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CCEMTP
CCEMTP - Liberty Ambulance Critical Care Study Guide
41
Health Care
08/14/2010

Additional Health Care Flashcards

 


 

Cards

Term
What lab value is used to assess the therapeutic level of heparin? What are the desired levels of this test?
Definition

PTT

25-38 Seconds

Term
What lab value is used to assess the therapeutic level of coumadin?  What are the desired levels of this test?
Definition

PT

less than 2 seconds

Term
What is the normal PT value?
Definition
11-15 Seconds
Term
Bucking on the ventilator may mean...
Definition

Hypoxia

Patient needs suctioning

Term
What are signs and symptoms of ventilator toxicity?
Definition
Pulmonary infiltrates VQ (Ventilation/perfusion) mismatch with decreased oxygen transfer
Term
Patients with ARDS and or COPD may need what adjusted when on a ventilator?
Definition
PEEP
Term
What is the proper dose for fentannyl?
Definition
3-5 mcg/kg
Term
What is the potential adverse effect of fentanyl?
Definition
May cause chest wall spasms
Term
When performing RSI, you should preoxygenate for ____ minutes.
Definition
2 minutes
Term
What are the different Meningitis types and the signs/symptoms of each?
Definition

viral and bacterial

 

headache, neck pain, inability to straighten legs and flex neck

Term
Hepatitis B is transmitted by _____?
Definition
Bloodborne
Term
Hepatitis A is transmitted by _____?
Definition
Oral - Fecal
Term
What is the maximum PIP: Peak inspiratory pressure ? Which two conditions may this be increased for?
Definition
< 40 cm of H2O may be increased for ARDS and COPD
Term
What is the proper ventilator rate for an adult?
Definition
10-20 bpm
Term
What is the sensativity of Ventilators?
Definition
-2 cmH20
Term
How often should a "sigh" be set on the ventilator?
Definition
1.5 to 2 times the vent
Term
What is the normal tidal Volume?
Definition
500-600 or 10-15 ml/kg
Term
What is the proper flow rate for ventilators?
Definition
30-60 lpm
Term
List 5 types of abnormal respirations?
Definition
Depression, Failure, Insufficiency, Arrest, V/Q defect or mismatch
Term
Apneustic respirations are caused by...
Definition
Respiratory Center Lesions
Term
Kussmaul Respirations are caused by
Definition
Metabolic Problems
Term
What are reasons for RSI?
Definition
Full Stomach theory, increased ICp, Overdose, Burns, Chest Trauma, Gi Bleed
Term
Biot's respirations are caused by
Definition
CNS Dysfunction Meningitis
Term
Cheyne-Stokes respirations are caused by...
Definition
Increased ICP, CHF, Renal Failure, Meningitis, Overdose
Term
What is thermodilution?
Definition
A way to measure cardiac output by placing cold solutionthrough Swann-Ganz, computer calculates CO by distrubution of cold fluid.
Term
What id the proper location for chest tubes?
Definition
hemo - 5th rib mid - axillary
pnemo - 2-3 third rib mid-clavicular
Term
Tuberculosis is caused by
Definition
Bacteria
Term
What are the signs and symptoms of tuberculosis?
Definition
Cough,night sweats, hemoptysis, fever, pleurisy, anorexia, weight loss
Term
What is the best way to break the circle of transmission?
Definition
Wash your Hands
Term
What is a normal PTT - Partial thromboplastin time value?
Definition
60 - 80 seconds
Term
What is the normal specific gravity for a urinalysis? What does a specific gravity mean?
Definition
1.003 -1.030
Nephrosis = kidney disease
Diabetes
fluid loss
Term
What is the normal urin out put for Adult, Ped, Neonate?
Definition
Adult - 30-70 cc/hr
ped - 1cc/kg/hr
neonate - 2cc/kg/hr
Term
Liver enzymes must be not more than?
Definition
30
Term
What is a normal potassium level?
Definition
3.5 - 5
Term
What is a normal sodium level?
Definition
135 - 145
Term
What is the primary extracellular ion?
Definition
Sodium
Term
What is the rimary intracellular ion?
Definition
Potassium
Term
Herpes Zoster in the Adult is also called?
Definition
Shingles
Term
What is the normal BUN (Blood urea nitrogen: Creatine ratio? What would an abnormal ratio indicate?
Definition
10:1
Indicative of renal failure
Term
ABGs are useful in determining...
Definition
Determining metabolic vs. respiratory acid/base abnormalities
Term
What are normal platelet levels and what are they used to assess?
Definition
150,000 - 400,000 per cubic millimeter of blood mm3
To diagnose and/or monitor bleeding and clotting disorders