Air Methods Critical Care Exam, Critical care air methods test Questions and Answers 100% PASS

Air Methods Critical Care Exam,
Critical care air methods test
Questions and Answers 100%
PASS

Coopernail's Sign - CORRECT ANSWER-bruising of the scrotum or labia


-indicating pelvic bleeding/ abdominal bleeding


-pelvic fx


Halstead's Sign - CORRECT ANSWER-Marbled abdomen- bleeding


Cullen's sign - CORRECT ANSWER-ecchymosis in umbilical area, seen with

pancreatitis


Murphy's Sign - CORRECT ANSWER-pain with palpation of the RUQ during

inspiration


-indicative of cholecystitis


Factors fetal well-being - CORRECT ANSWER-1.) Viability (most important)


2.) Fetal Heart rate


3.) Fetal movement

,PEEP (positive end expiratory pressure) - CORRECT ANSWER--Causes

increased pulmonary vascular resistance


-Can cause hypotension over 15 cmH2O


-Normal: 5 cmH2O


- lowest pressure the lungs will see


steps in resuscitation of the neonate - CORRECT ANSWER-Dry, warm,

position to open airway, suction mouth then nose


Tactile stimulation (HR<100 or apnea/IR breath rub back and put)


Oxygen near the face


Bag valve mask - unresponsive to tactile stim within a few sec (40-60bpm)


reposition head, reapply mask, suction again prn, if no response in 30 sec


Intubate - if HR < 60 after PPV for 30 sec, then


Chest compressions - 3:1 ratio (90 compressions / 30 breaths)


Drugs - epinephrine 0.1-0.3ml/kg of 1:10,000, through et tube or

(preferably) through umbilical venous line, volume loss give 10ml/kg NS


pulmonary contusion - CORRECT ANSWER-Chest pain


bruising over sternum


Progressive dyspnea


decreased breath sounds on one side


rales


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,low sats despite being on o2


hemoptysis


irregular pulse-dysrthymia


ruptured diaphragm - CORRECT ANSWER-abd contents herniate into the

thoracic cavity compressing the lung




s/s: dyspnea, dysphagia, abd pain, sharp epigastric or chest pain radiating

to L shoulder (Kehr sign), bowel sounds heard in the lung fields on injured

side, decreased breath sounds on injured side.


Tracheobronchial injury - CORRECT ANSWER-1. hemoptysis


2. subcutaneous emphysema


3. air leak (PNEUMOTHORAX) + PNEUMEDIASTINUM even after chest tube

placement***


- advance ETT below level of injury into Right mainstem


esophageal perforation - CORRECT ANSWER--fever


-hematemesis


Fat embolus - CORRECT ANSWER-can form when a long bone is fractured

and fat cells from yellow bone marrow are released into the blood


-fever


-rash after fracture


Blood loss from humerus fracture - CORRECT ANSWER-750 ml

, blood loss from femur fracture - CORRECT ANSWER-1500 ml


PAWP (pulmonary artery wedge pressure) - CORRECT ANSWER-- Looks at

the left side of the heart


- If elevated can indicate pulmonary congestion, CHF, cardiogenic shock


- Do not keep wedged for more than 30 seconds


- Make sure balloon is deflated and have patient cough forcefully


-Normal: 8-12


Adult ETT depth - CORRECT ANSWER-3 x ETT size or average 19.23 cm


Peds ETT depth - CORRECT ANSWER-10 + age in years (cm)


Neonate ETT depth - CORRECT ANSWER-6 + wt in kg (cm)


Adjust vent to change Co2 - CORRECT ANSWER-adjust rate and tidal

volume


Adjust vent to change oxygenation - CORRECT ANSWER-adjust PEEP, PAP


infant rule of nines - CORRECT ANSWER-Head and neck - 21%


Each arm - 10%


chest/stomach - 13%


back - 13%


butt/genitals - 6%


each leg - 13.5%


Sodium Bicarbonate - CORRECT ANSWER--acidosis

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