Air Methods Critical Care exam / Latest Questions
Detailed Answers (A+ Guide Solutions)
Coopernail's Sign - (ANSWER)bruising of the scrotum or labia
-indicating pelvic bleeding/ abdominal bleeding
-pelvic fx
law, and mathematics, their format, and how they evaluate students’ comprehension and application of core concepts. We will also discuss the similarities and differences in these exams and how they prepare students
for their respective careers._
Halstead's Sign - (ANSWER)Marbled abdomen- bleeding
Cullen's sign - (ANSWER)ecchymosis in umbilical area, seen with pancreatitis
Murphy's Sign - (ANSWER)pain with palpation of the RUQ during inspiration
-indicative of cholecystitis
Factors fetal well-being - (ANSWER)1.) Viability (most important)
2.) Fetal Heart rate
3.) Fetal movement
PEEP (positive end expiratory pressure) - (ANSWER)-Causes increased pulmonary
vascular resistance
-Can cause hypotension over 15 cmH2O
-Normal: 5 cmH2O
- lowest pressure the lungs will see
,law, and mathematics, their format, and how they evaluate students’ comprehension and application of core concepts. We will also discuss the similarities and differences in these exams and how they prepare students for their respective
Stuvia.com - The Marketplacecareers._ to Buy and Sell your Study Material
steps in resuscitation of the neonate - (ANSWER)Dry, warm, position to open
airway, suction mouth then nose
Tactile stimulation (HR<100 or apnea/IR breath rub back and put)
Oxygen near the face
Bag valve mask - unresponsive to tactile stim within a few sec (40-60bpm)
reposition head, reapply mask, suction again prn, if no response in 30 sec
Intubate - if HR < 60 after PPV for 30 sec, then
Chest compressions - 3:1 ratio (90 compressions / 30 breaths)
Drugs - epinephrine 0.1-0.3ml/kg of 1:10,000, through et tube or (preferably)
through umbilical venous line, volume loss give 10ml/kg NS
pulmonary contusion - (ANSWER)Chest pain
bruising over sternum
Progressive dyspnea
decreased breath sounds on one side
rales
low sats despite being on o2
hemoptysis
irregular pulse-dysrthymia
ruptured diaphragm - (ANSWER)abd contents herniate into the thoracic cavity
compressing the lung
,law, and mathematics, their format, and how they evaluate students’ comprehension and application of core concepts. We will also discuss the similarities and differences in these exams and how they prepare students for their respective
Stuvia.com - The Marketplacecareers._ to Buy and Sell your Study Material
s/s: dyspnea, dysphagia, abd pain, sharp epigastric or chest pain radiating to L
shoulder (Kehr sign), bowel sounds heard in the lung fields on injured side,
decreased breath sounds on injured side.
Tracheobronchial injury - (ANSWER)1. hemoptysis
2. subcutaneous emphysema
3. air leak (PNEUMOTHORAX) + PNEUMEDIASTINUM even after chest tube
placement***
- advance ETT below level of injury into Right mainstem
esophageal perforation - (ANSWER)-fever
-hematemesis
Fat embolus - (ANSWER)can form when a long bone is fractured and fat cells
from yellow bone marrow are released into the blood
-fever
-rash after fracture
Blood loss from humerus fracture - (ANSWER)750 ml
blood loss from femur fracture - (ANSWER)1500 ml
, law, and mathematics, their format, and how they evaluate students’ comprehension and application of core concepts. We will also discuss the similarities and differences in these exams and how they prepare students for their respective
Stuvia.com - The Marketplacecareers._ to Buy and Sell your Study Material
PAWP (pulmonary artery wedge pressure) - (ANSWER)- Looks at the left side of
the heart
- If elevated can indicate pulmonary congestion, CHF, cardiogenic shock
- Do not keep wedged for more than 30 seconds
- Make sure balloon is deflated and have patient cough forcefully
-Normal: 8-12
Adult ETT depth - (ANSWER)3 x ETT size or average 19.23 cm
Peds ETT depth - (ANSWER)10 + age in years (cm)
Neonate ETT depth - (ANSWER)6 + wt in kg (cm)
Adjust vent to change Co2 - (ANSWER)adjust rate and tidal volume
Adjust vent to change oxygenation - (ANSWER)adjust PEEP, PAP
infant rule of nines - (ANSWER)Head and neck - 21%
Each arm - 10%
chest/stomach - 13%
back - 13%
butt/genitals - 6%
Detailed Answers (A+ Guide Solutions)
Coopernail's Sign - (ANSWER)bruising of the scrotum or labia
-indicating pelvic bleeding/ abdominal bleeding
-pelvic fx
law, and mathematics, their format, and how they evaluate students’ comprehension and application of core concepts. We will also discuss the similarities and differences in these exams and how they prepare students
for their respective careers._
Halstead's Sign - (ANSWER)Marbled abdomen- bleeding
Cullen's sign - (ANSWER)ecchymosis in umbilical area, seen with pancreatitis
Murphy's Sign - (ANSWER)pain with palpation of the RUQ during inspiration
-indicative of cholecystitis
Factors fetal well-being - (ANSWER)1.) Viability (most important)
2.) Fetal Heart rate
3.) Fetal movement
PEEP (positive end expiratory pressure) - (ANSWER)-Causes increased pulmonary
vascular resistance
-Can cause hypotension over 15 cmH2O
-Normal: 5 cmH2O
- lowest pressure the lungs will see
,law, and mathematics, their format, and how they evaluate students’ comprehension and application of core concepts. We will also discuss the similarities and differences in these exams and how they prepare students for their respective
Stuvia.com - The Marketplacecareers._ to Buy and Sell your Study Material
steps in resuscitation of the neonate - (ANSWER)Dry, warm, position to open
airway, suction mouth then nose
Tactile stimulation (HR<100 or apnea/IR breath rub back and put)
Oxygen near the face
Bag valve mask - unresponsive to tactile stim within a few sec (40-60bpm)
reposition head, reapply mask, suction again prn, if no response in 30 sec
Intubate - if HR < 60 after PPV for 30 sec, then
Chest compressions - 3:1 ratio (90 compressions / 30 breaths)
Drugs - epinephrine 0.1-0.3ml/kg of 1:10,000, through et tube or (preferably)
through umbilical venous line, volume loss give 10ml/kg NS
pulmonary contusion - (ANSWER)Chest pain
bruising over sternum
Progressive dyspnea
decreased breath sounds on one side
rales
low sats despite being on o2
hemoptysis
irregular pulse-dysrthymia
ruptured diaphragm - (ANSWER)abd contents herniate into the thoracic cavity
compressing the lung
,law, and mathematics, their format, and how they evaluate students’ comprehension and application of core concepts. We will also discuss the similarities and differences in these exams and how they prepare students for their respective
Stuvia.com - The Marketplacecareers._ to Buy and Sell your Study Material
s/s: dyspnea, dysphagia, abd pain, sharp epigastric or chest pain radiating to L
shoulder (Kehr sign), bowel sounds heard in the lung fields on injured side,
decreased breath sounds on injured side.
Tracheobronchial injury - (ANSWER)1. hemoptysis
2. subcutaneous emphysema
3. air leak (PNEUMOTHORAX) + PNEUMEDIASTINUM even after chest tube
placement***
- advance ETT below level of injury into Right mainstem
esophageal perforation - (ANSWER)-fever
-hematemesis
Fat embolus - (ANSWER)can form when a long bone is fractured and fat cells
from yellow bone marrow are released into the blood
-fever
-rash after fracture
Blood loss from humerus fracture - (ANSWER)750 ml
blood loss from femur fracture - (ANSWER)1500 ml
, law, and mathematics, their format, and how they evaluate students’ comprehension and application of core concepts. We will also discuss the similarities and differences in these exams and how they prepare students for their respective
Stuvia.com - The Marketplacecareers._ to Buy and Sell your Study Material
PAWP (pulmonary artery wedge pressure) - (ANSWER)- Looks at the left side of
the heart
- If elevated can indicate pulmonary congestion, CHF, cardiogenic shock
- Do not keep wedged for more than 30 seconds
- Make sure balloon is deflated and have patient cough forcefully
-Normal: 8-12
Adult ETT depth - (ANSWER)3 x ETT size or average 19.23 cm
Peds ETT depth - (ANSWER)10 + age in years (cm)
Neonate ETT depth - (ANSWER)6 + wt in kg (cm)
Adjust vent to change Co2 - (ANSWER)adjust rate and tidal volume
Adjust vent to change oxygenation - (ANSWER)adjust PEEP, PAP
infant rule of nines - (ANSWER)Head and neck - 21%
Each arm - 10%
chest/stomach - 13%
back - 13%
butt/genitals - 6%
