Final Flashcards
(21 cards)
Parkland formula
(4ml) x (_kg) x (% burned) = total volume needed
split half for 8 hours and the other half for the following 16 hours
Rule of 9s
-entire head 9%
-each arm 9%
-front chest 18%
-back side 18%
-each leg 18%
-pee pee 1%
What do you prime the line with for a blood transfusion?
0.9% NS
How long should you stay with the patient after starting a blood transfusion?
15 minutes
What should you do first if a blood transfusion reaction occurs?
stop the transfusion
sepsis recognition
-Hypotensive with tachycardia
-febrile/shivering/clammy
-intense pain/confusion
What should you do within 1 hour of sepsis recognition?
-MEASURE LACTATE LEVELS
-broad-spectrum antibiotics
-fluids @ 30ml/kg/hr and vasopressors to keep MAP >65
DKA priorities
-insulin 2 bag system
-neuro checks
-Q1 accuchecks
-2 large bore IVs
-strict I/Os
what is in the DKA 2 bag system?
bag 1 has NS, phosphate, and KCL
bag 2 has D12.5, NS, phosphate, KCL
given alongside insulin drip
What is the insulin drip dose for DKA?
0.1units/kg/hr
stroke assessment
BE FAST
B: balance
E: eyes/vision loss
F: face/facial drooping
A: arms/ right or left sided weakness
S: speech/dysphagia
T: time
reasons for low pressure ventilator alarm
-tube disconnected
-ET tube displaced
-low trach cuff pressure
-vent malfunction
-leak
reasons for high pressure ventilator alarm
-biting/kinked ET tube
-secretions
-decreased lung compliance
-improper intubation
-bronchospasm
-coughing/gagging
-ventilator failure
What is PEEP
positive end expiratory pressure
what is TV
tidal volume, volume of air in lungs with each breath
What are the two pressure settings on a vent?
PS and CPAP
what are the two volume settings on a vent?
SIMV and AC
What are some antiarrhythmic meds to give for aflutter or afib?
amiodarone, metoprolol, digoxin
how long is the resuscitative phase of a burn patient?
72 hours
What takes priority with emergency burn management?
fluid replacement over nutritional needs.
