialator
207
nipride does what with v/q mismatch
increases (nipride dilates the pulm vasculature)
208
what is a side affect of anectine
increased ICP and malignant hyper
209
210
best order for parameters for weaning
rsbi, nif (mip), vc, ve
211
hypotension does waht with SV
decreases
212
hypotension does what with svr
decreases
213
deep sulcus sign
pneumo
214
when dapson is used orally what can it cause
methemaglobin
215
what can treat fungal infection
fluconazole (diflucan)
216
what is your first reaction to a vent alarm
manual ventilation, and then problem solve
217
presence of protein in pleural fluid means what
indicated exudative pleural effusion
218
fluid coming from outside the pleural space in a pleural effusion
treansudative
219
tea colored urine can present with waht
rhabdo
220
if a pts breath does not return to baseline on your wavefor
increase flow rate or decrease rr
221
what is helpfl with you have impared vision of epiglottis when intubating
gum elastic bougie
222
video assist device requres what
rigid stylet
223
normal WOB
<1 joules
224
Increase in pap what does
increases right heart pressure
225
increase in hematocrit does what to the blood
increase in blood viscosity
226
increase in d- dimer does what for clotting
increase
227
increase in platelets does what for clotting
increases clotting ability
228
systolic pulm art pressure exceeding what is a clear indication of PHTN
25
229
normal anion gap
3-11
230
anion gap equation
NA+ - (CL- + HCOB3)
231
order of a leaking/ruptured cuff
1. stopcock on pilot. 2. blunted needle in pulot end. 3. clamp pilot line. 4. replace
232
how do you wean in nitric
reduce by 10 every 2 hours until at less then 10 go by 2
233
indications for heliox
airway tumors, obstructions, asthma, post ex stridor
234
two methods for heliox delivery by NRB
80/20 (1.8) and 70-30 (1.6)
235
in HFOV 1 ht equals how many RR
60
236
what are the two things that helo with oxygenation in hFOV
map and % insp
237
what are the two things that help with ventilaiton in HFOV
amp and freq
238
normal bias flow in HFOV
40l/min (this adjsut map)
239
in hfov a decrease in frequency does what with VT
increases
240
in HFOV a increase in frequency does what with VT
decrease
241
to decrease PACO2 in HFOV what should you do (
increase in amp (this will decrease frequency) or vise versa, increase in % time
242
when you are in APRV and you are having hypoxia issues what can you adjust
increase p high, increase t high or recruitment
243
APRV does what with v/q mismatch
increases due to pulm dialation
244
weanin in APRV
drop p high by 1-2 and increase t high by .5 by every 1 drop in p high(drop and stretch)
245
in GCS for eye opening what is the order
4. spont
3. speech
2. pain
1. o
246
in GCS for verbal what is the order
5. oriented
4. confused
3. inapp
2. incomp
1.0
247
in GCS for motor what is the order
6. commands.
5. loc to pain
4. wdrwls from pain
3. flexion to pain
2. extention to pain
1.0
248
what is the reversal agent versed adn ativan
flumazenl (romazicon
249
reversal agent for paralytic
cholinesterase inhibitors like peostigmine, pyridostigmine
250
what do inotropes do
increase strength of heart contraction
251
drugs that can affect methb
dapsone, nitric, nitroprusside, benzocaine, lidocaine
252
cf can cause what other issues
GI
253
in cardiogenic shock what happens to vp, hr, bp, co
increased cvp, hr decreased co bp
254
an increase in physiologic deadspace does what with ETCO2
decrease
255
if you have a pt in renal failure that already has high + what is a good lasix to give that will spare the k+
aldactalone
256
normal proteint
6-8.5
257
what can cause a decrease in protein
infection, tb, diarrhea
258
normal blood albumin
3.5-5
259
normal urine albumin
10-100
260
if albumin is increased what does that show
liver fail, shock, dehydration
261
if albumin is decreased what does that show
diarrhea, burn, infection
262
bnp above what indicates CHF
300
263
inr higher then normal means blood is what
less likely to clot
264
normal INR for valve replacement pts
3
265
s/s of high bilirubin
dark tea colored urine
266
normal bilirubin
.2-1.2
267
s3 heart sounds indicates
chf
268
s4 heart sound indicates
mi/cardiomegaly
269
air bronchograms on CXR
pneumonia
270
peep does what to PAP and CVP
increases
271
peep does what with Co
decreases
272
anectine can cause what
malig hyperthermia
273
nipride does what with v/q mismatch
incerases
274
nipride does what with pulm vasculature
dialates
275
increase in PAP with decrease in PCWP is what problem
pulm vasculature
276
normal platelet count
150,000-400,000
277
pwcp does what in CHF/pulm edema
increases
278
common pathologies causing pneumonia for CF pts
pseudomonas aeruginosa staph a
279
lateral decubitus xray
pleural effusion
280
another name for flolan
prostaglandins
281
what is iloprost(ventavis)
pulm vasodialator
282
what should you caution for with iloprost
platelets less then 50,000 and hypotension
283
what are some vasodialators
hydralazine, labetalol, metoprolol, nicardipine, sodium nitroprusside, nitro
284
aprv what with QS/QT
decrease
285
