CCFP Final Exam Study Guide Verified A+
Abdominal assessment
With abdominal pain ✔️Start with least pain go to most
Inspect
· Auscultate
· Percuss
· Palpate
Abdominal assessment without pain ✔️Without abdominal pain
· Inspect
o Note quality and frequency of sounds
o Auscultation before percussion and palpation
Describe Boyles gas law ✔️Pg 27
o Volume is inversely proportional to pressure
o Volume and pressure
Boyles Balloon
Describe Daltons Law ✔️Pg 28
o In a mixture of non-reacting gasses, the total pressure is equal to the sum of the partial pressures of
the gasses
o Total pressure=partial pressure of all gasses combined
"Daltons Pie"
Describe Charles Law ✔️Pg 28
o temperature directly proportional to volume
,o temperature = volume
o Colder temps= RW fly's better due to denser air
Describe Henry's Law ✔️Pg 28
Henry's Fizzy Soda
At a constant temperature, the amount of a given gas that dissolves in a given type and volume of liquid
is directly proportional to the partial pressure of that gas in equilibrium with that liquid
Describe Gay-Lussac's Law. ✔️The pressure of a gas is directly proportional to the temperature
Volume remains constant
Altitude increase= Temp Decrease
What organs are in the retroperitoneal space? ✔️· Kidneys
· Adrenal glands
· Pancreas
· Nerve roots
· Lymph nodes
· Abdominal aorta
· IVC
Criteria for intubation ✔️Pg : 157
· Failure of airway protection
· Failure of oxygenate
· Failure to ventilate
· Anticipated clinical course
,· 5 Ps
o Protection
o Positive pressure
o Partial pressure of oxygen PO2
o Pulmonary toilet
What is the ROMAN pneumonic used for? ✔️page 157-159
Identifying Difficulty in BVM use
R: radiation/restriction
O: Obesity/obstruction/ Obstructive sleep apnea
M: Mask seal/male sex/ Mallampati
A: Age
N: No teeth
What are the 2 types of Hypovolemic shock ✔️hemorrhagic and non-hemorrhagic
Pg 205
Describe distributive shock ✔️vasomotor dysfunction results in either high/normal arterial resistance
with expanded venous capacitance, or low arterial resistance
Pg 207
Describe septic shock ✔️Shock caused by severe infection, usually a bacterial, fungal or viral infection.
Recognition: 2 or more of the following
AMS
SBP less than or equal to 100mmHG—MAP greater than or equal to 65mmHg
, RR greater than 22
Serum lactate greater than 2mmol/L
Describe neurogenic shock ✔️Occurs with SCI results in the loss of SNS control of vascular tone, which
produces venous and arterial vasodilation.
Relaxed vagal tone below the injury.
Describe anaphylaxis ✔️acute systemic allergic reaction that results from the release of chemical
mediators after an antigen antibody reaction
S/S: Increased HR, decreased BP, warm/hot flushed skin, bronchoconstriction, laryngeal edema,
angioedema, airway compromise
Describe cardiogenic shock ✔️Hypotension caused by cardiac failures that causes a failure of perfusion
of the vital organs.
Mi with LV failure is the most common cause.
o Low BP, AMS, low urine output=classic signs.
o Reduced CI (<1.8Lmin/m2 without <3 support), (<2.2Lmin/m2 with <3 support) SBP 80-90 for >30min,
MAP 30mmHg below baseline or less than 65, AMS, low SBP, cool, pale, diaphoretic, tachypnea
Describe Obstructive shock ✔️Obstruction to cardiovascular flow resulting in impaired diastolic filling
or significantly increase in after load.
What are common causes of Obstructive Shock? ✔️o PE: PT history (major trauma, surgery, lower limb
fractures, joint replacement, spinal cord injury and cancer). Dyspnea, pleuritic chest pain and cough
most common 3. Fluid + Vasopressors = shock treatment
o Cardiac tamponade: blood or effusion accumulates in the closed and relatively noncompliant
pericardial sac (BECKS triad)
Abdominal assessment
With abdominal pain ✔️Start with least pain go to most
Inspect
· Auscultate
· Percuss
· Palpate
Abdominal assessment without pain ✔️Without abdominal pain
· Inspect
o Note quality and frequency of sounds
o Auscultation before percussion and palpation
Describe Boyles gas law ✔️Pg 27
o Volume is inversely proportional to pressure
o Volume and pressure
Boyles Balloon
Describe Daltons Law ✔️Pg 28
o In a mixture of non-reacting gasses, the total pressure is equal to the sum of the partial pressures of
the gasses
o Total pressure=partial pressure of all gasses combined
"Daltons Pie"
Describe Charles Law ✔️Pg 28
o temperature directly proportional to volume
,o temperature = volume
o Colder temps= RW fly's better due to denser air
Describe Henry's Law ✔️Pg 28
Henry's Fizzy Soda
At a constant temperature, the amount of a given gas that dissolves in a given type and volume of liquid
is directly proportional to the partial pressure of that gas in equilibrium with that liquid
Describe Gay-Lussac's Law. ✔️The pressure of a gas is directly proportional to the temperature
Volume remains constant
Altitude increase= Temp Decrease
What organs are in the retroperitoneal space? ✔️· Kidneys
· Adrenal glands
· Pancreas
· Nerve roots
· Lymph nodes
· Abdominal aorta
· IVC
Criteria for intubation ✔️Pg : 157
· Failure of airway protection
· Failure of oxygenate
· Failure to ventilate
· Anticipated clinical course
,· 5 Ps
o Protection
o Positive pressure
o Partial pressure of oxygen PO2
o Pulmonary toilet
What is the ROMAN pneumonic used for? ✔️page 157-159
Identifying Difficulty in BVM use
R: radiation/restriction
O: Obesity/obstruction/ Obstructive sleep apnea
M: Mask seal/male sex/ Mallampati
A: Age
N: No teeth
What are the 2 types of Hypovolemic shock ✔️hemorrhagic and non-hemorrhagic
Pg 205
Describe distributive shock ✔️vasomotor dysfunction results in either high/normal arterial resistance
with expanded venous capacitance, or low arterial resistance
Pg 207
Describe septic shock ✔️Shock caused by severe infection, usually a bacterial, fungal or viral infection.
Recognition: 2 or more of the following
AMS
SBP less than or equal to 100mmHG—MAP greater than or equal to 65mmHg
, RR greater than 22
Serum lactate greater than 2mmol/L
Describe neurogenic shock ✔️Occurs with SCI results in the loss of SNS control of vascular tone, which
produces venous and arterial vasodilation.
Relaxed vagal tone below the injury.
Describe anaphylaxis ✔️acute systemic allergic reaction that results from the release of chemical
mediators after an antigen antibody reaction
S/S: Increased HR, decreased BP, warm/hot flushed skin, bronchoconstriction, laryngeal edema,
angioedema, airway compromise
Describe cardiogenic shock ✔️Hypotension caused by cardiac failures that causes a failure of perfusion
of the vital organs.
Mi with LV failure is the most common cause.
o Low BP, AMS, low urine output=classic signs.
o Reduced CI (<1.8Lmin/m2 without <3 support), (<2.2Lmin/m2 with <3 support) SBP 80-90 for >30min,
MAP 30mmHg below baseline or less than 65, AMS, low SBP, cool, pale, diaphoretic, tachypnea
Describe Obstructive shock ✔️Obstruction to cardiovascular flow resulting in impaired diastolic filling
or significantly increase in after load.
What are common causes of Obstructive Shock? ✔️o PE: PT history (major trauma, surgery, lower limb
fractures, joint replacement, spinal cord injury and cancer). Dyspnea, pleuritic chest pain and cough
most common 3. Fluid + Vasopressors = shock treatment
o Cardiac tamponade: blood or effusion accumulates in the closed and relatively noncompliant
pericardial sac (BECKS triad)
