Air Methods Critical Care Exam
"DOPE" - ANSWER ✔ Dislodgement/ displacement
Obstruction
Pneumothorax
Equipment failure
2 major causes of heat loss - ANSWER ✔ - radiation
- evaporation
7 P's of RSI - ANSWER ✔ (1) Prepare (location, equipment, monitors, IV,
personnel)
(2) Preoxygenate (3 minutes or 8 VC breaths)
(3) Pretreatment (fluids, pressers, etc)
(4) Paralyze with induction
(5) Position
(6) Pass tube with proof
(7) Post-intubation management
Abdomen assessment order - ANSWER ✔ Inspection
Auscultation
Palpation
Percussion
,ABG - ANSWER ✔ confirm vent settings with this 15 minutes after change in
settings or application
ABG normal ranges - ANSWER ✔ pH: 7.35 - 7.45
PaCO2: 35 -45
HCO3 (bicarb): 22 - 26
pO2. : 80-100
abruptio placentae - ANSWER ✔ - Dark, red blood
- Painful
- Placenta detaches from womb
- deprives baby O2
AC (assist control) - ANSWER ✔ - use for ARDS, paralyzed, or sedated patients
- breath can be triggered by patient or elapsed time
- Full Vt given regardless of who initiates breath
- can cause breath stacking or auto-peep
Acidosis - ANSWER ✔ - pCo2 up = pH down
- pH down = HCO3 down
- pCo2 > 45
- pH < 7.35
- HCO3 < 22
,Active rewarming - ANSWER ✔ application of an external heat source to rewarm
the body of a hypothermic patient
Acute respiratory failure - ANSWER ✔ - pO2 under 60
- pCO2 above 50
Adjust vent to change Co2 - ANSWER ✔ adjust rate and tidal volume
Adjust vent to change oxygenation - ANSWER ✔ adjust PEEP, PAP
Adult Bougie - ANSWER ✔ 15 fr
Adult ETT depth - ANSWER ✔ 3 x ETT size or average 19.23 cm
Adult rule of nines - ANSWER ✔ - Head/neck: 9%
- each arm/hand: 9%
- chest: 9%
- abdomen: 9%
- back: 18%
- each leg: 18%
- genitals: 1%
Adult urine output per hour - ANSWER ✔ 30-50 ml
, Alkalosis - ANSWER ✔ - pCo2 down = pH up
- pH up = HCO3 up
- pCo2 < 35
- pH > 7.45
- HCO3 > 22
Anion gap formula, and normal values - ANSWER ✔ AG = NA -(Cl + HCO3). Normal
range 12 +/- 4. Abnormal >16
Anion gap metabolic acidosis causes - ANSWER ✔ MUDPILERS
Methanol
Uremia
DKA
Propylene glycol
Iron, Isoniazide
Lactic acidosis
Ethylene glycol (antifreeze)
Rhabdo
Salicylates (late)
Anterior Cord - ANSWER ✔ -loss of motor function, pain, pinprick, and temp
bilaterally below lesion
-proprioception and light touch are preserved
"DOPE" - ANSWER ✔ Dislodgement/ displacement
Obstruction
Pneumothorax
Equipment failure
2 major causes of heat loss - ANSWER ✔ - radiation
- evaporation
7 P's of RSI - ANSWER ✔ (1) Prepare (location, equipment, monitors, IV,
personnel)
(2) Preoxygenate (3 minutes or 8 VC breaths)
(3) Pretreatment (fluids, pressers, etc)
(4) Paralyze with induction
(5) Position
(6) Pass tube with proof
(7) Post-intubation management
Abdomen assessment order - ANSWER ✔ Inspection
Auscultation
Palpation
Percussion
,ABG - ANSWER ✔ confirm vent settings with this 15 minutes after change in
settings or application
ABG normal ranges - ANSWER ✔ pH: 7.35 - 7.45
PaCO2: 35 -45
HCO3 (bicarb): 22 - 26
pO2. : 80-100
abruptio placentae - ANSWER ✔ - Dark, red blood
- Painful
- Placenta detaches from womb
- deprives baby O2
AC (assist control) - ANSWER ✔ - use for ARDS, paralyzed, or sedated patients
- breath can be triggered by patient or elapsed time
- Full Vt given regardless of who initiates breath
- can cause breath stacking or auto-peep
Acidosis - ANSWER ✔ - pCo2 up = pH down
- pH down = HCO3 down
- pCo2 > 45
- pH < 7.35
- HCO3 < 22
,Active rewarming - ANSWER ✔ application of an external heat source to rewarm
the body of a hypothermic patient
Acute respiratory failure - ANSWER ✔ - pO2 under 60
- pCO2 above 50
Adjust vent to change Co2 - ANSWER ✔ adjust rate and tidal volume
Adjust vent to change oxygenation - ANSWER ✔ adjust PEEP, PAP
Adult Bougie - ANSWER ✔ 15 fr
Adult ETT depth - ANSWER ✔ 3 x ETT size or average 19.23 cm
Adult rule of nines - ANSWER ✔ - Head/neck: 9%
- each arm/hand: 9%
- chest: 9%
- abdomen: 9%
- back: 18%
- each leg: 18%
- genitals: 1%
Adult urine output per hour - ANSWER ✔ 30-50 ml
, Alkalosis - ANSWER ✔ - pCo2 down = pH up
- pH up = HCO3 up
- pCo2 < 35
- pH > 7.45
- HCO3 > 22
Anion gap formula, and normal values - ANSWER ✔ AG = NA -(Cl + HCO3). Normal
range 12 +/- 4. Abnormal >16
Anion gap metabolic acidosis causes - ANSWER ✔ MUDPILERS
Methanol
Uremia
DKA
Propylene glycol
Iron, Isoniazide
Lactic acidosis
Ethylene glycol (antifreeze)
Rhabdo
Salicylates (late)
Anterior Cord - ANSWER ✔ -loss of motor function, pain, pinprick, and temp
bilaterally below lesion
-proprioception and light touch are preserved
