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ABM/ Cumulative > #s & Definers > Flashcards

#s & Definers Flashcards

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1
Q

Suctioning time limits:

A

Adults 15 secs max,
Children= 10 secs max,
Infants=5 secs max,
ET/Trach tube= 5-10 secs max

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2
Q

ETT size range~

A

Adults (6.0-9.0) women~7-8 & man~8-9
Pedi tubes(2.5-5.5)

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3
Q

Cardiac Output:
Cardiac Output Formula:
Blood Pressure formula:

A

= amount of blood pumped by the heart in 1 min (70mL)
= SV x HR
= (SV x HR) x SVR

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4
Q

(Blood vol/ loss) Pelvis:
Femur:
Humorous:

A

= 2-3Liters
= 1.5Liters per femur
= 750ml per humorous

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5
Q

(Class I Hemorrhage) 1 injuries:
2Compensation for blood:
3Blood Loss:
4Pulse:
5Vent rate, BP & Pulse Pressure:
6Cap-Refill:
7Urine Output (mL/hr):
8Mental Status:

A

1= Broken humorous 750mL
2= Healthy PTs can easily compensate for such blood volume loss
3= Blood Loss: < 15% (<750 mL’s)
4= Pulse: Slightly Tachy
5= all Normal
6= Cap-Refill <2secs
7= 30mL/Hr or more
8= Slightly Anxious

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6
Q

(Class II Hemorrhage) 1 injuries:
2Compensation for blood:
3Blood Loss: 15 - 30%
4Pulse:
5Blood Pressure:
6Pulse Pressure:
7Capillary Refill:
8Ventilation Rate:
9Urine Output (mL/hr):
10Mental Status:

A

1= 1/2 Humorous fractures, a femur fracture, 1 full Hemopneumo
2= 1st line comp/ no longer maintain perfusion & 2ndary employed
3= 15 - 30% 750mLs-1.5L
4= > 100BPM
5= Normal
6= Starts to narrow
7= 2-3 secs
8= 20-30RR
9= (mL/hr) 20-30
10= Mildly Anxious

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7
Q

(Class IV Hemorrhage) 1 injuries:
2= Compensation to blood:
3= blood loss:
4= Pulse:
5= Blood Pressure:
6= Pulse Pressure:
7= Capillary Refill:
8= Ventilation Rate:
9= Urine Output (mL/hr):
10= Mental Status:

A

1= GSWs, multiple major fractures, Pelvis
2= Irreversible Shock!
3= > 40% (>2000mLs) of total blood
4= > 140 & barely palpable in central arteries
5= Very low
6= Narrows more
7= > 5 seconds
8= > 40 or agonal
9= Negligible
10= Lethargic or Unconscious

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8
Q

(Class III Hemorrhage)1 injuries/fractures:
2 Compensation to blood:

3 Blood Loss:
4 Pulse:
5 Blood Pressure:
6 Pulse Pressure:
7 Capillary Refill:
8 Ventilation Rate:
9 Urine Output (mL/hr):
10 Mental Status:

A

1= 2 Humorous, 1-2femur, 1 full Hemopneumo
2= Both 1&2nd comp/ responses failing to maintain perfusion & entering/in Decompensated Shock! (SBP <90)
3= Blood Loss: 30 - 40%, (1500 - 2000 mL’s)
4= >120
5= Starts to decrease
6= Narrows more
7= 3-4secs
8= 30-40
9= 5-10mL/hr
10= Anxious/Confused

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9
Q

Blood:
Plasma:
Leukocytes:
Erythrocytes:

A

= Mixture of water, cells, proteins, & suspended elements.
= makes up 55% of the blood volume
= WBC & platelets make up the “Buffy Coat”
= RBC make up 45%

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10
Q

Lightning can still strike you if proximity up to:

A

up to 50yrds can strike you

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11
Q

Fluid accounts for ~% of the body’s weight, Only ~% of the fluid is contained in our vascular system

A

= 60% of the body’s weight, Only about 7% of the fluid is contained in our vascular system

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12
Q

Compartment Syndrome:
Rx
6 Ps:

A

= When injured, soft tissues within the compartment swell. Reduces blood flow to muscles and nerve tissues Deep, burning pain out of proportion to apparent injury. Leg most common location
= make pain tollerable/take edge off
= Pain – Pallor (loss of collor/ pale)– Paralysis (lack m-nt) – Paresthesia (lack of sense) – Pressure (feeling of tension) – Pulses (diminished or absent)

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13
Q

Ejection Fraction (EF):

<45% usually indicates:
<30%:

A

= Ratio of blood pumped from the ventricle to the amount remaining @ the end of diastole/ %of blood pumped out from ventricle (60-70%)
=<45% usually indicates in or going to CHF
=<30% in CHF & chronic cardiac crip on oxy

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14
Q

Stroke volume:

3 factors that affect stroke volume:

A

= amount of blood ejected by heart in 1 contraction, varies 60-100mLs w/ average 70mL
= preload, afterload, & contractility

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15
Q

Hypovolemia Rx) If hemorrhage can be controlled:
If hemorrhage cannot be controlled:

Med for Sig/hemorrhage, in/external (after external controlled)

A

= IV/IO therapy (don’t delay transport) can administer 20 mL/kg bolus.
=administer just enough IV fluid to obtain a radial pulse (permissive hypotension therapy!)NO MORE SBP 80-90 (IV fluids Warm)
= Tranexamic Acid (TXA) Adult 1G/10 mins (mix in 50 mL of NS) follwed w/ 1G/8Hrs (500 mL bag) & Pediatric Not recommended

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16
Q

Burns) Wallace Rule of 9s) used only for:
Adult %s:
infants (0-1):
Form:

A

= burns >10%
= 1 genitals, 9 head thoracic & ABDMN, distal anterior (applies to other areas) arm 4 ½
= head 18, arm 9, legs 13.5, 18 front thoracic & ABDMN
= # of child -1 > take away from head then give to each leg (Applicable up 10y/o) For every year beyond age 1, subtract 1 from head / that # & add it evenly between the 2 legs.

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17
Q

Orthostatic hypotension

A

PT’s BP drops 20 HR+20 when moved from supine to a seated position

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18
Q

Cardiac depolarization:
RP of Ac:
RP of Cc:
Phases 0-4 of Cc:

A

= reversal charges of cell membrane inside becomes + & outside -,
= -60 slow Na & fast Ca -40
= -90 Na & -85 gap Junctions fast Na influxes
= 0 depolar, 1 early repolar, 2 plateau + for +, 3 K pumps, 4 refractory

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19
Q

(ECG Horizontal Boxes) small box is how long
5 small boxes:
Each large box is how long

A

= 0.04 sec
= 1 large box
= 0.20 sec

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20
Q

(ECG Vertical Boxes) Each small box is & what:
5 small boxes equal:
Each large box is:
2 large boxes equal

A

= Each small box 1 mm & 0.1mV
= 1 large box
= 0.5 mV & 5mm
= 1mV & 10mm

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21
Q

T wave represents:
T wave amplitude:

A

= Repolarization of ventricles
= <5mm in LL <10mm in precordial

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22
Q

A normal P wave in Precordial leads should be:
A normal P wave Limb leads should be:

A

= nice & round w/ amplitude <1.5mm
= nice & round w/ amplitude <2.5mm

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23
Q

P wave) Limb leads amplitude:
Precordial “chest” leads amplitude:

A

= <2.5mm in limb leads Avl (2.5mV)
= <1.5mm in precordial (1.5mV)

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24
Q

(ECG Paper) (Horizontal Boxes) small box duration:
5 small boxes makes:
Each large box duration:
(Vertical Boxes) Each small box volt & measurement:
5 small boxes makes:
Each large box voltage:
2 large boxes equivalent:

A

= 0.04 sec
= 1 large box
= 0.20 sec
= 0.1 mV & 1 mm
= 1 large box
= 0.5 mV
= 1 mV & 10mm

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25
Resting potential of the cardiac contractile cell occurs at: Action potential of the cardiac contractile cell occurs at: What ion causes the cardiac contractile cell to depolarize? What ion causes the cardiac contractile cell to repolarize?
= -90mV = -85mv = Sodium = Potassium
26
A normal QRS has a duration between: A normal PRI has a duration between:
= 0.04-0.12 secs / 1-3SB = 0.12 - 0.20 secs/ 3-5SB
27
On ECG paper, one small vertical box represents: On ECG paper, one large vertical box represents:
= 0.1mV/ 1mm = 0.5mV/ 5mm
28
Poiseuille's law: Example:
= vessel w/ relative radius of 1 would transport 1mL per min at BP difference of 100mmHg. Keep pressure constant = Less blood = vaso-press
29
(only in heart) Intercalated discs: Discs speed Vs standard cell membrane: Syncytium:
= Special tissue bands inserted between myocardial cells that increase the rate(400x) in which AP is spread from cell-cell thus Syncytium = 400x faster than standard cell membrane drom/Inotropy = Group of cardiac cells physiologically function as a unit, “working together in sync” “top in syncytium to bottom”
30
In any limb lead, a normal P wave shape & maximum amplitude is: In any chest lead, a normal P wave has maximum amplitude of:
= nice & round w/ maximum amplitude of: 0.25 mV = maximum amplitude of: 0.15 mV
31
Transcutaneous Pacing (TCP) for: measurement:
= Unstable bradyCs, heart blocks, = ~60-80 milliamps
32
Atrial Kick
the contraction "kick" @ end of systole to give more blood to ventricles accounts for 20-30%
33
Life threatening injuries %: Most-life threatning trauma occurs to: Vol per lung & body: lethal blood loss:
= <10% traumas = head and/or chest = 3L per lung & 5L per body = >40% or ~2L
34
(Blood vol/ loss) Pelvis: Femur: Humorous:
= 2-3Liters = 1.5Liters per femur = 750ml per humorous
35
1 Children for the Rules of Nines, the head is awarded: 2 Children for the Rules of Nines, each leg is awarded: 3 Children for the Rules of Nines, each arm is awarded: 4 Children for the Rules of Nines, the anterior trunk is awarded: 5 Children for the Rules of Nines, the posterior trunk is awarded:
1= 18 % of body surface area. 2= 13.5% of body surface area. 3= 9% of body surface area. 4= 18% of body surface area. 5= 18% of body surface area.
36
Class 1 hem: Class 2 hem: Class 3 hem: Class 4 hem:
= max15% (750 mL’s) SNS main compensatory = 15-30% (750-1500 mL’s)RAAS = 30-40% (1.5-2L’s) comp to decomp SBP90 = >40% (>2Ls) irreversible
37
Dry dressing for burns: Wet dressing for burns:
= >10% = <10%
38
Fluid accounts for ~% of the body’s weight, Only ~% of the fluid is contained in our vascular system
= 60% of the body’s weight, Only about 7% of the fluid is contained in our vascular system
39
~ Length of bronchioles in the lungs? ~# & Length of alveoli in the lungs?
= = ~15,000 miles. = ~300 mil; cover an area of half a tennis court.
40
What is considered the highest allowable PEEP setting without medical consultation?
10cm H2O
41
Spinal Nerve Plexuses) def/: Locations: Key myotomes for neurologic evaluation: Dermatomes
= sensory components of spinal nerves innervate specific & discrete surface areas called dermatomes = distributed from the occiput of the head to the heel of the foot and buttocks. = arm extension (C-5), elbow extension (C-7), small finger abduction (T-1), knee extension (L-3), & ankle (plantar) flexion (S-1).
42
Residual Volume (RV)=
amount of air remaining in the lungs at the end of maximal expiration (~1200mLs)
43
Percentage of Blood Flow & Glucose Used by Brain
Brain receives 20% of total blood flow & uses 25% of glucose despite being only 2% of body weight
44
normal bicarbonate ion to carbonic acid ratio
20:1
45
MetHemoglobin Lvls- 1-3%: 3-15%: 15-20%: 25-50%: 50-70%: >70%:
= Normal = discoloration, grayish-blue = Cyanotic, asymptomatic = CNS H/A, N/V, Confusion, Chest pain = AMS, delirium = Fatal
46
Lower Airway Anatomy) Cricoid ring Narrowest point in Aduldts vs Pedis How many alveoli do you have in your lungs? bronchioles streched out would be how far: Cilia fn & triggers what if obstructed:
= only 360 degree cartilage = Cricoid ring in PEDIs vs adults glottis = 300 mil = 15K miles of bronchioles = Cilia moves up if stuck triggers cough reflex
47
Side of heart has most myocardium: Epicardium makes what & how: Pericardium holds what, w/ what color & Fn.:
= L side of heart (muscle) = folds over self to make pericardium = holds 25-50mLs straw color fluid to reduce friction, 150mL = heart can squeeze,
48
Inspiratory reserve volume (IRV)=
maximum amount of air that can be inhaled after a normal inspiration (~3000mLs)
49
Pleural space has a pressure between: W/ expiration the chest wall & diaphragm:
= 4 & 8 mmHg atmospheric P
50
Orthostatic hypotension
PT’s BP drops 20 HR+20 when moved from supine to a seated position
51
How does CO2 get transported throughout our body?
Mostly bicarbonate 70%, then hemoglobin 23% , then dissolved in blood <7%
52
Expiratory reserve volume (ERV)=
maximum amount of air that can be exhaled after a normal expiration. (~1200mLs)
53
Dead Space Volume:
= Area where there are no alveoli or gas exchange occurs in this area (~150mL)
54
Carbon Monoxide (CO) Poisoning Lvls) Severity w/ S/S) 1. Aysymptomatic: 2. H/A, N/V, dizziness, blurred vision: 3. Confusion, syncope, chest pain, dyspnea, Tcardia/pnea, weakness: 4. Dysrhythmias, hypoBP, cardiac ischemia, palpitations, resp/ arrest, pulmonary edema, seizures, coma, cardiac arrest 5. Dead, Cherry Pink skin
1= <15 2= Mild 20% 3= Moderate 21–40% 4= Severe 41–59% 5= Fatal/Lethal >60%
55
Final concentrations of oxygen & carbon dioxide in blood leaving pulmonary capillaries?
= Oxygen: 104 mmHg, Carbon dioxide: 40 mmHg
56
Brain vascular supply) Astrocytes: Myoglobin: Brain receives of body's total blood: Wight & BGL Consumption: Vascular supply system :
= open door for glucose = supports & stores oxygen “muscle O2 storage” = Brain receives ~20% body's total blood flow/min = 2% body weight & Consumes 25% body's glucose (Neurons need continuous supply of O2 & gL)
57
ABG normal range: Alkalosis: Acidosis:
= 22-26 = >26 = <22
58
How much air is filtered, warmed & humidified each day?
10k gallons of air
59
Body makes how much CSF in 24Hrs What structure is maker:
~500-600mL
60
Adult RR Infant RR
5-6 secs (10-12 per min) 3-5 secs (12-20 per min)
61
Straight blades sizing: Robert Shaw Fibre Optic Blades= Seward Fibre Optic Blades= Wisconsin Fibre Optic Blades=
preferred for pedi use = 0 & 1 Neonatal & infant use = 1 & 2 Pedi & Infant use = 0, 1, 2, 3, 4, Pedi & infant use`
62
ETCO2 normal range:
=35-45mmHg
63
pH normal range:
= 7.35 - 7.45
64
Oxy% inhaled and exhaled:
=inhale 21% & exhale 16%
65
NG/OG Gastric distention & Decompression saline admin/
30-50mL
66
ABG normal range: Alkalosis: Acidosis:
= 22-26 = >26 = <22
67
(Carbon monoxide Poisoning Lvls) Mild: Moderate: Severe: Fatal:
= 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
68
(MetHemoglobin Lvls) 1-3%: 3-15%: 15-20%: 25-50%: 50-70%: 70%:
= Normal = discoloration, grayish-blue = Cyanotic, asymptomatic = CNS H/A, N/V, Confusion, Chest pain = AMS, delirium = Fatal
69
Comfortable distance: Intimate space: Personal space/distance: Public distance:
= 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
70
BP bladder length of cuff should cover: BP cuff should cover ? of upper arm: BP bladder width of cuff should cover at least:
= between 80-100% of the arm circumference. = 2/3s (measured from the acromion to the olecranon.) = 40-50% of the mid-arm circumference.
71
Systolic BP estimates for following pulse sites- Radial Femoral: Carotid:
= 80 = 70 = 60
72
PT distance in intimate zone? You assess for what in what zone? PT distance in person space? where most our PT assessment occurs Distance for social space? Distance for public space?
= 0-1.5 feet = Internal signs in intimate zone = 1.5-4ft = Personal zone = 4-12ft = 12ft or more
73
Can loose testie from torsion in how many hours:
6 hours
74
ABDMN consistent pain for how many hours is a surgical emergency:
=6 hours
75
Chronic Renal Failure (CRF) def End stage occurs w/
Permanent loss of nephrons (≥70%); metabolic instability occurs at ≥80% nephron loss.
76
Kidneys' size & amount of nephrons contained:
Size of a fist; ~1 million nephrons per kidney.
77
How does aging affect nephron count?
After age 40, kidneys lose 1% of nephrons per year.
78
% of ICU PTs account for ARF?
Accounts for 30% of ICU patients, 5% of all hospitalizations.
79
ARF mortality
50% but reversible if diagnosed early.
80
MAP minimum for organ perfusion?
60 mmHg.
81
At what blood sugar level is glucose excreted through urine?
180 mg/dL
82
FIO2% on canula formula
=(lpm x 4) + 20 ,EX 1lpm=24%
83
D cylinder tank life in mins
=(Tank pressure in psi X 0.16) / LPM
84
E cylinder tank life in mins
=(tank pressure in psi X 0.28) / LPM
85
M cylinder tank life in mins
=(tank pressure in psi X 1.56) / LPM
86
rule of thumb suction size form
Intubation ETT size # X 2
87
oxygen saturation form:
=O2 content / O2 capacity x 100%
88
oxygen content of the arterial blood formula:
CaO2= (SaO2 X Hgb X 1.34) + (0.003 X PaO2)
89
Respiratory Acidosis: Respiratory Alkalosis: Metabolic Acidosis: Metabolic Alkalosis:
= Slow breathing, high ETCO2 = Rapid breathing, low ETCO2 = Rapid deep breathing, low ETCO2 = Slow breathing, high ETCO2
90
ETCO2 normal range:
=35-45mmHg
91
pH normal range:
= 7.35 - 7.45
92
Adult suctioning time limit Pedi suctioning time limit Neonate suctioning time limit Tracheostomy suctioning time limit
15 secs 10 secs 5 secs 5-10 secs
93
depth of insertion of the distal tip for pediatric ET tubes
2-3 cm below the vocal cords b/c deeper insertion can result in mainstem intubation/ injury to the carina.
94
Oxy% inhaled and exhaled:
=inhale 21% & exhale 16%
95
Carbonic Acid-Bicarbonate Buffer system formula:
CO2 + H20 <> H2CO3 <> H + HCO3
96
NG/OG Gastric distention & Decompression saline admin/
30-50mL
97
ABG normal range: Alkalosis: Acidosis:
= 22-26 = >26 = <22
98
intramuscular injection sites & max dose:
delt/(max 2mL) Dorsal gluteal & vastus lateralus (5 mLs/more) , Rectus femoris (up to 5mL)
99
Intradermal fluid dose=
<1mL
100
Subcutaneous fluid dose=
Max 1mL
101
Water is contained in what 3 compartments in the human body? What are the percentages?
60% body weight water 45%=intracellular, 15% extracellular (outside) Interstitial 10.5% Intravascular 4.5%
102
admin/ isotonic crystalloid sol/s to a PT, how much would actually move out of the intravascular compartment within one hour?
2/3s
103
What are the different Macro IV administer sets?
20,15,12,10 gtts/ml
104
What size of IV catheter would you use to access an EJ?
16-18 gauge
105
What do the acronyms “TKO” and “KVO” mean?
TKO (to keep open) & KVO( keep vein open)= 20-25mLs/Hr
106
Rectal admin
Half in - 1 inch → close cheeks n hold,
107
Potassium location and %
98% intracellular
108
Angle of Lewie location
~2nd rib
109
IO Drill needle sizes:
15mm (pink) 3-39kg 25mm (blue) >3kg 45mm (yellow) >40kg
110
Cleaning Central lines should clean @ at least how long
90 secs
111
Normal blood pH range=
7.35 - 7.45 mmHg
112
Respiration ratio=
1 sec inhalation 2 sec exhalation
113
Orthostatic hypotension
PT’s BP drops 20 HR+20 when moved from supine to a seated position
114
A normal P wave in Precordial leads should be: A normal P wave Limb leads should be:
= nice & round w/ amplitude <1.5mm = nice & round w/ amplitude <2.5mm
115
Equation for cardiac output: Heart & SV volumes: Equation for BP: How can you make a + & - effect on it?
= CO= SV x HR = usually squeezes 70mLs & heart holds 100-110mL = BP=(SV X HR) X SVR = Meds: diuretics, vaso-constructors
116
Resting potential of the cardiac contractile cell occurs at: Action potential of the cardiac contractile cell occurs at: What ion causes the cardiac contractile cell to depolarize? What ion causes the cardiac contractile cell to repolarize?
= -90mV = -85mv = Sodium = Potassium
117
A normal QRS has a duration between: A normal PRI has a duration between:
= 0.04-0.12 secs / 1-3SB = 0.12 - 0.20 secs/ 3-5SB
118
On ECG paper, one small vertical box represents: On ECG paper, one large vertical box represents:
= 0.1mV/ 1mm = 0.5mV/ 5mm
119
Cardiac cell communication w/ ions Phase 0 of the cardiac contractile cell: Phase 1 of the cardiac contractile cell: Phase 2 of the cardiac contractile cell: Phase 3 of the cardiac contractile cell: Phase 4 of the cardiac contractile cell:
= gab junction & intercalated disc 400x faster = P0) Depolarization = P1) slow K efflux = P2) Plateau> Slow Ca in & K out "- for +" = P3) Repolarization> rapid K efflux = P4) Refractory Na/K pumps & Ca pumps out
120
(only in heart) Intercalated discs: Discs speed Vs standard cell membrane: Syncytium:
= Special tissue bands inserted between myocardial cells that increase the rate(400x) in which AP is spread from cell-cell thus Syncytium = 400x faster than standard cell membrane drom/Inotropy = Group of cardiac cells physiologically function as a unit, “working together in sync” “top in syncytium to bottom”
121
Normal T Wave in any limb lead should have a max amplitude of: Normal T Wave in any chest lead should have a max amplitude of:
= 5 mm = 10 mm
122
Ejection Fraction (EF): <45% usually indicates: <30%:
= Ratio of blood pumped from the ventricle to the amount remaining @ the end of diastole/ %of blood pumped out from ventricle (60-70%) =<45% usually indicates in or going to CHF =<30% in CHF & chronic cardiac crip on oxy
123
Atrial Kick
the contraction "kick" @ end of systole to give more blood to ventricles accounts for 20-30%
124
Normal blood pH range=
7.35 - 7.45 mmHg
125
Phrenic nerve location
C-3-5
126
hypoglycemic with PEDIs trick: hypoglycemia Rx for neonate: hypoglycemia Rx for infant:
= Lots of sick kids hypoglycemic so use bone marrow for BGL = <45BGL neonate = <60BGL infant
127
hypervent/ for Child w/ brainstem herniation hypervent/ for Infant w/ brainstem herniation ETCO2 target:
= 30 breathes a min (>1yr) = 35 breathes a min (1mth - 1yr) = ETCO2 target 35 mmHg
128
A surgical cricothyrotomy is contraindicated in patients less than
less than 8 years old
129
Child BVM bag vol/ Infant BVM bag vol/
= 800mL = 300mL
130
Adults vocal cords @ Pedi Vocal cords @
C4 - 5 C2 - 3
131
Pediatric Age Classifications
- Newborn: Birth to hours old -Neonate: Hours to 1 month -Infant: 1 month - 1 year -Toddler: 1-3 years -Preschooler: 3-5 years -School-age: 6-12 years -Adolescent: 13-18 years
132
Toddler: Preschooler: School-age: Adolescent: "Kid/Child":
=1-3 years = 3-5 years = 6-12 years = 13-18 years = 8Yrs up, 45Kg up, before puberty
133
1-3 years = 3-5 years = 6-12 years = 13-18 years =
Toddler: Preschooler: School-age: Adolescent:
134
newborn age range
Birth to the 1st couple Hrs of life
135
Adolescent age range
13 years and 18 years
136
School-aged child age range
6Yrs - 12Yrs
137
Toddler age range
1 year & 3 years
138
Neonate age range
1st few hours of life to 1 month
139
What does the APGAR score assess?
Appearance (color), Pulse (HR), Grimace (reflex), Activity (muscle tone), Respiration (effort); scored at 1 & 5 minutes
140
mLs range in uterus
= 50mLs-1.5Ls in uterus
141
Pediatric GCS Differences
- Modified for age - Verbal & motor responses changed for age
142
What is the correct compression to ventilation ratio for CPR on an infant?
30:2
143
What is the appropriate depth for chest compressions in an infant?
1 1/2 inches
144
Infant tachycardia Children tachycardia Note
> 220 > 180 get Hx, if sudden & random onset then SVT
145
Pediatric GCS (Glasgow Coma Scale):
= Modified to assess eye opening, verbal response, motor response
146
<1Yr pulse check @
Carotid
147
Pediatric GCS 2-5Yrs changes:
(E) Alert, shout, pain, none (M) same but follows commands now spontaneous (S) Coos, Consolable ,Crys, Crazy, none
148
What is the appropriate depth for chest compressions in a child?
2 inches
149
Pediatric CPR Compression Depth & Rate
- Depth: 1/3 to 1/2 of chest AP diameter - Rate: 100-120/min - Ratios: 30:2 (1 rescuer), 15:2 (2 rescuers), 3:1 (newborns)
150
When does the posterior fontanelle of a pediatric patient generally close?
3 months
151
When does the anterior fontanelle of a pediatric patient generally close?
9-18 months
152
Respiratory Distress: Respiratory Failure:
= Open & Maintainable , Tachypnea , Good Air Movement, Tachycardia, Pallor (pink/white cheek), Anxiety, Agitation = Not Maintainable, Bradypnea to Apnea, Poor/Absent Air Movement, Bradycardia, Cape Cyanosis, Lethargy/Unresponsive
153
Jumpstart) Triaging
RPM Resp/ Pulse / Mental
154
Jumpstart) P of RPM
Radial pulse
155
Jumpstart) R of RPM
RR <15 or >45
156
Jumpstart) M or RPM
Mental status
157
(Carbon monoxide Poisoning Lvls) Mild: Moderate: Severe: Fatal:
= 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
158
(MetHemoglobin Lvls) 1-3%: 3-15%: 15-20%: 25-50%: 50-70%: 70%:
= Normal = discoloration, grayish-blue = Cyanotic, asymptomatic = CNS H/A, N/V, Confusion, Chest pain = AMS, delirium = Fatal
159
Comfortable distance: Intimate space: Personal space/distance: Public distance:
= 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
160
Action circle:
= 50ft circle radius minimum
161
(Carbon monoxide Poisoning Lvls) Mild: Moderate: Severe: Fatal:
= 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
162
(MetHemoglobin Lvls) 1-3%: 3-15%: 15-20%: 25-50%: 50-70%: 70%:
= Normal = discoloration, grayish-blue = Cyanotic, asymptomatic = CNS H/A, N/V, Confusion, Chest pain = AMS, delirium = Fatal
163
Comfortable distance: Intimate space: Personal space/distance: Public distance:
= 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
164
Action circle:
= 50ft circle radius minimum

ABM/ Cumulative (5 decks)

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