TxWes Guide pt3

Question 1

BMI formula(s)

Answer 1

1in = 0.025meters

Question 2

Healthy BMI range

Answer 2

18.5 - 25

Question 3

Overweight BMI

Answer 3

25 - 30

Question 4

Obese BMI

Answer 4

30+

Question 5

Morbidly obese BMI

Answer 5

> 35-40

Question 6

Super morbidly obese

Answer 6

> 55

Question 7

List the IBW formulas.
(male, female)

Answer 7

Male: (cm Ht - 100)=kg
Female (cm Ht - 105)=kg

1in = 2.5cm

Question 8

Dose of ephedrine for HoTN?
Main receptor(s)?

Answer 8

5mg
⍺ & β agonist

[common] = 5mg/mL

Question 9

Dose of Neosynephrine for HoTN?
Main receptor(s)?

Answer 9

100mcg
⍺ agonist

[common] = 10mg/mL

Question 10

Labetalol dose for HTN?
Main receptor?

Answer 10

5mg
β (and ⍺) antagonist

[common] = 5m/mL

Question 11

Esmolol dose for HTN?
Main receptor?

Answer 11

10mg
β1 antagonist

[common] = 10mg/mL

Question 12

Hydralazine dose?
Main receptor?

Answer 12

5mg
Directly vasodilates on the smooth muscle of the arterioles.

[common] =20mg/mL

Question 13

LABS

Hct (male, female)

Answer 13

male: 42-52 g/dL
female: 37-47 g/dL

Question 14

LABS

Hgb (male, female)

Answer 14

male: 14-18 g/dL
female: 13-16 g/dL

Question 15

LABS

WBCs

Answer 15

4k-11k microL

Question 16

LABS

Plts

Answer 16

150k-450k microL

Question 17

LABS

K+

Answer 17

3.5-5 mEq/L

Question 18

LABS

Mg

Answer 18

1.5-2.5 mEq/L

Question 19

LABS

Ca++

Answer 19

8.5-10.5 mg/dL

Question 20

LABS

iCa++

Answer 20

4.8 - 5.3 mg/dL (easy to remember bc it’s 1/2 of normal Ca++ level)
or
1.1 - 1.3 mmol/L (used often)

Question 21

LABS

Phos

Answer 21

1.8 - 2.6 mEq/L

Question 22

LABS

Cl-

Answer 22

100-108 mEq/L

Question 23

LABS

BUN
&
Creatinine

Answer 23

BUN: 10-20 mg/dL
Creatinine: 0.6-1.3 mg/dL

Question 24

LABS

Albumin

Answer 24

3.5-5.5 g/dL

Question 25

# LABS PT

Answer 25

11-14 sec ## Footnote WEPT (warfarin, extrinsic, PT level)

Question 26

# LABS INR

Answer 26

1 ## Footnote Normal INR on Warfarin: 2-3

Question 27

# LABS PTT

Answer 27

21-34 sec ## Footnote On heparin = varies (~60-100 secs) depending on your coag goals!

Question 28

# LABS ACT | Activating Clotting Time

Answer 28

80-120 secs > 160-180sec for ECMO | > 400sec for CPB ## Footnote Used for large heparin doses.

Question 29

# LABS FSP | Fibrin Split Products

Answer 29

<10 µ/dL | Fragments from dissolved clots. Used often for DIC

Question 30

# LABS Fibrinogen

Answer 30

160-450 mg/dL | (the netting that covers the clot)

Question 31

# LABS Plasminogen

Answer 31

62-130% | Plasminogen makes Plasmin. Plasmin degrades fibrin (or clots)

Question 32

# LABS FDP | Fibrin Degredation Products

Answer 32

<10 µ/mL | basically FSP but resulted in different units.

Question 33

# LABS D-Dimer

Answer 33

<250 ng/dL | Only detectable if you are currently breaking down lots of clots.

Question 34

# LABS TSH T3 T4

Answer 34

TSH: 0.4 µ units/mL T3: 90 -230 ng/dL T4: 13 - 15 µ/dL | Control metabolism, temp, mood, weight, neuro fxn, & muscle strength. ## Footnote T3 = MORE active, 7%, majority made in cells. T4 = main circulating thyroid hormone, 93%, can be converted to T3 using iodinase.

Question 35

# LABS AST ALT

Answer 35

<35 IU/L ## Footnote Liver function - ALT more specfic to liver, AST involves other organs including the liver.

Question 36

# LABS Fill in the blanks for the lab model:

Answer 36

Question 37

# LABS Fill in the blanks:

Answer 37

Question 38

# LABS Fill in the blanks:

Answer 38

Question 39

List triggers for MH.

Answer 39

Volatile Anesthetics & SCh

Question 40

List signs of MH crisis

Answer 40

* tachycardia, tachypnea * **rapidly increasing ETCO2** * muscle rigidity, masseter spasm * hyperthermia * skin mottling

Question 41

List the treatment regimen for MH.

Answer 41

1. STOP THE TRIGGER 2. 100% O₂ hyperventilation 3. Dantrolene 2.5mg/kg IV (repeat 5-10mins; MAX 10mg/kg) 4. Actively cool pt 5. correct hyperkalmia and metabolic acidosis 6. Monitor labs and maintain UO >2cc/kg/hr (hydration, mannitol, lasix) *watch for rhabdo*

Question 42

What is the dose of Dantrolene for MH?

Answer 42

2.5mg/kg IV (repeat q5-10mins prn) ## Footnote MAX 10mg/kg

Question 43

# PEDI ETT How can you determine the ETT length?

Answer 43

(Tube size x 3)

Question 44

# PEDI ETT List the ETT sizes: Preemies (≤ 1kg) Preemies (1-2.5kg) Term Neonate

Answer 44

2.5 3 3.0 - 3.5

Question 45

# PEDI ETT List the ETT sizes: 6mo-1yr 1-2yr

Answer 45

3.5 - 4.0 4.0 - 4.5

Question 46

# ETT SIZING How do you determine ETT size for >2yrs?

Answer 46

[(age + 16) / 4] or [(age / 4) + 4]

Question 47

# PEDI LMA SIZES List the size & max cuff air volume: 0-5kg 5-10kg 10-20kg 20-30kg >30kg Adult

Answer 47

1 (4cc) 1.5 (7cc) 2 (10cc) 2.5 (14cc) 3 (20cc) 4 (30cc)