AIR METHODS CC Paramedic question with
answers
ABG - PH - -7.35-7.45 mm HG
-ABG - PaCO2 range - -35-45 mm HG
-ABG - PA02 - -80-100mm HG
-ABG - BE - --2 - 3 MeQ/L
-CBC: Hemoglobin (Hgb) - what is the normal range? - -Normal Value: 14-17.5 G /DL
-CBC: Hemoglobin (Hgb) - what do high and low values indicate? - -High value =
smoking?
Low value = anemia or blood loss?
-CBC: Hematocrit - what is the normal range? - -Normal value = 41-50%
-CBC: Hematocrit - what do high and low values indicate? - -High value =
dehydrated?
Low value = anemia or blood loss?
-CBC: WBC - what is the normal range? - -Normal value = 4500-11000
-CBC: WBC - what do high and low values indicate? - -High value = infection,
anemia, steroid use
Low value = viral infection or immunodeficiency
-CBC: RBC - what is the normal range? - -Normal value = 3.9-5.5 million mm3
-CBC: RBC - what do high and low values indicate? - -High value = polycythemia or
high altitude
Low value = cancer or bone marrow suppression
-Coags: PT - what does it measure & how long? - -Coumadin anticoagulation
10-13 second
-Coags: PT - what do high values indicate? - -High values can indicate liver
cirrohsis, vitamin K deficiency or DIC
-Coags: INR - -International normalized ratio. Normal INR = 1.0.
-Coags: aPTT - what does it measure & how long? - -Measures Heparin
25-40 second
-OB: What are some physiological changes which occur in pregnancy? - --Blood
volume increases 40%
, -Plasma increases, showing false anemia on labs
-BP decreases in 2nd trimester, but returns to normal
-Cardiac output increases, up to 50%
-HR increases 10-15 bpm
-SBP increases
-Body becomes more insulin resistant
-Uterus enlarges 20x
-OB: Physical assessment of pregnant patient - -Palpate / Check vitals / Check FHT /
Ask GP-PAL
-OB: What is GP-PAL - -Gravida, Para, Preterms, Abortion, Living children
-OB: Tx for distressed fetus? - -100% O2 via NRB on mother; place in LLR; give
fluids for hypotension and perform external vaginal exam
-OB: Vaginal bleeding - caused by? - -Ovarian cysts, spotting, fetal loss, ectopic
pregnancy or uterine rupture
-OB: Vaginal bleeding - TX? - -O2/IV/Monitor
Manage blood loss
Blood products
Tx for shock
Monitor FHT
-OB: Gestational hypertension - TX? - -Treat with:
-Beta Blockers like Labetalol
-Arterial vasodilators like Hydrolozine
-Consider seizure prophylaxis like 4G Mag over 20 min
-OB: Pre-eclampsia - S/S & TX? - -S/S = HTN with edema, neuro changes and clonus
TX = -Beta Blockers like Labetalol
-Arterial vasodilators like Hydrolozine
-Consider seizure prophylaxis like 4G Mag over 20 min
(Delivery is only option to stop condition)
-OB: Pre-eclampsia - severe S/S? - -BP >160/100
Pulmonary edema
Platelets under 100k
Headache/ vision changes
RUQ pain
Proteins in urine
-OB: Eclampsia - S/S & TX? - -S/S - HTN with seizures
TX - Magnesium -4G bolus over 2 minutes; 2G Mag bolus if already administered.
Consider Midazolam (2-5mg IM) if seizure continues
-OB: Placenta Previa - S/S? - -Painless, bright red bleeding
No significant findings on abdomen exam
answers
ABG - PH - -7.35-7.45 mm HG
-ABG - PaCO2 range - -35-45 mm HG
-ABG - PA02 - -80-100mm HG
-ABG - BE - --2 - 3 MeQ/L
-CBC: Hemoglobin (Hgb) - what is the normal range? - -Normal Value: 14-17.5 G /DL
-CBC: Hemoglobin (Hgb) - what do high and low values indicate? - -High value =
smoking?
Low value = anemia or blood loss?
-CBC: Hematocrit - what is the normal range? - -Normal value = 41-50%
-CBC: Hematocrit - what do high and low values indicate? - -High value =
dehydrated?
Low value = anemia or blood loss?
-CBC: WBC - what is the normal range? - -Normal value = 4500-11000
-CBC: WBC - what do high and low values indicate? - -High value = infection,
anemia, steroid use
Low value = viral infection or immunodeficiency
-CBC: RBC - what is the normal range? - -Normal value = 3.9-5.5 million mm3
-CBC: RBC - what do high and low values indicate? - -High value = polycythemia or
high altitude
Low value = cancer or bone marrow suppression
-Coags: PT - what does it measure & how long? - -Coumadin anticoagulation
10-13 second
-Coags: PT - what do high values indicate? - -High values can indicate liver
cirrohsis, vitamin K deficiency or DIC
-Coags: INR - -International normalized ratio. Normal INR = 1.0.
-Coags: aPTT - what does it measure & how long? - -Measures Heparin
25-40 second
-OB: What are some physiological changes which occur in pregnancy? - --Blood
volume increases 40%
, -Plasma increases, showing false anemia on labs
-BP decreases in 2nd trimester, but returns to normal
-Cardiac output increases, up to 50%
-HR increases 10-15 bpm
-SBP increases
-Body becomes more insulin resistant
-Uterus enlarges 20x
-OB: Physical assessment of pregnant patient - -Palpate / Check vitals / Check FHT /
Ask GP-PAL
-OB: What is GP-PAL - -Gravida, Para, Preterms, Abortion, Living children
-OB: Tx for distressed fetus? - -100% O2 via NRB on mother; place in LLR; give
fluids for hypotension and perform external vaginal exam
-OB: Vaginal bleeding - caused by? - -Ovarian cysts, spotting, fetal loss, ectopic
pregnancy or uterine rupture
-OB: Vaginal bleeding - TX? - -O2/IV/Monitor
Manage blood loss
Blood products
Tx for shock
Monitor FHT
-OB: Gestational hypertension - TX? - -Treat with:
-Beta Blockers like Labetalol
-Arterial vasodilators like Hydrolozine
-Consider seizure prophylaxis like 4G Mag over 20 min
-OB: Pre-eclampsia - S/S & TX? - -S/S = HTN with edema, neuro changes and clonus
TX = -Beta Blockers like Labetalol
-Arterial vasodilators like Hydrolozine
-Consider seizure prophylaxis like 4G Mag over 20 min
(Delivery is only option to stop condition)
-OB: Pre-eclampsia - severe S/S? - -BP >160/100
Pulmonary edema
Platelets under 100k
Headache/ vision changes
RUQ pain
Proteins in urine
-OB: Eclampsia - S/S & TX? - -S/S - HTN with seizures
TX - Magnesium -4G bolus over 2 minutes; 2G Mag bolus if already administered.
Consider Midazolam (2-5mg IM) if seizure continues
-OB: Placenta Previa - S/S? - -Painless, bright red bleeding
No significant findings on abdomen exam
