CRITICAL CARE PARAMEDIC EXAM PREP
SOLVED QUESTIONS ACCURATE
ANSWERS PREMIUM REVIEW
◉ What should you NOT use for treatment of Brain Herniation?
(pg.93)
Answer: Do NOT use Hypotonic Solutions or Glucose!
Hyponatremia is associated with cerebral edema
Hyperglycemia makes brain injuries worse, most likely with
cerebral edema (Swelling)
◉ Respiratory Changes in Cerebral Herniation (pg.92)
Answer: Cheyne-Stokes: Breathing becoming shallower until it
stops for a while (apnea), and then breathing starts again, rapidly
cresendos to a peak before decreasing again.
◉ Pediatric Age Range (pg.88)
Answer: Neonate: Birth to 28 days
Infant: 28 days to 1 y/o
Toddler: 1y/o to 2y/o
Child: >2 y/o
, ◉ Pediatric Emergency Intervention Formulas (pg.88)
Answer: ETT Diameter: (16 + AGE)/4
If required ETT size > or = 5.5 mm CUFFED ETT should be used. If
<5.5 use an UNcuffed ETT.
SUCTION INSERTION CHEST TUBE (2/3/4)
2 x ETT Size = Suction/NG Foley Diameter
(EX: 5.0 ETT = 10fr Suction/NGFoley)
3 x ETT Size = ETT Insertion Depth
(EX: 7.0 ETT = 21cm ETT Insertion Depth)
4 x ETT Size = Chest Tube
(EX: 5.0 ETT Size = 20fr Chest Tube)
Normal Systolic BP = 90 + (2 x AGE)
Hypotensive Systolic BP = 70 + (2 x AGE)
Defibrillation 2J/kg
◉ Pediatric Fluid Emergency Resuscitation (pg.88)
Answer: Neonate/Infant: 10cc/kg (< 1 y/o)
Toddler/Child: 20 cc/kg (> 1 y/o)
(No more than 2 fluid bolus infusions)
Average Circulating Blood Volume: 80-90 mL/kg
SOLVED QUESTIONS ACCURATE
ANSWERS PREMIUM REVIEW
◉ What should you NOT use for treatment of Brain Herniation?
(pg.93)
Answer: Do NOT use Hypotonic Solutions or Glucose!
Hyponatremia is associated with cerebral edema
Hyperglycemia makes brain injuries worse, most likely with
cerebral edema (Swelling)
◉ Respiratory Changes in Cerebral Herniation (pg.92)
Answer: Cheyne-Stokes: Breathing becoming shallower until it
stops for a while (apnea), and then breathing starts again, rapidly
cresendos to a peak before decreasing again.
◉ Pediatric Age Range (pg.88)
Answer: Neonate: Birth to 28 days
Infant: 28 days to 1 y/o
Toddler: 1y/o to 2y/o
Child: >2 y/o
, ◉ Pediatric Emergency Intervention Formulas (pg.88)
Answer: ETT Diameter: (16 + AGE)/4
If required ETT size > or = 5.5 mm CUFFED ETT should be used. If
<5.5 use an UNcuffed ETT.
SUCTION INSERTION CHEST TUBE (2/3/4)
2 x ETT Size = Suction/NG Foley Diameter
(EX: 5.0 ETT = 10fr Suction/NGFoley)
3 x ETT Size = ETT Insertion Depth
(EX: 7.0 ETT = 21cm ETT Insertion Depth)
4 x ETT Size = Chest Tube
(EX: 5.0 ETT Size = 20fr Chest Tube)
Normal Systolic BP = 90 + (2 x AGE)
Hypotensive Systolic BP = 70 + (2 x AGE)
Defibrillation 2J/kg
◉ Pediatric Fluid Emergency Resuscitation (pg.88)
Answer: Neonate/Infant: 10cc/kg (< 1 y/o)
Toddler/Child: 20 cc/kg (> 1 y/o)
(No more than 2 fluid bolus infusions)
Average Circulating Blood Volume: 80-90 mL/kg
