CPPro Flashcards
Contraindications for CPAP
Pneumothorax
GCS<12
Cardiogenic shock
Chest Trauma
Upper GI bleed
N/V
SBP <100
How many masks are there for CPAP and what are their sizes and colours?
2 Masks
Small Size 4 - red
Large Size 5 - Blue
What are the flow options for CPAP
8L/min - 5cm H20 with Fio2 54% - COPD
12L/min - 10cm H20 with Fio2 62% - ACPO, Pneumonia and immerison
How does CPAP work?
-Increases functional residual capacity
-Decreases preload by increasing intrathoracic pressures and in turn reducing venous return.
-Decreases afterload during diastole by increasing pericardial pressures, reducing transmural pressure and leading to a reuction in afterload.
What size ETT do we use for FONA?
Size 6
What size FG do we use for OGT?
FR 10
How common is shoulder dystocia (%)?
0.7%
Maternal risk factors for shoulder dystocia?
Macrosomia
Parental diabetes
Parent obesity
Prolonged labour
>42 weeks
Location for Needle Thoracostomy?
2nd intercostal space just above the third rib
Location for a lateral needle thoracostomy?
4th or 5th intercostal space anterior to the mid-axilla
What are the needle-catheter sizes used in both adult and paediatric decompression?
10g adult
14g paediatric
What pressure is the SAAS intersurgical C-PEEP set to?
5cmH2o
Contraindications for PEEP?
Cardiac arrest
Penumothorax
Broncho-pleural fistula
Tracheo-oesophageal fistula
What volumes should we use to inject into a subcut line?
2mL for adults
0.5mL for paediatrics
What size cannula do we use for unbilical venous cannulation?
20g 64mm Introcan safety deep access catheter
When cannulating the umbilicus how deep should the catheter go?
5-6cm