Air Methods Critical Care exam (Latest
Update ) Questions with
Answers 100% Correct {Grade A}
ACS Metoprolol (Lopressor) - Correct answer Indications: MI, Tachy, hypertensive
Dose : 5mg slow IV push at 5 minute intervals for a max of 15 mg. long acting,
CI: hypotensive, brady
A lactate level of > ___ is a poor prognostic sign - Correct answer Lactate > 4
Definition of sepsis, severe sepsis and septic shock - Correct answer Sepsis: SIRS +
Infection
Septic Shock: Severe Sepsis + SBP <90, MAP < 65, or Lactate > 4 after Fluids. (30ml/kg)
SIRS Criteria (systemic inflammatory response syndrome) - Correct answer >= 2 of the
following:
>38.3 (100.9F) or < 36 (96.8F)
Heart Rate > 90 bpm
-RR > 20 or PaCO2 < 32 (hyperventilating)
,(normal 35-45)
-WBC > 12,000 or < 4,000
or >10% bands
Naloxone (Narcan) - Correct answer opiate antagonist, reverses opioid induced
resiratory depression
Dose
A.C.L.S. Epinephrine Dosing and indications - Correct answer Arrest: 1 mg q 3-5
minutes 10 mL or 0.1 mg/ml
Higher dose: 0.2 mg/Kg for CCB/BB OD
GTT: 0.1-0.5 mcg/kg/min
Anaphylaxis: 5-15 mcg/kg/min
Profound Brady or Hypotension 2-10 mcg/Min
ACLS Atropine dose? - Correct answer Brady with a pulse:
1 mg ! q 3-5 minutes
max dose: 3 mg 0.04mg/kg (3mg)
,may not be effective for mobitz 2 or 3rd degree HB
spinal shock - Correct answer complete but temporary loss of motor, sensory, reflex,
and autonomic function immediately after injury- lasts less than 48hrs- weeks
-flaciddity
-Loss of reflexes
-Bowel and Bladder dysfunction
s/s: flaccid, bradycardia, hypotension, paralytic ileus
neurogenic shock - Correct answer Circulatory failure caused by paralysis of the
sympathetic control the size of the blood vessels, leading to widespread dilation;
-Hypotension
-Bradycardia
-Loss of ability to sweat bellow level of injury
Signs of increased ICP - Correct answer Hypertension, bradycardia, widening pulse
pressures
(Pt. with icp should be hyperventilated)
, -decreased LOC
-Headache
-N/V
-Lethargy -Irritability
Late signs of increased ICP - Correct answer - Lowered LOC
- Decreased motor and sensory responses
- Bradycardia
- Irregular respirations
- Cheyne-Stokes respirations
- Decerebrate or decorticate posturing
- Fixed and dilated pupils
-Seizures
Normal ICP ranges from: - Correct answer 0-15 mm Hg
Treatment is indicated if sustained >20-25 mm HG
CPP= Map-ICP
Goal is >60 (usually 70-90)
Update ) Questions with
Answers 100% Correct {Grade A}
ACS Metoprolol (Lopressor) - Correct answer Indications: MI, Tachy, hypertensive
Dose : 5mg slow IV push at 5 minute intervals for a max of 15 mg. long acting,
CI: hypotensive, brady
A lactate level of > ___ is a poor prognostic sign - Correct answer Lactate > 4
Definition of sepsis, severe sepsis and septic shock - Correct answer Sepsis: SIRS +
Infection
Septic Shock: Severe Sepsis + SBP <90, MAP < 65, or Lactate > 4 after Fluids. (30ml/kg)
SIRS Criteria (systemic inflammatory response syndrome) - Correct answer >= 2 of the
following:
>38.3 (100.9F) or < 36 (96.8F)
Heart Rate > 90 bpm
-RR > 20 or PaCO2 < 32 (hyperventilating)
,(normal 35-45)
-WBC > 12,000 or < 4,000
or >10% bands
Naloxone (Narcan) - Correct answer opiate antagonist, reverses opioid induced
resiratory depression
Dose
A.C.L.S. Epinephrine Dosing and indications - Correct answer Arrest: 1 mg q 3-5
minutes 10 mL or 0.1 mg/ml
Higher dose: 0.2 mg/Kg for CCB/BB OD
GTT: 0.1-0.5 mcg/kg/min
Anaphylaxis: 5-15 mcg/kg/min
Profound Brady or Hypotension 2-10 mcg/Min
ACLS Atropine dose? - Correct answer Brady with a pulse:
1 mg ! q 3-5 minutes
max dose: 3 mg 0.04mg/kg (3mg)
,may not be effective for mobitz 2 or 3rd degree HB
spinal shock - Correct answer complete but temporary loss of motor, sensory, reflex,
and autonomic function immediately after injury- lasts less than 48hrs- weeks
-flaciddity
-Loss of reflexes
-Bowel and Bladder dysfunction
s/s: flaccid, bradycardia, hypotension, paralytic ileus
neurogenic shock - Correct answer Circulatory failure caused by paralysis of the
sympathetic control the size of the blood vessels, leading to widespread dilation;
-Hypotension
-Bradycardia
-Loss of ability to sweat bellow level of injury
Signs of increased ICP - Correct answer Hypertension, bradycardia, widening pulse
pressures
(Pt. with icp should be hyperventilated)
, -decreased LOC
-Headache
-N/V
-Lethargy -Irritability
Late signs of increased ICP - Correct answer - Lowered LOC
- Decreased motor and sensory responses
- Bradycardia
- Irregular respirations
- Cheyne-Stokes respirations
- Decerebrate or decorticate posturing
- Fixed and dilated pupils
-Seizures
Normal ICP ranges from: - Correct answer 0-15 mm Hg
Treatment is indicated if sustained >20-25 mm HG
CPP= Map-ICP
Goal is >60 (usually 70-90)
