Final Exam Flashcards

1
Q

Snoring Respirations

A

Airway maneuvers to get tongue off the airway
OPA/NPA

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2
Q

Gurgling Sounds from Airway

A

Suction

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3
Q

Slow RR (<8) With Signs of Hypoperfusion (Cyanosis, Decreased LOA, etc)

A

OPA - if no gag
OR
NPA
BVM Ventilations

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4
Q

Fast RR (>28) With Associated Fatigue and Poor Oxygenation

A

OPA - if no gag
OR
NPA
BVM Ventilations

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5
Q

Apnea

A

OPA - if no gag
OR
NPA
BVM Ventilations

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6
Q

Oral Suction Pressure - Adult

A

500-550 mm Hg

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7
Q

Oral Suction Pressure - Child

A

200-220 mm Hg

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8
Q

Oral Suction Pressure - Infant

A

80-100 mm Hg

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9
Q

Deep Suction Pressure - Adult

A

100-150 mm Hg

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10
Q

Deep Suction Pressure - Child

A

100 - 120 mm Hg

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11
Q

Deep Suction Pressure - Infant

A

60 - 100 mm Hg

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12
Q

Portable Manual Suction - V Vac

A

Canister holds 425 mls

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13
Q

Battery Suction

A

45 mins of battery
Adult/peds
Holds 300 mls

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14
Q

Vehicle Suction

A

Holds min. 1.1 L
Adjustable pressure of 0-550 mm Hg

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15
Q

Low Flow Devices

A

Nasal cannula, simple face mask and nebulizer mask

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16
Q

Nasal Cannula

A

Max liter flow = 6 lpm
For more stable patients that can breath through their nose
Good for patients who can’t keep a mask on (vomiting)

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17
Q

Simple Face Mask

A

6-10 lpm
No reservoir bag
Not used often

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17
Q

Nebulizer Mask

A

4-6 lpm
Allows administration of Oxygen through the mask

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17
Q

Non-Rebreather Mask

A

12-15 lpm
Patient inhales from a reservoir bag but does not exhale back into it.

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17
Q

High Flow Devices

A

NRB, Filtered O2 mask

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18
Q

Filtered O2 Mask

A

Can run at low, medium or high concentrations
Compatible with nebulizer therapy
Can be used with any patient with suspected or confirmed respiratory infection

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19
Q

Ventilation Rates - Adult, Child and Infant

A

Adult - 1 every 6 seconds
Child - 1 every 3 seconds
Infant - 1 every 3 seconds

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20
Q

When do you Always Use Breathing Control?

A

If RR <8 or >28

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21
Q

Hypotension for Adults

A

<90 mm Hg

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22
Q

Normotension for Adults

A

> 100 mm Hg

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23
Q

Hypotension for Pediatrics

A

SBP <70mm Hg + (2 x age in years)

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24
Q

Normotension for Pediatrics

A

SBP ≥ 90 mm Hg + (2 x age in years)

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25
Q

Normal Temperature

A

36.1 - 37.2 degrees Celsius

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26
Q

Fever

A

> 38 degrees Celsius
BLS Indicated >38.5 degrees Celsius

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27
Q

Normal SPO2

A

97%-100%

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28
Q

Limb Lead Placement

A

White, right
Snow over grass
Smoke over fire

29
Q

V1

A

Fourth intercostal space to the right of the sternum

30
Q

V2

A

Fourth intercostal space to the left of the sternum

31
Q

V3

A

Directly between leads V2 and V4

32
Q

V4

A

Fifth intercostal space at the left mid-clavicular line

33
Q

V5

A

Level with lead V4 at the left anterior axillary line

34
Q

V6

A

Level with V5 at left mid-axillary line

35
Q

Lung Sounds: Rhonchi

A

Continuous low-pitched sounds with expiration. Often associated with the presence of mucus

36
Q

Lung Sounds: Wheezing

A

Continuous, high-pitched hissing wound. Air passing through a narrowed space. Can be inspiratory or expiratory.

37
Q

Lung Sounds: Stridor

A

Continuous high-pitched whistle or squeaking sound. Usually with inspiration

38
Q

Lung Sounds: Pleural Rub

A

Rough grating sounds of lungs on the lining. Heard with inspiration and expiration.

39
Q

Lung Sounds: Crackles

A

Generally discontinuous. Rattling, bubbling or clicking. Fine Vs. Coarse. Associated with fluid.

40
Q

Peritoneal Dialysis

A

Catheter placed in abdomen.
Puts fluids in the peritoneal cavity and drains toxins/wastes
Can be attached by a machine or done by gravity
Done 3-5 times per week

41
Q

Hemodialysis

A

Uses the blood
2 needles/tubes in arm for access
Connected to a dialysis machine
Machine dialyzes (filters) a few Oz of blood at a time and then returns it to the body
Most often done at outpatient clinic but can be done at home
Typically 3-5 times per week

42
Q

How Much Blood Do Females and Males Have?

A

Males - 70 ml blood/kg
Females - 65 ml blood/kg

43
Q

How Much Blood Loss can the Body Tolerate?

A

Body can’t tolerate an acute loss of more than 20% of total blood volume.
If a typical adult loses more than 1 liter of blood, significant issues will occur

44
Q

Arterial Bleed

A

Bright red blood
Spurts with the pulse
Difficult to control

45
Q

Venous Bleed

A

Darker red blood
Flows steadily
Easier to manage

46
Q

Capillary Bleed

A

Dark red
Oozes slowly
Likely to clot spontaneously

47
Q

How Long do you Hold Pressure with a Hemostatic Dressing?

A

3 minutes

48
Q

Flail Chest

A

3 or more ribs broken in 2 or more places

49
Q

Normal Adult Heart Rate?

A

60 - 100 bpm

50
Q

Bradycardia

A

<50bpm

51
Q

Tachycardia

A

> 100bpm

52
Q

0-3 Months Normal Heart and Respiratory Rate

A

90 - 180 bpm
30 - 60 breaths per minute

53
Q

3-6 Months Normal Heart and Respiratory Rate

A

80-160bpm
30-60 breaths per minute

54
Q

6-12 Months Normal Heart and Respiratory Rate

A

80-140 bpm
25-45 breaths per minute

55
Q

1-3 Years Normal Heart and Respiratory Rate

A

75-130 bpm
20-30 breaths per minute

56
Q

6 Years Normal Heart and Respiratory Rate

A

70-110 bpm
16-24 breaths per minute

57
Q

10 Years Normal Heart and Respiratory Rate

A

60-90 bpm
14-20 breaths per minute

58
Q

Neonate CPR

A

<30 days
3:1 compression ratio - depth 1/3 diameter of chest
2 fingers just below the nipple line

59
Q

Infant CPR

A

> 30 days - <1 year
30:2 - 1 rescuer
15:2 - 2 rescuer

60
Q

Pediatric CPR

A

1 year - evidence of puberty
30:2 - 1 rescuer
15:2 - 2 rescuer
1 handed CPR

61
Q

Adult CPR

A

Puberty and older
30:2 1 and 2 rescuer
100-120 compressions/minute is goal
Limit time off chest to <10 seconds

62
Q

Portable Stretcher

A

Used in air ambulance
Max weight: 350 pounds

63
Q

Scoop Stretcher (or Adjustable Breakaway Stretcher)

A

Max weight: 500 pounds
Weight of stretcher: 18 pounds
Adjustable to 4 positions

64
Q

Manta Mat

A

Max weight: 800 pounds
Weight of mat: 5 pounds
Holes at each end to allow for water drainage
Not MOH mandated

65
Q

Canvas Stretcher

A

Max weight: 350 pounds

66
Q

Stair Chair

A

Max weight: 500 pounds
Weight of chair: 33 pounds
5 position adjustable lifting bar

67
Q

Proflexx Stretcher (Ferno)

A

Max weight: 700 pounds (standard); 1100 pounds (bariatric)
Weight of stretcher: 92 pounds
9 adjustable heights
5 position drop frame to adjust stretcher length
Adjustable head end: between 0 and 65 degrees
2 adjustable side rails
5 point harness and 2 adjustable lower body straps

68
Q

Stryker Power Stretcher

A

Max weight: 700 pounds
Weight of stretcher: 125 pounds
Backrest can go from 0-73 degrees
Side rails (called XPS) are adjustable to 7 positions

69
Q

Pedi Mate

A

Max weight: 10-40 pounds; 10-100 pounds (pedimate plus)
Weight of pedi mate: 3.5 pounds
Adjust backrest of stretcher to 15-45 degrees

70
Q

Spinal Board

A

Each pin must have a min. 300 pounds pull
Must be able to hold min. 400 pounds when supported at both ends

71
Q

KED

A

Max weight: 500 pounds
Weight of KED: 8 pounds

72
Q

Time of Rapid Ex

A

Patient should go from car to backboard in about 2 minutes.