ICU

Question 0

Larynx lezi v urovni:

Answer 0

C4 - C6

Question 1

Inspiracni stridor je znamkou obstrukce:

Answer 1

HCD

Question 2

Prumer trachey je:

Answer 2

2cm

Question 3

Delka trachey je:

Answer 3

10 - 15cm

Question 4

Trachea lezi v urovni:

Answer 4

C6 - Th4 (carina)

Question 5

Jaka je velikost castic ktere se mohou dostat do alveolu?

Answer 5

<2um

Question 6

Pri beznem nadechu je pocatecni flow cca:

Answer 6

30 - 60 l/min

(do masky obvykle 4 - 6 l/min, nedosahneme ani 50% FiO2)

(masky s reservoire bagem dosahnou az 80% FiO2)

Question 7

Beznou LMA lze prostrcit kanylu sire:

Answer 7

6mm

Question 8

Pres I-LMA lze prostrcit kanylu sire:

Answer 8

8mm

Question 9

Zavedeni TS kanyly zvysuje sanci na uspesny weaning z duvodu:

Answer 9

snizeni sedace (dulezitejsi)

snizeni Vd (dead space)

Question 10

Kdy lze povazovat kanal pro TS za stabilni ?

Answer 10

> 7 dnu

Question 11

Kdy zvazovat zavedeni TS kanyly ?

Answer 11

5 - 7 den

Question 12

What matches CO to venous return ?

Answer 12

Frank - Starling mechanism

Question 13

Jaky volum krve ziskame pomoci PLR (Passive Leg Raise) ?

Answer 13

300ml

Question 14

Preload is defined as:

Answer 14

Wall tension developed by stretch of myocardial fibers

Question 15

Kde v plicich musi byt spicka plicnicoveho katetru ?

Answer 15

zona West 3

zde je kontinualni tok krve

Question 16

SBP - norma:

Answer 16

90 - 140 mmHg

Question 17

DBP - norma:

Answer 17

60 - 90 mmHg

Question 18

MAP - norma:

Answer 18

70 - 105 mmHg

= (SBP + 2xDPB)/3

Question 19

PAOP - norma:

Answer 19

6 - 12 mmHg

Question 20

CI - norma:

Answer 20

2.5 - 4 l/min/m2

Question 21

SV - norma:

Answer 21

60 - 100 ml/beat

Question 22

SVI - norma:

Answer 22

33 - 47 ml/beat/m2

Question 23

SVRI - norma:

Answer 23

1970 - 2390

= 80 x (MAP - RAP) / CI

Question 24

PVRI - norma:

Answer 24

255 - 285 = 80 x (MPAP - PAOP) / CI

Question 25

Afterload is defined as:

Answer 25

Wall tension required to eject the SV during systole

Question 26

LaPlace law:

Answer 26

T = (P x r)/2

Question 27

Anrep effect:

Answer 27

Acute increase in afterload => reduction in SV => increase in EDV => restore of SV

Question 28

Is PAOP good for detection of fluid-responsiveness?

Answer 28

NO but is good as a safety limit for oedema formation in lungs

Question 29

When can be dynamic indicators of preload used?

Answer 29

controlled UPV with no spont.activity Vt > 8ml/kg Contraindications: arrhythmias, severe tricuspid regurgitation

Question 30

PLR test is positive if:

Answer 30

SV is higher 10 - 20% in 60 - 90s

Question 31

Dodavka O2 (DO2I) - norma:

Answer 31

500 - 600 ml/min/m2 = CaO2 x CI x 10

Question 32

Spotreba O2 (VO2I) - norma:

Answer 32

120 - 160 ml/min/m2 = C(a - v)O2 x CI x 10

Question 33

O2ER - norma:

Answer 33

22 - 30% = VO2/DO2 = (CaO2 - CvO2)/CaO2 x 100 = (SaO2 - SvO2)/SaO2

Question 34

SvO2 - norma:

Answer 34

65 - 75% plne promichana venozni krev bere se z PAC

Question 35

Jaky je inicialni bolus tekutiny u septickeho soku ?

Answer 35

20 ml/kg

Question 36

Jake je min. SpO2 ?

Answer 36

95%

Question 37

Kdy zahajujeme tekutinovou resuscitaci u sepse ?

Answer 37

SBP < 90 MAP < 65 Lac > 4

Question 38

Jaky je uvodni bolus u tek.resuscitace ?

Answer 38

20 ml/kg

Question 39

Rozdil mezi ventricular dysfunction x failure :

Answer 39

V dysfunction = SV ok, EF low V failure = SV low, EF low

Question 40

Anafylaxe - lecba:

Answer 40

1. Adrenalin 0.3 - 0.5mg i.m. á 5min (U betablokatoru: Glucagon 1-5mg i.v. na 5min) 2. Diphenhydramin 50mg i.v. (H1-blokator) Ranitidine 50mg i.v. (H2-blokator)

Question 41

Laryngealni edem - podani adrenalinu:

Answer 41

INH 2.5mg/2ml FR cestou nebulizeru

Question 42

Pulse pressure is defined:

Answer 42

SBP - DBP

Question 43

MAP is defined:

Answer 43

- time-weighted average of arterial pressures = (SBP + 2xDAP )/3

Question 44

Pressure waveform is peripherally:

Answer 44

distorted by wave reflections => higher SBP, pulse pressure CAVE: vascular disease, vasodilatation drugs, vascular resistance

Question 45

Pri kterem tlaku jsou oscilace v manzete nejvetsi?

Answer 45

MAP

Question 46

Manzeta by mela byt alespon pres kolik % delky koncetiny?

Answer 46

50%

Question 47

Allenuv test:

Answer 47

1. Fist + block radial and ulnar 2. release ulnar 3. thumb should be flushed up to 5s

Question 48

Cannulation of femoral artery with child:

Answer 48

risk of aseptic necrosis of the head of the femur (devastating)

Question 49

Kolikrat za hodinu se ma otocit vzduch na sale ?

Answer 49

25x fouka zeshora a odtah je na urovni podlahy

Question 50

Filtry na salove klimatizaci jsou:

Answer 50

90% filtr ktery odfiltruje 90% castic HEPA high-efficiency filtr