Advanced Dive Medicine Assumed Test Questions Flashcards Preview

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Flashcards in Advanced Dive Medicine Assumed Test Questions Deck (81):
1

Sea Urchins have a Venomous stinging Organ Called

Gobiferous Pedicellariae, or stinging spine

2

The most deadly Octopus

Blue Ringed -No Antivenin

3

Steroids for Dive treatment

Not recommended, worsens CNS injuries

4

Lidocaine for Dive treatment

Used for AGE, not recommended in DCS.

5

Fluids for DCS II Patients

Fluids are contradicted when patient is suffering from the chokes

6

Urine output for patient

.5cc Hour

7

Drip Chamber on Descent/Ascent

Chamber Fills on decent/Emptys on ascent

8

D5W Electrolyte IV fluid

Use @ DMO's Discretion due to cerebral and pulmonary edema.

9

Chest tube site

2nd or 3rd intercostal space midclavicular line over the affected lung

10

Chest tube secondary site

5th intercostal space anterior axillary line. Hand under the armpit

11

Endotracheal intubation ventilation stop time, Vent time

Do not stop for more than ::30, Ventilate for ::60

12

Endo tracheal Bradycardia

Can slow during intubation from vagus nerve stimulation

13

Inside tender responsibilities

Releaseing Door Latchs, Communicateing with outside personnel, Provideing first Aid, Administering treatment gas @ depth, Normal assistance, Donning/doffing hearing protection, Paitient is lying down to permit adequate blood flow.

14

NON Diving Personnel as IT

Completion of Navy IT PQS, Current Physical Exam, Conform to Navy physical standards, Passed a pressure test

15

Clinical HBO2 Therapy TX Disorders

Cyanide poisoning, Carbon Monoxide, Gas gangrene, Smoke inhalation, Necrotizing soft tissue infection, Iatrogenic embolism, thermal burns, chronic refractory osteomyelitis, intracranial abscess.

16

Rationale for HBO in bubble disorders

Increase in pressure decrease in bubble size, Reduce bubble by maximizing inert gas off-gassing gradient, Increase O2 to the tissues.

17

Candidate Pressure test

Navy Certified Chamber -60 FSW for :10, Must remain on site for :15 and facility for 1 hour

18

Re compression Chamber extinguishing means

Wetted towels, Bucket of water, Pressurized water extinguisher, Hand held hose system, suppression deluge system

19

Abort Procedure - Natural Disaster - Mechanical failure

Ascend to 60FSW AT 30 FPM, All on O2, Follow AIR/O2 Table for max depth breathing O2 continuously, Breath 02 for the sum of deeper deco stops prior to deco from that depth, No more time bring chamber to surface @ 10FPM on 100 O2. NO symptoms follow TT6 asap.

20

Post Chamber Treatment observation time

TT-5 - 2 hours TT-6 6 hours , All others at DMO discretion

21

Treatments administered more than 5 days require

1 day break

22

Re-compression at altitude Gauge's

Zero gauges

23

First Decompression Theories published by

J.s Haldane theory of half times

24

Maximum chamber co2 sev at depths

.78 30fsw

.53 60fsw

.25 165fsw

25

IV Drip rate

75/100 cc per hour

26

Urinary catheterization

Inability to void, bladder distension, unconscious, monitor fluids

27

Chamber fire hazard 02 levels

19-25% never allow to exceed 25%

28

Pressure Test Chamber

2 years, initial installation, overhaul, repair

29

Chamber categories

1 - :5 2- 1:00 3- 6:00

30

Post TX TT-5 / TT-6 Observation times

TT5 2:00/ TT6 6:00 remain @ Facility, DMO modify if less than :30 from chamber

31

Tender Post TX observation

1:00 @ facility, TT4/7/8 1:00 away for 24:00

32

Patient flying after treatment

DMO concurrence 72:00 wait after DCS/AGE resolution

33

Tender Flying after treatment

TT 5/6/6A/1A/2A/3 24:00, TT 4/7/8 72:00

34

Aircraft pressurization for EVAC

1 ATA, stay below 1000 FT altitude

35

Return to diving No Symptoms/Symptoms

30 days/ Residual symptoms obtain Waiver

36

Tender S/I after treatment before diving

18:00 NoD/ 24:00 Deco TT 4/7/8 48:00

37

Chamber Co2/O2 SEV max

1.5 SEV C02 / 25% 02

38

Vent ACFM Requirements for Air/02

2 Paitient/4 tender Air / 12.5 Paitient/ 25 Tender

39

Chamber Temperature unlimited time all treatments

85 and below

40

Chamber Temperature 85-94

6:00 / TT5/6/6A/1A/9

41

Chamber Temperature 95-104

2:00 / TT5/9

42

Patient Sleep/Eat/Drink

Sleep except when breathing 02 deeper than 30FSW, Eat anytime

43

Modify a treatment

DMO OIC/CO permission/ or UMO 16U0 16U1

44

Purpose of HBO

Decrease Bubble, restart blood flow, relieve local pressure, Reduce bubble by maximizeing inert off gassing gradient, Allow time to reabsorb bubble, Increase 02 to injured tissue

45

Anaphylactic Shock

caused by severe allergic reaction

46

Cardiogenic Shock

Caused by heart attack poor heart function

47

Hemorrhagic Shock (hypovolemic)

Loss of large amount of blood

48

Neurogenic

Nerve paralysis, spinal cord injury, uncontrolled dilation of blood vessels

49

Psychogenic

Caused by fright or fear

50

Stages of Shock

Compensated (correcting itself), Decompensated (body no longer able to compensate) irrevesible - celldamage liver kidney failure and permanent damage

51

Extremity Strength 5

Normal - equal bilateral strength

52

Extremity Strength 4

Mild Weakness - able to resist slight force

53

Extremity Strength 3

Moderate Weakness - Resist gravity but not examiner

54

Extremity Strength 2

Sever Weakness - Able to contract muscle but not overcome gravity

55

Extremity Strength 1

Profound Weakness - Flicker or trace muscle movements

56

Extremity Strength 0

Paralysis - No motion

57

Cranial Nerve 1

Olfactory - Smell/Taste - rarely tested

58

Cranial Nerve 2

Optic - Reading focusing/ Fields

59

Cranial Nerve 3

Occulomotor - Movement in the eye/Pupil dilation

60

Cranial Nerve 4

Trochlear - cross eyed

61

Cranial Nerve 5

Trigeminal - Facial sense, chewing

62

Cranial Nerve 6

Abducens - Lateral eye movement

63

Cranial Nerve 7

Facial - Whistle, close eyes, wrinkle

64

Cranial Nerve 8

Auditory- Hearing, balance

65

Cranial Nerve 9

Glossopharyngeal - Gag - not normally tested

66

Cranial Nerve 10

Vagus - Roof of mouth, vocal cords - Heart beat

67

Cranial Nerve 11

Spinal accessory - neck shoulder shrug

68

Cranial Nerve 12

Hypoglossal - Movement of tongue

69

Coordination tests

Walk/Gait, Romberg, Heel toe, Rapid alternateing movement, finger to nose, Heel shin

70

6 parts of a neuro

Mental status, Coordination, Cranial nerves, Motor/strength, Sensory, DTR

71

Pulseless Diver HBO Treatment

Unavailable press to 60FSW CPR, :10 AED/ACLS CPR until arrival on surface, :20 deco @ 30FPM administer AED/ACLS. Regains vitals press to 60, remains pulsless continue CPR until pronounced dead. Never recompress a pulseless diver.

72

Symptomatic Omitted D

Less than 50FSW TT6, 51 FSW or deeper 60 or DOR TT6A not to exceed 165, Greater than 165 TT8. DMO ASAP TT5 not acceptable

73

CNS O2 toxicity First sign

Off 02, symptoms subside,:15min, resume POI

74

CNS 02 toxicity second sign or first is a convulsion

Off 02, symptoms subside/relaxed and breathing normal, deco 10FSW 1 FPM, resume @ POI

75

CNS 02 toxicity symptoms after ascent 10FSW

Contact DMO before resuming 02

76

Loss of 02 during Treatment

:15, maintain depth, fixed resume 02 @ POI, :15-2:00 MAINTAIN DEPTH RESUME @ poi MAX EXTENSIONS,
Greater than 2:00 switch to comparable air table, SX worsen TT4 for greater depth

77

Treatment authorization for HBO therapy waiver

BUMED Code M3B42

78

Reoccurence 60FSW or shallower

Back to 60FSW, 3 :20 02 periods relieved TT6, Not TT7 or DOR not to exceed 165fsw

79

Reoccurence 60FSW or deeper

go to DOR not to exceed 165,Air for :30, No more time needed TT6A, more time TT4.

80

TT5 use

Complete neuro- no deficits,DCS I, Asymptomatic Omitted D, Relief W/:10 or a TT6

81

TT6 use

AGE, Cutis,Type II, Type I :10 no relief, Symptomatic/Asymptomatic :20 no relief switch to TT6A