This flow loop is consistent with what pulmonary condition?
Obstructive pulmonary disease
What is this rhythm? (Exact name only)
Ventricular tachycardia
Return of spontaneous circulation
A spike is observed in the exhaled CO2 reading
A spontaneous breathing trial, SIMV or PSV can be used
Difference between Macintosh and Miller blade and where do you place them during intubation?
Macintosh=curved, the vallecula
Miller=straight, lifts epiglottis
Scientific name for croup?
laryngotracheobronchitis
This view analyzes the inferior (bottom) surface of the heart from right arm to left leg.
Lead II
Non-shockable rhytms?
Pulseless electrical activity and Asystole
Cuff is leaking
Leak in the tubing
Exhalation valve is stuck on open
Leak in the water heater
Alarms were not adjusted
Intubate
What is this disease process?
Dullness to percussion, decreased tactile fremitus, absent breath souns.
Pleural effusion
Which lead is placed in the 5th ICS, anterior axillary line?
V5
During intubation, what should be done INITIALLY to confirm a tracheal intubation?
Colorimetric capnography and bilateral chest rise
A 23 year old female (5'6", 60 kg, 132 lbs) is admitted to the ED following a drug overdose. ABG is as follows:
ph 7.34 PaCO2 62 torr PaO2 74 torr HCO3 26 mEq/L
The physician has orders for mechanical ventilation, what would be the most appropriate settings?
A) VC SIMV Vt 360mL, RR 6 bpm, FiO2 55%, PEEP 6cmH2O
B)VC AC Vt 450mL, RR 26 bpm, FiO2 40%, PEEP 2cmH2O
C)VC SIMV Vt 500mL, RR 14 bpm, FiO2 65%, PEEP 10cmH2O
D) VC AC Vt 600mL, RR 10 bpm, FiO2 50%, PEEP 5cmH2O
D) VC AC Vt 600mL, RR 10 bpm, FiO2 50%, PEEP 5cmH2O
It is he difference between the amount of the oxygen in the alveoli (the alveolar oxygen tension [PAO2]) and the amount of oxygen dissolved in the plasma (PaO2), is an important measure to help narrow the cause of hypoxemia. It describes the overall efficiency of oxygen uptake from alveolar gas to pulmonary capillary blood. What do we call this formula?
The A-a gradient
What is most likely the issue?
Pulmonary hypertension due to pulmonary vasoconstriction caused by COPD hypoxemia
Drugs that can be instilled in the ET tube (aka VANEL or NAVEL)?
Valium Atropine Narcan Epinephrine Lidocaine
What are the possible ways to correct Auto-PEEP when you identify it?
Increase E-time (AKA decrease i-time)
Alter I:E ratio
Lower the high MV (lower Vt or RR) (AKA calm the patient down)
Switch to a bigger ET tube size
What is the tube placement location to drain FLUID from the pleural space?
5th to 7th intercostal space in the midaxillary line