Air Methods Clinical Exam Questions And Answers Verified 100% Correct

Air Methods Clinical Exam Questions And Answers Verified 100% Correct Gold Standard For Intubation Placement - ANSWER -ECO2 Waveform High PEEP Effects - ANSWER -Over inflation, barotrauma, elevated intrathoracic pressure causing decreased venous return causing decreased cardiac output. Phlebostatic axis location - ANSWER -4 th ICS mid ax and mid chest Pediatric Fluid Bolus - ANSWER - Ventilator: Correcting High CO2 - ANSWER -Increase RR increasing minute volume and ventilation Ventilator: Correcting Hypoxia - ANSWER -Increase PEEP, FiO2, Mag Toxicity S/S - ANSWER -Somnolence, decreased mental status, respiratory depression, loss of muscle tone, flushing, bradycardia. CNS depressant. Mag Toxicity Treatment - ANSWER --stop the mag -Admin Calcium Gluconate or Calcium Chloride 1 gram over 3 minutes interval or as ordered Torsades De Pointes Treatment - ANSWER -Mag IF stable Defibrillation IF unstable Neosynephrine (phenylephrine) - ANSWER -Adrenergic Agonist Arterial & Venous Vasoconstriction Increases Preload & Systemic Vascular Resistance (SVR) Intubation: Mac Blade - ANSWER -Curved blade, and is inserted into the vallecula Intubation: Miller Blade - ANSWER -Straight blade that lays underneath the laryngeal surface of the epiglottis. Malignant Hyperthermia - ANSWER -hypermetabolic response in a patient exposed to a volatile anesthetic or **succinylcholine Burn pt states "My leg feels like its on fire" - ANSWER -Address pain most likely. dont take blanket off for risk of hypothermia to burn patient Maternity patient - ANSWER -knee to chest Tension pneumothorax treatment - ANSWER -Needle Decompression Landmark 2nd - 3rd intercostal space over the rib. Chest tube size - ANSWER -4 x ETT size Chest Tube insertion Landmark & positioning - ANSWER -- supine or 45 angle- abduct & externally rotate arm on affected side (arm up & behind head).- 5th intercostal, mid-axillary line. ETT Position - ANSWER -- 5 cm +/- 2 cm above carina- at the level of or just below medial ends of clavicle Tidal Volume (Vt) - ANSWER -Normal Value 6-8 ml/kg ICP - ANSWER -Normal, high, herniation 7-10 mmHg, high 20-30 mmHg Herniation 50+ CPP - ANSWER -Value and how to calculate, PEARL Value - 55-60 +How - MAP - ICPPEARL - need more CPP if pt chronic hypertensive Burn Formulas x 3 + PEARL Preterm Labor Maternity Question - ANSWER –Terbutaline CPP Formula - ANSWER -MAP - ICP = CPP MAP Formula - ANSWER -SBP + 2(DBP) / 3 = MAP CPP Range - ANSWER -50 - 80 mmHg Neurogenic Shock S/S - ANSWER -Recent trauma. Loss of sympathetic tone, rapid onset hypotension... Possibly bradycardia, warm flushed skin, potentially priapism. Head Injury (Epidural) - ANSWER -"MMA" LOC, then lucid interval, then LOC Head Injury (Subarachnoid Hemorrhage) - ANSWER -Life Threatening, "thunderclap headache" Head Injury (Subdural) - ANSWER -Slow onset Most common in elderly and children. Norepinephrine (Levophed) Effect - ANSWER -Increases systemic vascular resistance (SVR) causing increased vasoconstriction (Increased Preload) Positive Inotropic/Chronotropic Effects Increase or maintain cardiac output. Dobutamine Effect - ANSWER -Positive Inotropy & Chronotropy & Peripheral Vasodilation Which will increase cardiac output Increased stroke volume and HR Dopamine Effect - ANSWER -Sympathomimetic Inotropic and Chronotropic Effect