Meds/Procedures

Question 1

DOPE

Answer 1

Displacement of ET
Obstruction of ET
Pneumothorax
Equipment

Question 2

MAX Plateau Pressure

Answer 2

<30

Question 3

What should every vented patient get?

Answer 3

Pain Management/Medication

Question 4

Vent Med: Fentanyl

Answer 4

Analgesia

Bolus: 0.5-1.5 mcg/kg

Drip:v4mcg/kg/hr

Question 5

Vent Med: Midazolam

Answer 5

Sedation

Bolus: 2-5 mg

Drip: 20-100 mcg/kg/hr

Question 6

Vent Med: Ketamine

Answer 6

Sedation

Bolus: 2mg/kg

Drip: 2mg/kg/hr

Question 7

What can hypotension indicate in Vented patient

Answer 7

Autopeeping; Change I time, 1:2->1:3 or 1:4

Question 8

Initial Vent settings

Answer 8

SimV or Assist Control
TV: 6-8cc/kg ideal BW
Rate: 16-18 (EtCo2 35-45)
FiO2: initial 100%–>40% as tolerated after 5 min
PEEP: 5 initial, increase to maintain O2 >92%
ARDS Net scale

Question 9

Asthma vent settings

Answer 9

Rate: 10 initial
PEEP: 5
I:E ratio: 1:3, 1:4

Question 10

RSI MEDS Sedation

Answer 10

Etomidate: 0.4mg/kg
Ketamine: 2mg/kg
Midazolam 0.1mg/kg
Fentanyl 1-2mg/kg

Question 11

RSI MEDS Paralytics

Answer 11

Rocuronium 1mg/kg

Question 12

How are narcs/controlled meds secured at base?

Answer 12

Double locked cabinet with keys held by two different medical crew members.

Question 13

Who keeps keys to drug locker?

Answer 13

RN/Medic

Question 14

When are drug counts to be completed?

Answer 14

Anytime seal is broken, shift change, restock

Question 15

How is drug wasted?

Answer 15

?

Question 16

If controlled med is lost or damaged what is procedure for reporting?

Answer 16

?

Question 17

Diseases affected by altitude?

Answer 17

?

Question 18

Flight Physiology

Answer 18

?