CCPC Review - Formulas, Flight Phys, AC Fundamentals Video

Question 1

Ideal Gas Law

Answer 1

PV=nRT

Question 2

ARDS Formula

Answer 2

= PaO2/FiO2

Normal > 400
Respiratory Distress/Failure = 300
ARDS <100

Question 3

Dalton’s Equation (Oxygen at Altitude)

Answer 3

FiO2 x P1 / P2

Question 4

Tank Time Equation (how much time a tank will have oxygen)

Answer 4

(Tank Factor)(psi)/lpm

Tank Factors:
H - 3.14
M - 1.65
E - 0.28
D - 0.16

Question 5

Anion Gap Equation

Answer 5

(NA + K) - (Cl + HCO3)

> 16 = MUDPLIERS

Question 6

PRBC Relationship (____ units of PRBC increases HGB by ____ and HCT by _____)

Answer 6

1 unit of PRBC increases HGB by 1 and HCT by 2-3%
(As long as bleeding has stopped!)

Question 7

MAP

Answer 7

MAP = systolic + (2 x diastolic) / 3

NORMAL MAP = 70-90 mmHg

Question 8

Cardiac Output (CO)

Answer 8

CO = HR x SV

Question 9

Systolic BP

Answer 9

Systolic BP = CO x SVR

Question 10

Afterload of Right side of the Heart

Answer 10

PVR

Question 11

Afterload of the LEFT side of the heart

Answer 11

SVR

Question 12

Coronary Perfusion Pressure

Answer 12

CPP = Diastolic BP - PCWP

NORMAL = 60-80 mmHg

Question 13

Pediatric Maintenance Fluids

Answer 13

4/2/1:
- Glucose (D5 1/2 normal saline or D5 1/4 normal saline)
- 4 cc/kg for first 10 kg
- 2 cc/kg for second 10 kg
- 1 cc/kg from then on

Question 14

Pediatric BP

Answer 14

Normal = 90 + 2(age)
Hypo = 70 + 2(age)
*NOT DECOMPENSATED unless < Hypo calculation

Question 15

Pediatric Bolus

Answer 15

Neonate = 10 cc/kg
Heart Failure = 10 cc/kg
Infant = 20 cc/kg

Question 16

Pediatric ET Tube Size

Answer 16

(16 + age)/4

Always have the half size below, the size you calculated, and the half size above prepped.
(Ex: ETT of 3; prep: 2.5/3/3.5)

Question 17

Pediatric NG/OG Tube Size

Answer 17

2 x ETT size

Question 18

Pediatric Chest Tube Size

Answer 18

4 x ETT size

Question 19

Pediatric Urine Output

Answer 19

1-2 cc/kg/hr

Question 20

Urine Output for Rhabdo

Answer 20

Pediatric: 2-4 cc/kg/hr
Adult: >100 cc/hr

Question 21

Blood Glucose

Answer 21

Neonates = >40
Infant - Adult = >60

Question 22

Normal Blood Volumes (neonate/infant/child)

Answer 22

Neonate = 80-90 cc/kg
Infant = 70-80 cc/kg
Child = 70-75 cc/kg

Question 23

Pediatric Blood Product Admin

Answer 23

10 cc/kg

Question 24

Pediatric Ages

Answer 24

Neonate: <28 days
Infant: >28 days
Toddler: >2 years
Child: >8-10 years

Question 25

Cerebral Perfusion Pressure

Answer 25

CPP = MAP - ICP CPP = (systolic+(2*diastolic))/3) - ICP - needs to be >60 - Normal is 60-80

Question 26

ICP Ranges

Answer 26

Normal = 0-10 Mild = 20 Moderate = 30 Significant = 40 Severe = 50

Question 27

Parkland Formula

Answer 27

BURNS = 4cc x kg x BSA

Question 28

Brooke Formula

Answer 28

BURNS = 2cc x kg x BSA

Question 29

Consensus Formula

Answer 29

BURNS = 2-4cc x kg x BSA

Question 30

ADULT Rule of Nines - Head and Neck - Chest - Abdomen - Arms - Back - Legs - Perineum

Answer 30

- Head and Neck = 9% - Chest = 9% - Abdomen = 9% - Arms = 9% - Back = 18% - Legs = 18% - Perineum = 1%

Question 31

CHILD Rule of 9’s - Head and Neck - Chest - Abdomen - Arms and Hands - Back - Legs and Feet

Answer 31

- Head and Neck = 18% - Chest = 9% - Abdomen = 9% - Arms and Hands = 9% - Back = 18% - Legs and Feet = 14%

Question 32

The Henderson-Hasselbach Equation

Answer 32

Determines if a lab report is authentic. H+=[24 x CO2] / HCO3 NORMAL H+ = 40 nEq/L Expected fall in pH = 7.4 - [# over 40 H+ x 0.01] *if <7.2; hang BICARB … pressers wont work under 7.2!

Question 33

4 types of Hypoxia + Tx

Answer 33

Hypemic - admin PRBC Hypoxic - tx with O2 or lower altitude Stagnant - increase perfusion Histotoxic - find toxin and reverse it

Question 34

4 stages of Hypoxia

Answer 34

Indifferent - lose night vision at 5000’ Compensatory - HR/RR increase Disturbance - Drunk (slurred speech/slow to respond/unsteady gait) Critical - will die if don’t get help

Question 35

Time of Useful Consciousness

Answer 35

Rapid Decompression: - 25,000 ‘ = 2-5 mins - 35,000’ = 90 seconds - 45,000’ = 15-30 seconds

Question 36

Emergency Locator Transponder Frequencies / Activate at how many G’s

Answer 36

121.5 406 4 G’s

Question 37

Inherent Risks of Flight

Answer 37

G-forces / Gravity Weather Fatigue Thermal changes at altitude Vibration / Noise

Question 38

Self-Induced Risks of Flight

Answer 38

Dehydration Exhaustion Alcohol Tobacco Hypoglycemia

Question 39

Relationship between altitude and temp

Answer 39

Every 1000’ gain = -2-degrees C

Question 40

4 forces that act on aircraft

Answer 40

Lift (counteracted by) Weight Thrust (counteracted by) Drag

Question 41

ETT Cuff pressure goal

Answer 41

20-30 mmHg

Question 42

Sea Level

Answer 42

760 mmHg

Question 43

How many ATM for 99’ below sea level?

Answer 43

4 (water surface + 33 + 33 + 33)

Question 44

AMRM

Answer 44

Air Medical Resource Management / Crew Resource Management in flight world

Question 45

Pilot needs to have (hours of flights)

Answer 45

2000 hours total 1200 in helicopter 1000 Pilot in Command (helo or fixed wing) 100 PIC at night 5 hours aerial orientation (2 at night)

Question 46

FAA Minimums with Patient onboard

Answer 46

135

Question 47

Land: - immediately - as soon as possible - as soon as practical

Answer 47

Immediately = engine fire; transmission failure ASAP = chip light As soon as practical = some type of inoperable equipment that does not impede the operation of the helicopter

Question 48

How many ways out do you need for: - scene LZ - hospital LZ

Answer 48

- Scene: 1 - Hospital: 2 (+ windsock for a permanent helipad)

Question 49

Post crash priorities

Answer 49

Immediately: in order turn off - throttle/fuel/battery Then: - meet at 1200 position / closest to 1200 upwind - find shelter

Question 50

HAZMAT scene - where do you land?

Answer 50

Further in the direction of where the wind is coming from (if the wind is coming from the west, go farther west)

Question 51

Duty to Report

Answer 51

Child Abuse Elder Abuse

Question 52

Law at play for anything aircraft/mechanic/pilot related

Answer 52

FAA

Question 53

At play for only interfacility transports

Answer 53

EMTALA

Question 54

Who is responsible for patient until arrived at receiving facility?

Answer 54

Sending physician

Question 55

Converting Celsius to Fahrenheit

Answer 55

(Temp in Celsius)(1.8) + 32 Example: 34 degrees Celsius 34*1.8 + 32 = 93.2