PAAM Forms/#s

Question 1

FIO2% on canula formula

Answer 1

=(lpm x 4) + 20 ,EX 1lpm=24%

Question 2

D cylinder tank life in mins

Answer 2

=(Tank pressure in psi X 0.16) / LPM

Question 3

E cylinder tank life in mins

Answer 3

=(tank pressure in psi X 0.28) / LPM

Question 4

M cylinder tank life in mins

Answer 4

=(tank pressure in psi X 1.56) / LPM

Question 5

rule of thumb suction size form

Answer 5

Intubation ETT size # X 2

Question 6

How to estimate PEDI uncuffed ET tube size:
Pedi cuffed ETT size:

Answer 6

= (Age /4) + 4 OR (Age + 16) /4
= (Age /4) + 3.5

Question 7

How to estimate PEDI Kg weight:

Answer 7

(Age + 4) x 2 = (Old Way)
(Age x 3) + 7 = (New Way)

Question 8

Pedi tidal vol=

Answer 8

5-7mL/kg

Question 9

Adult RR
Infant RR

Answer 9

5-6 secs (10-12 per min)
3-5 secs (12-20 per min)

Question 10

Non-rebreather mask oxygen & LPM:

Answer 10

80% & 15LPM

Question 11

BVM oxygen & LPM:

Answer 11

100% & 15LPM

Question 12

Simple face mask oxy and LPM:

Answer 12

40-60% & 6-10LPM

Question 13

Straight blades sizing:
Robert Shaw Fibre Optic Blades=
Seward Fibre Optic Blades=
Wisconsin Fibre Optic Blades=

Answer 13

preferred for pedi use
= 0 & 1 Neonatal & infant use
= 1 & 2 Pedi & Infant use
= 0, 1, 2, 3, 4, Pedi & infant use`

Question 14

oxygen saturation form:

Answer 14

=O2 content / O2 capacity x 100%

Question 15

oxygen content of the arterial blood formula:

Answer 15

CaO2= (SaO2 X Hgb X 1.34) + (0.003 X PaO2)

Question 16

ETCO2 normal range:

Answer 16

=35-45mmHg

Question 17

pH normal range:

Answer 17

= 7.35 - 7.45

Question 18

End Tidal Gradient:
Formula:

Answer 18

=Dif/ of partial pressure arterial CO2(PaCO2)& end-tidal CO2(ETCO2)
=PaCO2 - ETCO2 = End - Formula gradient

Question 19

% of how CO2 is transported in body:

Answer 19

70% bicarbonate ion,23% bound to hemoglobin, 7% dissolved in plasma

Question 20

Adult ETT ~sizing range
Pedi ETT ~sizing range

Answer 20

=(6.0 - 9.0)
=(2.5 - 5.5)

Question 21

Adult suctioning time limit
Pedi suctioning time limit
Neonate suctioning time limit
Tracheostomy suctioning time limit

Answer 21

15 secs
10 secs
5 secs
5-10 secs

Question 22

Pedi ETT sizing form Sizing hack

Answer 22

correct tube size by matching diameter of the child’s smallest finger

Question 23

depth of insertion of the distal tip for pediatric ET tubes

Answer 23

2-3 cm below the vocal cords b/c deeper insertion can result in mainstem intubation/ injury to the carina.

Question 24

calculate alveolar volume,
minute volume,
alveolar minute volume?

Answer 24

= Tidal Volume - Dead Space
=RR x Tidal Volume
= Alveolar Volume x RR

Question 25

Oxy% inhaled and exhaled:

Answer 25

=inhale 21% & exhale 16%

Question 26

Max CPAP LPM:

Answer 26

6LPM

Question 27

What is PEEP and how much do we usually use?

Answer 27

Positive expiratory end pressure 5cmH2o

Question 28

King LT-D sizes:

Answer 28

3 yellow, 4 Red, 5 purple

Question 29

normal bicarbonate ion to carbonic acid ratio

Answer 29

20:1

Question 30

Carbonic Acid-Bicarbonate Buffer system formula:

Answer 30

CO2 + H20 <> H2CO3 <> H + HCO3

Question 31

Carbonic acid:

Answer 31

H2CO3

Question 32

Bicarbonate ion:

Answer 32

HCO3

Question 33

NG/OG Gastric distention & Decompression saline admin/

Answer 33

30-50mL

Question 34

Broselow Tape color sizing:

Answer 34

6-7Kg Pink, 8-9Kg Red, 10-11Kg Purple, 12-14Kg Yellow, 15-18Kg White, 19-23Kg Blue, 24-29Kg Orange, 30-36Kg Green

Question 35

Surgical Cric/ vertical & Horizontal incision:

Answer 35

V= 2-4cm & H= 1-2cm

Question 36

ABG normal range: Alkalosis: Acidosis:

Answer 36

= 22-26 = >26 = <22

Question 37

Normal ECG Speed: ECG Horizontal boxes small box: Horizontal 5 smalls/1big box: Vertical boxes Small box: Vertical Big box= 0.5mV 2 Vertical Big boxes: Isoelectrical line:

Answer 37

= 25mm/sec = 0.04secs = 0.20secs = 0.1mV or 1mm = 0.5mV = 1mV = no electricity & baseline

Question 38

(P wave) P WAVE duration: PRI WAVE: >5 boxes is & from: Limb leads amplitude PRECORDIAL leads amplitude:

Answer 38

= <0.12secs = (Atrium phase0) 0.12-0.20secs 3-5 small boxes = bradycardia AV slowing down too much = <2.5mm/mV = <1.5MM

Question 39

(QRS Complex) Q wave morphology: R wave morphology: S wave morphology: Interval duration:

Answer 39

= 1st negative deflection = 1st positive deflection after P wave = any negitive deflection after R wave = 0.04-0.12secs/ 1-3 small boxes

Question 40

(T wave): Interval duration= variable (QT calculation) Box duration: limb leads Amplitude: precordial leads Amplitude:

Answer 40

= up in all leads but aVR & V1, slightly asymmetric w/ downslope steeper >slope = variable (QT calculation) = 5 small boxes = <5mm = <10mm

Question 41

(Carbon monoxide Poisoning Lvls) Mild: Moderate: Severe: Fatal:

Answer 41

= 15-20% → N/V, dizziness, blurred vision, H/A = 21-40% → confused, syncope, chest P., dys/Tpnea/cardia, weakness = 41-59% → Dysrhythmias, hypotension = >60% → Death

Question 42

(MetHemoglobin Lvls) 1-3%: 3-15%: 15-20%: 25-50%: 50-70%: 70%:

Answer 42

= Normal = discoloration, grayish-blue = Cyanotic, asymptomatic = CNS H/A, N/V, Confusion, Chest pain = AMS, delirium = Fatal

Question 43

Comfortable distance: Intimate space: Personal space/distance: Public distance:

Answer 43

= 4 to 12 feet = 0 to 1.5 feet (palpation & serious assess here) = 1.5 to 4 feet (most of assess done here) = 12 feet or more

Question 44

Lighting ground current ? yards from strike:

Answer 44

= 50 yards

Question 45

Action circle:

Answer 45

= 50ft circle radius minimum

Question 46

BP bladder length of cuff should cover: BP cuff should cover ? of upper arm: BP bladder width of cuff should cover at least:

Answer 46

= between 80-100% of the arm circumference. = 2/3s (measured from the acromion to the olecranon.) = 40-50% of the mid-arm circumference.

Question 47

Respiratory Acidosis: Respiratory Alkalosis: Metabolic Acidosis: Metabolic Alkalosis:

Answer 47

= Slow breathing, high ETCO2 = Rapid breathing, low ETCO2 = Rapid deep breathing, low ETCO2 = Slow breathing, high ETCO2