Air Methods Critical Care exam
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Air Methods Critical Care Exam TNCC 9th Edition, TNCC 9th Edition ... AIR METHODS CC Paramedic CFRN P
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What is the most reliable method of confirming and Continuous waveform capnography
montioring correct placement of an ET tube?
The upper airway consists of... Nose, Mouth, Jaw, Oral Cavity, Pharynx, and Larynx
No gas exchange occurs here __________, it's called ____________. Nose to terminal bronchioles, anatomical dead space. (2ml/kg of inspired tidal
volume) They conduct airflow towards gas exchange units.
Crycothyroid membrane between thyroid and cricoid, avascular structure that connects the thyroid and
cricoid cartilage. Site of CRiCOTHYROTOMY- an emergency opening of the
airway.
A PaCO2 greater than 45 mmHg indicates: C. Respiratory acidosis
A. Metabolic acidosis.
B. Metabolic alkalosis.
C. Respiratory acidosis.
D. Respiratory alkalosis.
PaCO2 normal range 35-45 mm Hg Less than 35 likely means hyperventilation
Tracheal deviation AWAY from the affected side, Tension pneumothorax
decreased breath sounds, and hyperresonance... What's
happening?
In a tension pneumothorax tracheal deviation goes in AWAY from affected side.
what direction?
Normal mean pulmonary artery pressure 10-20 mmHg
, Pulmonary hypertension is a mean PA pressure greater (PAm) greater than 20
than...
Primary pulmonary hypertension Idiopathic genetic disorder caused by abnormal structure of the pulmonary
blood vessels
Name three causes of secondary pulmonary 1. Passive PH- the result of back pressure. Mitral Stenosis, LV systolic failure.
hypertension.. 2. Active PH- Constriction of the pulmonary circuit Increased volume in
pulmonary circuit (i.e. congenital heart disease)
3. Obstruction as in Chronic recurrent PE
TNP of the Pregnant patient Resuscitation priorities are the same. The best way to take care of the baby is to
take care of mama
Mechanisms of injury and biomechanics the most Blunt trauma caused by MVC. Second is BT caused by falls, 3rd is violence
common cause of maternal injury is...
fetal distress is an early sign of maternal distress... Why? Catecholamine mediated vasoconstriction resulting from blood loss shunts blood
away from the fetus to the mom.
Fetal hypo perfusion is evidenced by.... Fetal tachycardia (140 to 160+) and fetal bradycardia
The FRC in a pregnant patient is.... Reduced by the gravid uterus lifting the diaphragm.
chest tube placement in a pregnant patient is 1-2 spaces Because of the lifted diaphragm
higher
What is the cause of physiological anemia in pregnant Hemodilitional anemia occurs. Plasma volume increases 30-50%.
patients?
Preterm Labor (PTL)
abruptio placentae premature separation of the placenta from the uterine wall
On a pregnant patient... Chest compressions must be higher on the sternum.
Any preg patient 20 weeks pregnant or more with a uterus above the umbilicus
should have the uterus left laterally displaced during compressions to avoid
aortocaval compression. A 15 degree tilt of the long board or lateral
displacement.
What is the Maternal Fetal Triage Index? A valid reliable 5 level triage tool that may assist in the triage of obstetric trauma
patients.
Displacing the uterus off the vena cava can improve CO approximately 30%!
by
Continuous fetal monitoring is recommended... for all pregnant patients 20 or more weeks gestation... or (uterus above belly
button).