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Flashcards in Emergency/Crit Care Deck (75)
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1

ICP treatment

mannitol and hypertonic solutions

2

sign of uncal herniation

unilateral pupil dilation

3

cushings triad

bradycardia, hypertension, irregular respirations

4

malignant hyperthermia treatment

hyperventilation, oxygenation and dantrolene

5

metabolic acidosis, hyperthermia, cardiac arrhythmias, elevated CK, muscle rigidity, fever

malignant hyperthermia

6

ARDS definition

1. noncardiogenic pulmonary edema
2. impaired oxygenation
3. bilateral pulmonary infiltrates

7

ARDS has a better prognosis if it occurs in the context of

trauma

8

initial xray finding when progressing to ARDS

fine reticular infiltrate

9

most important element of respiratory support in ARDS

PEEP

10

treatment of near drowning episode with ARDS not improving on supportive measures

steroids

11

unfavorable prognosis with near drowning if

submersion >25 minutes, apnea or coma, initial pH <7.0

12

flail chest

2 or more rib fractures in 2 or more locations causing paradoxic chest movements

13

next step with flail chest and tachypnea

chest tube placement

14

blunt abdominal trauma diagnostic tool

abdominal CT w/ contrast

15

normal ejection fraction

55%

16

acute heart failure ejection fraction

<25%

17

best initial IV therapy for heart failure

furosemide (acts within minutes)

18

poor perfusion with tachycardia, diminished pulses and gallop rhythm

cariogenic shock

19

cardiogenic shock initial treatment

dobutamine

20

brain death studies

radionucleotide scan OR angiography

21

angiography finding consistent with brain death

absence of vertebral and carotid artery blood flow

22

chest compressions

1/3 to 1/2 Anteroposterior depth of chest (~2 in or 5 cm)

23

compression rate

100/minute

24

one rescuer CPR

30:2, activate EMS and get AED after 5 cycles

25

infant CPR chest compression depth

1.5 inches or 4 cm

26

pulse check

5 to 10 seconds. brachial for infants. carotid or fem for children

27

intubated CPR breaths

1 breath every 6 to 8 seconds OR 8 to 10 breaths/minutes

28

rescue breaths without compressions

1 breath every 3 to 5 seconds (12 to 20/minute)

29

preferred IO site

anteromedial surface of the proximal tibia

30

ET tube size calculation

age/4 + 4