Flight Paramedic Certification
norm ph range - 7.35 - 7.45
co2 norm range in ABG - 35-45
HCO3 norm range in ABG - 22-26
Pa02 of 60 = _____ Sa02 - 90%
name 2 catalysts for respiratory alkalosis - Heat injury, ASA overdose
what number indicates ion gap acidosis - greater than or = 16
List "MUDPILES" / causes of ion gap acidosis - Methanol, Uremia, DKA, Propylene
Glycol, Isoniazid (INH)/ Iron, Lactate, Ethelyne Glycol, Salicylates
what is methanol? - Alcohol poisoning
what is uremia? - Kidney failure
What is DKA? - Diabetic Ketoacidosis
What is propylene glycol? - Liquid agent in Diazapam and Lorazapam
Isoniazid (INH) / Iron - Tuperculosis medication / Iron Supplements
Lactate - from anaerobic metabolism
Ethelyne Glycol - Antifreeze
Salicylate - ASA
List PAILS and corresponding arteries with leads - posterior - LCX - v1-v4
anterior - LAD - v3,v4
inferior - RCA - II, III, AVF
lateral - LCX - I, V5, V6, AVL
septal - LAD - v1, v2
Mean Arterial Pressure (MAP) Formula - SBP + (2 x DBP)
_____________
3
, Cerebral Perfusion Pressure (CPP) Formula - MAP - ICP
Normal Range for ICP - 0 - 10 mmHg
ICP Transducer is placed at _________ - foramen of Monro (level of ear)
2 chemical elements that drastically affect brain - glucose, sodium
3 terms synonymous with brain herniation - uncal, tentorial, brainstem
Seeing __________ breathing pattern...suspect increased ICP / herniation - Cheyne -
Stokes
Tx of herniation - -paralyze
-intubate
-hyperventilate
-mannitol
-hypertonic solution
-Barbituate coma
Never use _____ solutions with herniation - hypotonic
herniation onset seizures can be treated with these 2 - a benzo, or phosphenytoin
skull fracture along sutures - diastatic
skull fx that extend towards base of skull - linear
mulitiple fx that radiate form compressed area like a spider web - linear stellate
fx that result in battle signs, racoon eyes, otorrhea, clear rhinorrhea (leaking CSF) -
basilar
name 3 layers of skull, outside to in - skull, dura mater, arachnoid
cephalic hemotoma between skull and dura mater - subdural
cephalic hematoma between dura mater and arachnoid - epidural
cephalic hematoma between brain and arachnoid - sub arachnoid
slow skull bleed that is very lethal - subdural hematoma
MMA artery head bleed that has gives pt lucid interval - epidural hematoma
norm ph range - 7.35 - 7.45
co2 norm range in ABG - 35-45
HCO3 norm range in ABG - 22-26
Pa02 of 60 = _____ Sa02 - 90%
name 2 catalysts for respiratory alkalosis - Heat injury, ASA overdose
what number indicates ion gap acidosis - greater than or = 16
List "MUDPILES" / causes of ion gap acidosis - Methanol, Uremia, DKA, Propylene
Glycol, Isoniazid (INH)/ Iron, Lactate, Ethelyne Glycol, Salicylates
what is methanol? - Alcohol poisoning
what is uremia? - Kidney failure
What is DKA? - Diabetic Ketoacidosis
What is propylene glycol? - Liquid agent in Diazapam and Lorazapam
Isoniazid (INH) / Iron - Tuperculosis medication / Iron Supplements
Lactate - from anaerobic metabolism
Ethelyne Glycol - Antifreeze
Salicylate - ASA
List PAILS and corresponding arteries with leads - posterior - LCX - v1-v4
anterior - LAD - v3,v4
inferior - RCA - II, III, AVF
lateral - LCX - I, V5, V6, AVL
septal - LAD - v1, v2
Mean Arterial Pressure (MAP) Formula - SBP + (2 x DBP)
_____________
3
, Cerebral Perfusion Pressure (CPP) Formula - MAP - ICP
Normal Range for ICP - 0 - 10 mmHg
ICP Transducer is placed at _________ - foramen of Monro (level of ear)
2 chemical elements that drastically affect brain - glucose, sodium
3 terms synonymous with brain herniation - uncal, tentorial, brainstem
Seeing __________ breathing pattern...suspect increased ICP / herniation - Cheyne -
Stokes
Tx of herniation - -paralyze
-intubate
-hyperventilate
-mannitol
-hypertonic solution
-Barbituate coma
Never use _____ solutions with herniation - hypotonic
herniation onset seizures can be treated with these 2 - a benzo, or phosphenytoin
skull fracture along sutures - diastatic
skull fx that extend towards base of skull - linear
mulitiple fx that radiate form compressed area like a spider web - linear stellate
fx that result in battle signs, racoon eyes, otorrhea, clear rhinorrhea (leaking CSF) -
basilar
name 3 layers of skull, outside to in - skull, dura mater, arachnoid
cephalic hemotoma between skull and dura mater - subdural
cephalic hematoma between dura mater and arachnoid - epidural
cephalic hematoma between brain and arachnoid - sub arachnoid
slow skull bleed that is very lethal - subdural hematoma
MMA artery head bleed that has gives pt lucid interval - epidural hematoma
