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Flashcards in Random Deck (28):
1

What are the 3 components for the Glasgow Coma Scale?

Eye
Verbal
Motor

2

Eye opening response GCS scoring?

4 - spontaneously
3 - to speech
2 - to pain
1 - no response

3

Verbal response GCS scoring?

5 - AAO x 3
4 - confused
3 - inappropriate words - random or exclamatory speech
2 - incomprehensible sounds (moaning)
1 - no response

4

Motor response GCS scoring?

6 - obeys commands
5 - moves to LOCALIZED pain
4 - flexion withdrawal from pain
3 - abnormal flexion (decorticate)
2 - abnormal extension (decerebrate)
1 - No response

5

What are the 6 H’s of PEA?

Hyperkalemia/Hypokalemia
Hypoxia
Hypothermia
H+ Ion excess (acidosis)
Hypovolemia
Hypoglycemia

6

What are the 5 T’s of PEA?

Trauma
Toxins
Thrombosis
Tamponade
Tension Pneumo

7

How many unsuccessful intubation attempts = failed airway?

3

8

How much is the usual tube length in men?

Women?

How much should it be above the carina?

23cm

21cm

2cm

9

What 5 things constitute a POSSIBLE difficult bagging?

Facial hair
Obese
Snoring
No teeth
Advanced age

10

How much succinylcholine should be given in RSI?

Rocuronium?

1-1.5 mg/kg

1 mg/kg

11

How much etomidate used in RSI?

Propofol?

Ketamine?

0.3 mg/kg

.5-1.5 mg/kg

1-2 mg/kg

12

Absolute contraindications to succinylcholine?

NM disorder
Denervation injury older than 7 days
Severe burns older than 5 days bc of hyperkalemia

13

How many PVCs in a row = nonsustained Vtach?

3

14

Give PVC characteristics:

Premature and wide QRS
No preceding p wave
ST segment and T wave of the PVC are directed in opposite directions

15

Hemodynamically unstable pt w/PVCs you can give what?

Lidocaine 1 to 1.5 mg/kg IV

16

VTach differential?

#1 - acute MI and ischemic Heart disease
HCOM
MVP
Drug toxicity (anti-arrhythmic)
Hypoxia
Hypo/hyper K

17

Treatment of VFib?

1) unsynced defibrillation at 200J biphasic, 360J monophasic and 5 cycles of CPR if it persists
2) if 2 cycles unsuccessful, give Amiodarone 300 mg Push
3) after 3rd cycle give Epinephrine 1 mg Push
4) Refractory Give Mag Sulfate 1-2g IV over 60-90s

18

What is long QT syndrome in men?

Women?

> 470 msec

> 480 msec

19

What is the minimum volume for ventilation bags for infants and children?

TV?

450 mL

10-15 mL/kg

20

How much ventilation should you give infants?

Children?

Teens?

20 breath/min

15

10

21

What is the MC rhythm seen in pediatric pts leading to arrest?

next MC?

Bradycardia leading to asystole

SVT

22

What are the ABCDEs of trauma?

Airway and c-spine
Breathing
Circulation
Disability - Neuro status
Exposure - burns, toxins

23

Intubation is indicated when?

GCS < 8

24

What is the MC cause of death in children older than 1?

Mechanism?

Trauma

MVA

25

Signs of hypoxemia in a child?

Cyanosis
Agitation
Poor capillary refill
Bradycardia
Desaturation by pulse ox

26

ET tube size formula for children?

Size = 4 + (age/4)

27

Pain control in children w/trauma?

Fentanyl 1 microgram/kg
Morphine .05 to .1 mg/kg

28

What is SCIWORA?

Occurs in whom?

Spinal cord injury w/out radiographic abnormality

Kids