Rays section
Shock
Medical
Pediatrics
Everything
100
what level are our bulletproof vests?
front and back - Level 3sides - level 3+
100
hallmarks of left sided and right sided heart failure
Left sided - wet lungs
right sided - jvd, peripheral edema
100
The more the heart is able to expand the greater the force of contraction will be?
Starlings law
100
at what age does it change from back slaps and chest thrusts over to abdominal thrusts?
1 year
100
your patient was involved in an MVA vs train, your patient is moaning but is not speaking, decerebrate, and eyes open to speak. what is his GCS
7
200
what is dose of nitro paste
1 inch
200
what is cushings and becks triad, what do they describe and signs and symptoms
Cushings - Hypertension(widening pulse pressure), Bradycardia, irregular respirations
Becks- JVD, Muffled heart tones, Hypotension
200
what is the normal ejection fractions vs a CHF patient
normal : 55-70
CHF: 30-50
200
what is the treatment for stridor in pediatrics?
epi 1mg/ml mix in 2.5ml saline nebulized
200
stages of labor
Stage 1 - dilation
stage 2 - expulsion
stage 3 - placenta stage
300
what is the parkland burn formula
4ml/kg x BSA x kg =
1/2 given in 1st 8 hours
300
how do you figure target SBP in pediatric hemorrhagic shock?
70 + (2x age)
300
what are the 3 P's of diabetes
Polyuria, Polydipsia, polyphagia
300
what is the medication and proper dosing for seizures in pediatrics
versed
equal to or less than 12 kg = 0.2mg/kg
13-40kg = 5mg
300
what bank on the radios do we use for MCI
Bank E
400
we have a patient who is in stable vtach with a 10 drop set and 100ml NS bag, what should our drops per second be?
1.7 drops per second
100/10=10ml/minute
10ml x 10gtts = 100drop per minute
100/60 = 1.7 drops per second
400
name and treat every type of shock?
400
what are the 3 types of respirations that are indicative of brain herniation?
Cheyne stokes, biot, ataxic
400
your patient is a 10 year old that weighs 70kg, what is your treatments for this patient and dosing
1. vagal manuevers
2. contact medical control
3. administer 6mg adenosine
400
describe the negative feedback loop associated with the pancreas.
fluctuating levels of glucagon and insulin
500
mechanical ventilator setup settings.
Rate - ?
Fi02 - ?
PEEP - ?
Tidal Volume - ?
Mode – Assist Control
Rate – 12 breaths per minute
FiO2 – 100%
PEEP – 5 cm H2O
Tidal Volume – 450ml for female patient and 500ml for male patient
500
Name and explain the RAAS
Renin, angiotensin, aldosterone, system
500
what are some things that cause metabloic acidosis and metabolic alkalosis
acidosis - DKA, uremia, aspirin OD, excessive exercise
alkalosis - excessive vomiting, diuretic medications, OD on drugs that contain sodium bicarbinate
500
what is the medication and dose for pediatric head injuries with asymmetric pupils?
3% hypertonic saline at 4ml/kg to a max of 500ml
500
what is the dose of magnesium sulfate for eclampsia patients? Why is IV preferred over IM? What is a Z track injection?
4-6g in a 100cc bag over 20-25 minutes
Bioavailability and large amount of cc
Ray will explain