CRITICAL CARE PARAMEDIC COMPREHENSIVE
STUDY GUIDE WITH SOLUTIONS
◉ Normal PIP for infant ventilator setting.
Answer: 15-20, use the lowest pip that creates chest expansion
◉ normal PEEP for infant ventilator setting.
Answer: 3-5cm H2O
◉ I:E ratio for children.
Answer: 1:1
◉ Tidal volume for a child on the ventilator setting.
Answer: 6-10ml/kg
◉ If you have a sudden onset of respiratory distress, dysphagia,
drooling, and cough up blood in a child you should suspect...
Answer: Epiglottitis
◉ X ray finding that you would expect to see on the lateral neck x-ray
to confirm Epiglottitis is....
Answer: thumbprint sign
,◉ ____ is noted on an AP neck xray and indicates croup
(laryngotracheobronchitis).
Answer: steeple sign
◉ appropriate site of insertion for IO in peds.
Answer: medial surface of tibia below tibial tuberosity
◉ If a pt develops widened QRS and goes into cardiac arrest after
administration of Succs you should suspect ___ and consider
administering ___.
Answer: hyperkalemia crisis, consider calcium and sodium bicarb
◉ Drug of choice to treat malignant hyperthermia.
Answer: dantrolene
◉ Hamman's sign is.
Answer: associated with tracheobronchial injury, it is a crunching
sound auscultated over anterior chest synchronized with heart beat
◉ chest tube placement is.
Answer: 5th intercostal space anterior mid axillary line
,◉ ___ is the single most important predictor of fetal well-being in
monitoring.
Answer: variability
◉ Accelerations above baseline in fetal monitoring are associated
with.
Answer: fetal movement or during contractions
◉ decreased fetal movement likely indicates.
Answer: hypoxia
◉ variable deceleration is associated with.
Answer: cord compression or nuchal cord
◉ variable decelerations are normally ___ in appearance during
monitoring.
Answer: V or W shaped
◉ late decelerations are associated with.
Answer: uteroplacental insufficiency causing fetus hypoxic
bradycardia
◉ early deceleration causes.
, Answer: head compression and vagus stimulation
◉ Fetal bradycardia is classified as <___ bpm for a period of _____.
Answer: 120, 5-10minutes
◉ Oxytocin (pitocin) is used for ...
Answer: to cause uterine contraction during uterine atony or post
partum hemorrhage
◉ Signs and symptoms of Magnesium toxicity.
Answer: loss of deep tendon reflexes, AMS, resp or cardiac arrest
◉ the fetus on a pre-eclamptic mother during labor will commonly
experience ___.
Answer: late decelerations
◉ signs/symptoms of pre eclampsia.
Answer: hypertension and proteinuria
◉ In the OB world, sudden onset of acute dyspnea with cyanosis,
chest pain, restlessness, shock, seizures, etc can indicate...
Answer: amniotic fluid embolism
STUDY GUIDE WITH SOLUTIONS
◉ Normal PIP for infant ventilator setting.
Answer: 15-20, use the lowest pip that creates chest expansion
◉ normal PEEP for infant ventilator setting.
Answer: 3-5cm H2O
◉ I:E ratio for children.
Answer: 1:1
◉ Tidal volume for a child on the ventilator setting.
Answer: 6-10ml/kg
◉ If you have a sudden onset of respiratory distress, dysphagia,
drooling, and cough up blood in a child you should suspect...
Answer: Epiglottitis
◉ X ray finding that you would expect to see on the lateral neck x-ray
to confirm Epiglottitis is....
Answer: thumbprint sign
,◉ ____ is noted on an AP neck xray and indicates croup
(laryngotracheobronchitis).
Answer: steeple sign
◉ appropriate site of insertion for IO in peds.
Answer: medial surface of tibia below tibial tuberosity
◉ If a pt develops widened QRS and goes into cardiac arrest after
administration of Succs you should suspect ___ and consider
administering ___.
Answer: hyperkalemia crisis, consider calcium and sodium bicarb
◉ Drug of choice to treat malignant hyperthermia.
Answer: dantrolene
◉ Hamman's sign is.
Answer: associated with tracheobronchial injury, it is a crunching
sound auscultated over anterior chest synchronized with heart beat
◉ chest tube placement is.
Answer: 5th intercostal space anterior mid axillary line
,◉ ___ is the single most important predictor of fetal well-being in
monitoring.
Answer: variability
◉ Accelerations above baseline in fetal monitoring are associated
with.
Answer: fetal movement or during contractions
◉ decreased fetal movement likely indicates.
Answer: hypoxia
◉ variable deceleration is associated with.
Answer: cord compression or nuchal cord
◉ variable decelerations are normally ___ in appearance during
monitoring.
Answer: V or W shaped
◉ late decelerations are associated with.
Answer: uteroplacental insufficiency causing fetus hypoxic
bradycardia
◉ early deceleration causes.
, Answer: head compression and vagus stimulation
◉ Fetal bradycardia is classified as <___ bpm for a period of _____.
Answer: 120, 5-10minutes
◉ Oxytocin (pitocin) is used for ...
Answer: to cause uterine contraction during uterine atony or post
partum hemorrhage
◉ Signs and symptoms of Magnesium toxicity.
Answer: loss of deep tendon reflexes, AMS, resp or cardiac arrest
◉ the fetus on a pre-eclamptic mother during labor will commonly
experience ___.
Answer: late decelerations
◉ signs/symptoms of pre eclampsia.
Answer: hypertension and proteinuria
◉ In the OB world, sudden onset of acute dyspnea with cyanosis,
chest pain, restlessness, shock, seizures, etc can indicate...
Answer: amniotic fluid embolism
