AIR METHODS EXAM COMPREHENSIVE TEST
PAPER QUESTIONS AND SOLUTIONS
◉ blood loss from femur fracture.
Answer: 1500 ml
◉ PAWP (pulmonary artery wedge pressure).
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.
Answer: 3 x ETT size or average 19.23 cm
◉ Peds ETT depth.
Answer: 10 + age in years (cm)
◉ Neonate ETT depth.
,Answer: 6 + wt in kg (cm)
◉ Adjust vent to change Co2.
Answer: adjust rate and tidal volume
◉ Adjust vent to change oxygenation.
Answer: adjust PEEP, PAP
◉ infant rule of nines.
Answer: Head and neck - 21%
Each arm - 10%
chest/stomach - 13%
back - 13%
butt/genitals - 6%
each leg - 13.5%
◉ Sodium Bicarbonate.
Answer: -acidosis
-drug choice for cyclic antidepressant OD
-KG/4 x base deficit = mEq needed
◉ Digoxin.
,Answer: -cardiac glycoside
-can cause hypokalemia
-inotropes
-pediatric dose: 0.1 mg/ml
-adult 0.25 mg/ml
◉ treatment for fetal distress.
Answer: -Left lateral recumbent position
-O2
-Correct contributing factors
-keep reassessing
◉ CHF considerations.
Answer: -many are relatively hypovolemic
-be careful with diuretics
◉ CVP catheter placement outside line markers.
Answer: RA/CVP: 25-30 cm
RV: 35-45 cm
PA: 50-55 cm
◉ Central Cord Syndrome.
, Answer: -loss of function in upper extremities caused by injury to
the middle portion of the spinal cord
-varying degrees of sensory loss
◉ Brown-Sequard Syndrome.
Answer: Hemi-section of the cord
- ipsilateral (same side) spastic paralysis and loss of position sense
- contralateral (opposite side) loss of pain and thermal sense
◉ Anterior Cord.
Answer: -loss of motor function, pain, pinprick, and temp bilaterally
below lesion
-proprioception and light touch are preserved
◉ Autonomic Dysreflexia.
Answer: -urinary retention, massive increase in sympathetic tone
which can cause HTN
-treated by foley
◉ Adult urine output per hour.
Answer: 30-50 ml
PAPER QUESTIONS AND SOLUTIONS
◉ blood loss from femur fracture.
Answer: 1500 ml
◉ PAWP (pulmonary artery wedge pressure).
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.
Answer: 3 x ETT size or average 19.23 cm
◉ Peds ETT depth.
Answer: 10 + age in years (cm)
◉ Neonate ETT depth.
,Answer: 6 + wt in kg (cm)
◉ Adjust vent to change Co2.
Answer: adjust rate and tidal volume
◉ Adjust vent to change oxygenation.
Answer: adjust PEEP, PAP
◉ infant rule of nines.
Answer: Head and neck - 21%
Each arm - 10%
chest/stomach - 13%
back - 13%
butt/genitals - 6%
each leg - 13.5%
◉ Sodium Bicarbonate.
Answer: -acidosis
-drug choice for cyclic antidepressant OD
-KG/4 x base deficit = mEq needed
◉ Digoxin.
,Answer: -cardiac glycoside
-can cause hypokalemia
-inotropes
-pediatric dose: 0.1 mg/ml
-adult 0.25 mg/ml
◉ treatment for fetal distress.
Answer: -Left lateral recumbent position
-O2
-Correct contributing factors
-keep reassessing
◉ CHF considerations.
Answer: -many are relatively hypovolemic
-be careful with diuretics
◉ CVP catheter placement outside line markers.
Answer: RA/CVP: 25-30 cm
RV: 35-45 cm
PA: 50-55 cm
◉ Central Cord Syndrome.
, Answer: -loss of function in upper extremities caused by injury to
the middle portion of the spinal cord
-varying degrees of sensory loss
◉ Brown-Sequard Syndrome.
Answer: Hemi-section of the cord
- ipsilateral (same side) spastic paralysis and loss of position sense
- contralateral (opposite side) loss of pain and thermal sense
◉ Anterior Cord.
Answer: -loss of motor function, pain, pinprick, and temp bilaterally
below lesion
-proprioception and light touch are preserved
◉ Autonomic Dysreflexia.
Answer: -urinary retention, massive increase in sympathetic tone
which can cause HTN
-treated by foley
◉ Adult urine output per hour.
Answer: 30-50 ml
