"Bottle-to-throttle" time - ANS-At least eight hours
12-lead ECG
Inferior
Septal
Anterior
Lateral
Posterior - ANS-"I see all leads" = Inf/sept/ant/lat
Inferior; II, III, aVf
Septal; V1, V2
Anterior; V3, V4
Lateral; I, aVl, V5, V =
Posterior; ST segment melancholy or reciprocal changes noted in V1-V4 ST elevation V6
3rd acid based totally stability buffing device - ANS-renal machine
works hour through hour
A wave
Correlation to ECG - ANS-A wave commonly coincides with the PR c program languageperiod
at the ECG in a right atrial strain waveform
It can be barely delayed in a left atrial pressure waveform
ABG guidelines
1. CO2 and Ph
2. Bicarbonate and Ph
three. Bicarbonate alternative
4. PaO2 at altitude - ANS-1. CO2 up 10 = pH down .08 (inverse)
2. HCO3 up 10 = pH up 15 (proportional)
three. Kg/4 x base deficit = meq of bicarbonate needed
4. PaO2 drops 5 for every a thousand toes elevation
ABG values - ANS-pCO2 High = pH low (acidosis)
pCO2 low = pH excessive (alkalosis)
pH low = HCO3 low (acidosis)
pH excessive = HCO3 excessive (alkalosis)
PCO2 = 35-forty five breathing
PH = 7.35 - 7.45 metabolic
Hco3 = 22-26 metabolic
acid equals - ANS-hydrogen
,Anion hole - ANS-Na - (C1 + bicarb/CO2) = AG regular 12 += 4
>sixteen indicates an underlying metabolic acidosis do not forget "MUDPILES"
Methanol
Uremia
DKA
Paraldehyde
Isoniazide / iron
lactate
Ethylene glycol
Salicylate
Applied gasoline legal guidelines
BP cuff, ETT cuff, MAST - ANS-Boyle's regulation
IABP purges with ascent or descent
Applied gas legal guidelines
Cellular gasoline trade, diffusion - ANS-Grahm's regulation
Applied gas legal guidelines
The bends, decompression, soda can, CO2 in blood - ANS-Henry's law
Applied fuel legal guidelines
Tissue swelling, hypoxic hypoxia, O2 to be had at altitude - ANS-Dalton's regulation
Applied fuel legal guidelines
Oxygen tank pressure in heat or cold - ANS-Gay-lussac's regulation
ARDS
Treatment CXR - ANS-PEEP
CXR well-knownshows good sized pulmonary infiltrates; glass-like appearance
Arterial traces
Sites purpose - ANS-Radial, femoral monitor pressure, blood draw, ABG's
Maintain pressure bag at 300mmHg
Underdampening; resulting from having air within the machine, loose connection, a low
pressure bag, and altitude changes
Overdampening; because of kinking, expanded bag strain and tip against the wall
Arterial waveforms - ANS-Arterial traces
Pulmonary artery pressure (PAP)
Dicrotic notch seen on the downslope of the right side of the waveform
Atrial waveforms - ANS-"Filling pressures"
, Right atrial stress sure (CVP)
Left atrial strain (PAWP / PCWP)
Barobariatrauma is excellent Prevented with the aid of? - ANS-pre-oxygenation
Barotitis media typically occurs upon - ANS-descent
Blood loss
Humerus femur - ANS-Humerus; 750mL
Femur; 1500mL
Bowel sounds in chest hollow space?
Crunching sound heard over chest with auscultation, can be synchronized with heartbeat? -
ANS-Bowel sounds heard
Diaphragmatic rupture maximum commonplace in the left chest
Crunching sounds heard
Associated with tracheobronchial injury and is referred to as hamman's sign
Boyle's law
Ascent
Descent - ANS-Ascent
Barondontalgia (toothache)
Barosinutis can arise on ascent
Bariobariatrauma (obese) = nitrogen within the fats cells can extend causing the "bends"
administer high drift oxygen for 15 min. Prior to boost-off to dispose of nitrogen
Descent
Barotitis media (middle ear) can have an effect on the affected person at some stage in descent
Boyle's regulation
Two components consequences - ANS-Increased extent = reduced strain
Examples;
Cuffs, MAST, GI, ETT, IABP
Boyle's law will have an effect on all but which of the following - ANS-a Foley catheter balloon
Brain natriuretic peptide
(BNP) - ANS-Heart failure marker that measures BNP released by using an overdistenion of the
heart
Below a hundred = regular
Above 500-seven hundred = heart failure
Breathing and waveforms - ANS-Record stress measurements at the cease of exhalation