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PCP 2024 > Interventions > Flashcards

Interventions Flashcards

1
Q

Indications for CPAP

A
  • Alert and able to follow commands
  • Able to maintain own airway
  • Age >13 years old
    Displays ALL of the following:
  • RR >24/min
  • SP02 <94% on supplemental oxygen
  • Accessory muscle use
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2
Q

Contraindications for CPAP

A
  • Age <13 years old
  • DLOC / ability to comply
  • Unable to fit the mask
  • Vomiting / risk of aspiration
  • Respiratory arrest or hypoventilation
  • Traumatic cause of respiratory distress
  • Tracheostomy
  • Pneumothorax
  • Systolic BP <90mmHg
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3
Q

Dose for CPAP

A

Start at 5cmH2O, increase by 2.5cmH2O to max of 10cmH2O

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4
Q

Indications for PEEP

A

Hypoexemia (Sp02 <90%) despite good BVM ventilation and airway management

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5
Q

Contraindications for PEEP

A
  • Cardiac arrest
  • Patients >12 years old: Systolic <90mmHg
    -Patients <12 years old: Systolic blood pressure ≤ lower limit for age range
  • Known or suspected pneumothorax
  • Traumatic cause of respiratory arrest
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6
Q

Dose for PEEP

A

Start at 5cmH2O, increase by 2.5cmH2O to max of 10cmH2O

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7
Q

Indications for iGel

A

Patients who are unable to protect their airways due to DLOC

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8
Q

Contraindications for iGel

A
  • Ability to place device due to difficulties with mouth opening
  • Known or suspected pathological or foreign-body airway obstruction, including epiglottis
  • Trauma to the trachea, neck or oropharynx
  • Caustic ingestion
  • Active vomiting
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9
Q

Indications for BVM

A

Patients who are unable to effectively ventilate on their own due to DLOC

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10
Q

O2 flow for BVM

A

15L/min

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11
Q

02 flow for NRB mask

A

10-15L/min

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12
Q

02 flow for Nasal Canula

A

2-6L/min

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13
Q

02 flow for NO DESAT

A

NRB: 15L/min
Nasal Canula: 10L/min

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14
Q

02 flow for Nebulizer mask

A

6-8L/min

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15
Q

Points for chest auscultation on the front of the body

A

1st point: mid-clavicular (1st intercostal space) bilaterally
2nd point: midline (3rd intercostal space) bilaterally
3rd point: mid-axilla (6th intercostal space) bilaterally

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16
Q

Points of chest auscultation from the back of the body

A

1st point: Above the scapula at the C-7 area bilaterally
2nd point: mid-thoracic area (T-5 area) bilaterally
3rd point: mid-axilla area bilaterally

17
Q

Steps for IV administration

A
  1. Select and prepare injection site
  2. Apply tourniquet
  3. Insert catheter using acceptable technique
  4. When flash is obtained and the catheter is advanced, safely withdraw the needle and place in sharps container
  5. Remove tourniquet
  6. Apply plastic protective film over IV site
  7. Flush IV using saline flush to insure patency
18
Q

Adult CPR ratio

A

30:2

19
Q

Pediatric CPR ratio

A

15:2

20
Q

CPR ratio with iGel inserted

A

continuous compressions with 1 ventilation every 3-5 seconds

21
Q

Infant CPR ratio

A

15:2

22
Q

Neonate CPR ratio

A

3:1

23
Q

Recognition of Life Extinct (ROLL)

A
  • No palpable carotid pulse for 90 seconds
  • No heart sounds for 90 seconds
  • No breath sounds for 90 seconds
  • Fixed and dilated pupils
  • No response to central stimuli (CPR is enough to demonstrate lack of response)
24
Q

Indications for an OPA

A

Patients who are unable to protect their airways due to DLOC

25
Q

Contraindications for an OPA

A
  • Ability to place device due to difficulties with mouth opening
  • Known or suspected pathological or foreign-body airway obstruction, including epiglottis
  • Trauma to the trachea, neck or oropharynx
  • Caustic ingestion
  • Active vomiting
26
Q

Indications for an NPA

A

Patients who are unable to protect their airways due to DLOC and an OPA is not indicated

27
Q

Contraindications for an NPA

A

Deformities / injuries to the nose or facial structure

28
Q

Test for a patient with a suspected CVA

A

FAST VAN

29
Q

What does FAST stand for?

A

Face (droop)
Arms (pronation / drift)
Speech (slurred)
Time (<6hrs / woke up with symptoms = hot stroke)

30
Q

What does VAN stand for?

A

Vision
Aphasia (naming difficulties)
Neglect

31
Q

Where do you place the 12-Lead ECG leads for an interpretation?

A

V1 / V2: 4th intercostal space on both sides of the sternum
V3: Midway between V2 and V4
V4: 5th intercostal space at the mid-clavicular line
V5: Anterior axillary line at the same level as V4
V6: Mid-axillary line at the same level and V4 and V5
RL: Anywhere above the right ankle and below the torso
LL: Anywhere above the left ankle and below the torso
RA: Anywhere between the right shoulder and wrist
LA: Anywhere between the left shoulder and wrist

PCP 2024 (6 decks)

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