Take my breath away
What is the ratio of Heliox:Oxygen we use at KGH?
80:20
How do you measure the insertion depth for the EBM?
Xyphoid->Earlobe ->Nose + 50-100mm
What dose of iNO do we use for pulmonary hypertension
How do we set flow on Airvo for pediatrics?
2L/kg/min
You are doing a Home O2 on the wards. Resting on RA your Sats are 86-87% for 6 minutes. Are you doing an ABG?
NO- dont poke poor grandma. She already qualifies :)
Name two indications for using Heliox
Asthma
Airway narrowing/inflammation/obstruction
What is normal value for transpulmonary PEEP?
PtpPEEP 0-5cmH20
When bagging on iNO why do we prime bagger prior to use?
NO and O2 in RA will mix to form NO2- Need to clear NO2
What are the starting settings for NIV for pediatrics? and what are the max settings?
Starting: 10/5
Max: 20/10
How much lidocaine should you use to freeze prior to arterial line insertion?
1cc (0.5cc on each side)
Name 2 reasons why we would hold a morning SBT
failed SAT, FiO2 >50%, PEEP >8, myocardial ischemia, increased ICP, order from physician to hold, increased vasopressor use
Name the two reasons we use step 1 of the PV tool
Assess lung recruitability
Find optimal PEEP
SHAREPOINT
How do you administer nebs if a kiddo is on Airvo? Explain how this provides best deposition.
Aerogen through circuit (decrease flow to 0.25L/kg/min)
Under 8 months of age, where should you take a capillary gas from?
Heel
What is the suggested dose range for continuous nebulization of ventolin?
10-20mg/hr
How do you know your EBM catheter is in good position?
Cardiac oscillations, CXR- radiopaque square is 5cm above the diaphragm
How do we wean iNO if a patient was on 40ppm?
by 50% Q1H until 5ppm. Then decrease by 1ppm until off.
Inside net, clinical care resources (toolkits)
Also found in ED- filing cabinet in main
Where do you apply the lancet and in what direction relative to the grain?
Side of heel/finger and against the grain
Name 3 reasons you would use an endobronchial tube
Lung isolation/prevent contaminuation (empyema)
ILV (unilateral lung disease)
Surgical procedure
When assessing for recruitability with the PV tool- An NMD% > _____% shows recruitabilit.
>41%
What blood test value should you monitor every shift? and what is your threshold to notify physician?
vomiting
decreased LOC
facial deformities/upper a/w/GI surgeries
Max NIV settings/FiO2 with worsening gases
Check pressure bag
Arm positioning
Assess all ports are open
Assess catheter site/placement
Re-level and re-zero