ANSWERS RATED A+
✔✔trauma can cause swelling of spinal cord resulting in - ✔✔spinal shock
✔✔2 treatments of spinal shock - ✔✔crysalloid fluid if hypotensive
shitload of steriods
✔✔cord injury when motor weakness is worse in upper extremities than lower
extremities - ✔✔central cord injury
✔✔spinal cord issue resulting in loss of pain/temp everywhere, and sparing of
propioreception/vibration - ✔✔anterior cord syndrome
✔✔another name for neurogenic shock - ✔✔distributive shock
✔✔3 symptoms of Neurogenic shock - ✔✔-decreased systemic vascular resistance
(SVR)
-hypotension
-warm red skin
✔✔Normal range for serum osmolality - ✔✔285 - 295
✔✔T or F higher osmolality # , thicker the serum - ✔✔True
✔✔Basic Metabolic Panel Ranges / Chem 7 - ✔✔Na - 135 145
K - 3.5 - 5
Co2 22-26
✔✔urine output formulas for infant, child, and adult - ✔✔infant - 2cc/kg/hr
child - 1cc/kg/hr
adult - 0.5cc/kg/hr
✔✔ET Tube size formula for peds - ✔✔(16+Age)/4
✔✔ETT insertion depth formula - ✔✔3 x ETT size
✔✔formulas for peds maintenance fluids - ✔✔1 - 10 kg ; 4cc/kg/hr
10 - 20 kg ; 2cc/kg/hr
> 20 kg ; 1cc/kg/hr
✔✔Fluid resusitation formula for infants / neonates (<1 y/o - ✔✔10cc/kg
✔✔Fluid resusitation formula for toddler/children (>1 y/o - ✔✔20cc/kg
, ✔✔Age ranges breakdown for classification - ✔✔neonate> birth to 30 days
infant - 30 days to 1 yr
toddler - 1 yo to 2 y/0
child - > 2 yrs old
✔✔Intubate immediately with these 3 ABG values - ✔✔Ph <7.2
Co2>55
PO2<60
✔✔Name 2 classes of chemoreceptors and their main drive response - ✔✔Central -
medulla/pons - CO2
Peripheral - aortic/carotid - 02 (very quick reactor)
✔✔what is Fick Formula? - ✔✔(V/Q-Ventilation/Perfusion) It calculates how much o2 a
person uses - measures cardiac output, assuming o2 uptake by lungs equals o2
delivery
✔✔What is the shorthand for Tidal Volume? - ✔✔Vt
✔✔What is estimate for good volume on ventilator? - ✔✔6-10cc/kg
✔✔What is Fi02? - ✔✔Fraction of inspired oxygen (.21-1.0 or 21% - 100%)
✔✔What is pplat? - ✔✔Plateau pressure (should be less than 30)
✔✔____ is the degree of vascular resistance to ventricular contraction - ✔✔afterload
✔✔t or f: right heart afterload is affected by the pulmonary arteries - ✔✔True
✔✔t or f: left heart afterload is affected by systemic vascular resistance - ✔✔true
✔✔normal range for SVR - ✔✔800-1200
✔✔t or f: S3 "Kentucky" is caused by excess filling of ventricals - ✔✔True
✔✔____ is a very common reason for the S3 heart sound - ✔✔CHF
✔✔_____ and ____ are very common causes of s4 "Tennessee" heart sound -
✔✔Hypertrophic cardiomyhopathy / HTN
✔✔'stemi' stands for _____ - ✔✔ST segment elevation infarction
✔✔t or f: with st elevation, you are watching tissue death live - ✔✔true