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Clinical Medicine Lecture - Professor Kramer > Emergency pt. 1 > Flashcards

Emergency pt. 1 Flashcards

(76 cards)

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1
Q

Nasal cannula: 1 L/min

A

21-24 %

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2
Q

Nasal cannula: 2 L/min

A

25-28%

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3
Q

Nasal cannula: 3 L/min

A

29-32%

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4
Q

Nasal cannula: 4 L/min

A

33-36%

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5
Q

Nasal cannula: 5 L/min

A

37-40%

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6
Q

Nasal cannula: 6 L/min

A

41-44%

  • *nothing above 6 liters is going to make them feel better this is like the max we can take in
  • *
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7
Q

Simple oxygen face mask : Flow rates ?

A

6-10 L/min

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8
Q

Simple oxygen face mask: 6-10 L/min Deliver O2 ?

A

35-60%

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9
Q

Face mask withO)2 reservoir (non-rebreather mask): Flow rates ?

A

6-15 L/min

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10
Q

Face mask with O2 reservoir (non-rebreather mask): 6 L/min delivered O2 ?

A

60%

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11
Q

Face mask with O2 reservoir (non-rebreather mask): 7 L/min delivered O2 ?

A

70%

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12
Q

Face mask with O2 reservoir (non-rebreather mask): 8 L/min delivered O2 ?

A

80%

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13
Q

Face mask with O2 reservoir (non-rebreather mask): 9 L/min delivered O2 ?

A

90%

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14
Q

Face mask with O2 reservoir (non-rebreather mask): 10-15 L/min delivered O2 ?

A

95-100%

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15
Q

Venturi mask: 4-8 L/min delivered oxygen ?

A

24-40 %

ABG

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16
Q

Venturi mask: 10-12 L/min delivered oxygen ?

A

40-50%

ABG

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17
Q

Adult-8yo: Compression to breathing by age - Single provider compression: ventilation?

A

30:2

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18
Q

Adult-8yo: Compression to breathing by age - Two provider compression: ventilation ?

A

30:2

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19
Q

Adult-8yo: Compression to breathing by age - If advanced airway ?

A

6:1

blow the air in during recoil of the CPR

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20
Q

Adult-8yo: Compression to breathing by age - Compression depth ?

A

5 cm

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21
Q

Adult-8yo: Compression to breathing by age - Hand positioning on sternum ?

A

2 hands

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22
Q

Puberty-1yo: Compression to breathing by age - Single provider compression: ventilation ?

A

30:2

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23
Q

Puberty-1yo: Compression to breathing by age - Two provider compression: ventilation ?

A

15:2

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24
Q

Puberty-1yo: Compression to breathing by age - If advanced airway (intubated) ?

A

6:1

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25
Puberty-1yo: Compression to breathing by age - Compression depth ?
5cm (at least 1/3rd chest)
26
Puberty-1yo: Compression to breathing by age - Hand positioning on sternum ?
1-2 hands
27
Infants: Compression to breathing by age - Single provider compression: ventilation ?
30:2
28
Infants: Compression to breathing by age - Two provider compression: ventilation ?
15:2
29
Infants: Compression to breathing by age - If advanced airway ?
6:1
30
Infants: Compression to breathing by age - Compression depth ?
4 cm (at least 1/3rd chest)
31
Infants: Compression to breathing by age - Hand positioning on sternum ?
2 fingers
32
CAP - outpatient tx ?
Azithromycin Doxy
33
CAP - outpatient tx consider?
augmentin levo
34
CAP - hospitalized tx ?
fluoroquinolone
35
CAP - hospitalized tx consider ?
Macrolide plus ceftriaxone
36
CAP - hospitalized ICU bed tx ?
Fluoroquinolones plus beta lactam = ampicillin, ceftriaxone
37
CAP - hospitalized ICU bed tx consider ?
Fluoroquinolne plus clinda
38
HCAP outpatient tx. ?
Fluoroquinolones
39
HCAP outpatient tx. consider ?
Macrolide plus augmentin
40
HCAP early/low-risk MDR tx ?
Fluoroquinolones
41
HCAP early/low-risk MDR tx consider ?
Ceftriaxone or Zosyn
42
HCAP late/high-risk MDR tx ?
Cefepime or Ceftriaxone plus levo plus vanco
43
VAP tx. ?
Cefepime or Ceftriaxone plus levo plus vanco
44
Aspiration PNA tx. ?
clinda
45
Aspiration PNA tx. consider?
augmentin or imipenem
46
Neonates organism ?
GBS listeria staph pseudomonas
47
Neonates tx. ?
Ampicillin naficillin plus genta
48
Neonates tx. alternate ?
vanco plus cefotaxime
49
1-3 month organism ?
Chlamydia s.pneumo
50
1-3 month tx. ?
erythromycin or amoxicillin
51
1-3 month tx. alternate ?
Cefuroxime
52
3mo-5yr organism ?
s.pneumo mycoplasma Chlamydia
53
3mo-5yr tx. ?
amoxicillin maybe macrolide
54
3mo-5yr tx. alternate ?
Cefuroxime or ceftriaxone
55
5yr-18yr organism ?
mycoplasma s. pnuemo
56
5yr-18yr tx. ?
marcolide
57
5yr-18yr tx. alternate ?
augmentin or Cefuroxime plus macrolide
58
Lobar consolidation description ?
non segmented, homogenous consolidation involving one lobe maybe bronchograms
59
Lobar consolidation organism ?
S.pneumo K.penumo L.p
60
Bronchopneumonia description ?
Peribronchial thickening poorly defined opacities patchy
61
Bronchopneumonia organism ?
staph H. flu
62
Interstitial pneumonia description ?
edema and infiltrate in alveolar space, surrounding small airways
63
Interstitial pneumonia organisms ?
M. pneumonia viruses
64
Abscess description ?
air-fluid level adjacent parechymal consolidation
65
Abscess organisms ?
staph pseudo anaerobes
66
Effusion description ?
Assumes shape of pleural space, air fluid level present
67
Effusion organisms ?
10% s. pneumonia 50% H.flu or L.p
68
Pneumatocele description ?
thin walled, gas filled spaced
69
Pneumatocele organsims ?
50% staph children
70
S. pneumonia ?
rust colored lobar infiltrate
71
Staph ?
After virus infection multi lobar patchy
72
Klebsiella p. ?
alcoholics or nursing home patients brown currant jelly upper lobe infiltrate, bulging fissure sign
73
Pseudomonas ?
hospitalized, debilitated, immunocompromised abscess formation
74
H. flu ?
elderly and COPD
75
Legionella ?
Gi sxs. N/V/D
76
Mycoplasma ?
upper and lower respiratory tract sxs. non productive cough interstitial infiltrates reticulonodular pattern

Clinical Medicine Lecture - Professor Kramer (28 decks)

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