Shared Flashcard Set

Details

Critical Care Paramedic
UMBC
25
Medical
Graduate
03/10/2009

Additional Medical Flashcards

 


 

Cards

Term

 

Rule of 9's for ADULTS

 

 

Rule of 9's for PEDS

Definition

Rule of 9's for Adults: 9% for each arm, 18% for each leg, 9% for head,18% for front torso, 18% for back torso

 

Rule of 9's for Children: 9% for each arm, 14% for each leg, 18% for head, 18% for front torso, 18% for back torso.

Term

 

Parkland Formula

 

 

Brooke Formula

Definition

 

4cc x kg x %BSA (1/2 over 1st 8 hours)

 

 

2cc x kg x % BSA (1/2 over 1st 8 hours)

 

 

Term

 

Primary intracellular ion

 

 

Primary extra cellular ion

Definition

 

K+

 

 

Na+

Term

Adult urinary output

 

Pediatric urinary output

 

Neonate urinary output

 

Ideal burn victim urinary output

Definition

30 - 70 cc per hr

 

1 cc / kg / hr

 

2 cc / kg / hr

 

100 cc per hr

Term

Peds Sux dosing

 

Peds Verseed dosing

 

Peds Fentynal dosing

 

Peds Bi-carb dosing

Definition

2 mg / kg

 

0.05 mg /kg

 

1 -2 mcg / kg

 

1 meq / kg

Term

Peds normal BP

 

Peds hypotensive BP

 

Peds normal QRS duration

 

Peds SVT =

Definition

90 + 2 x childs age

 

70 + 2 x childs age

 

QRS < 0.08 s

 

SVT = HR 220 +

Term

 

Boyle's Law

 

 

Dalton's Law

Definition

 P1 + V1 = P2 + V2  

PT = P1 + P2 +... Pn

Term

 

Peds maintenance formula

 

 

Peds bolus

Crystalloid / Colloid

Definition

4 cc / kg for the first 10 kg

2 cc / kg for the next 10 kg

1 cc / kg for any other kg

 

Crystalloid = 20 cc / kg

 

Colloid = 10 cc / kg

Term

 

Adult rewarming C / hr

 

 

Peds rewarming C / hr

Definition

 

2 degrees C / hr

 

 

1 degree C / hr

Term

Normal lab values

 

K+ (relationship to cell)

Na+(relationship to cell)

RBC 

Hgb 

Hct 

 

Definition

Normal Lab values

 

K+ = 3.5 - 5 (intracellular)

Na+ = 135 -145 (extracellular)

RBC = 5

Hgb = 15

Hct = 45

Term

ABG values

 

PCO2

PO2

Ph

HCO3

Platelets

Definition

ABG values

 

PCO2 = 35 - 45

PO2 = 80 - 100

Ph = 7.35 - 7.45

HCO3 = 19 - 25

Platelets = 150k - 400k

Term

Lab values

 

PT

PTT

 B.U.N.

Creatinine

B.U.N. / Creatinine Ratio

Definition

Lab values

 

PT = 11.2 -13.2 (Coumadin)

PTT = 22.1 - 34.1 (Heparin)

B.U.N. = 8 -20

Creatnine = 1.0

10 : 1

Term

RSI

 

Procedure

 

Order of paraylisis

Definition

Preparation, Pre-oxygenate,

Sedation, Paralysis,

Intubation, Confirm & secure

 

1. eyes, face, neck  2. extremities

3. Abdomen  4. Intercostal, epiglottis

5. Diaphragm

Term

 

ICP normal value

 

CPP normal value

 

CPP = ____ - ____

 

 

 

Definition

 

ICP = 0 - 15

 

CPP = 70 - 150

 

CPP = MAP - ICP

Term

 

 

 

Master Formula

Definition

 

 

 

Desired Dose x Kg x Solution Set

Concentration x Time

 

=  Fluid (push) or Flow Rate

Term

RSI drugs (paralytics)

dose : duration 

 

Sux (Adult)

Sux (Peds)

Vecuronium

Pancuronium

 

 

 

Definition

 

 

Sux (Adult) = 1 mg / kg : 3 - 5 min

Sux (Peds) = 2 mg / kg : 3 -5 min

Vecuronium = 0.1 mg /kg : 25 -30 min

Pancuronium = 0.1 mg / kg : 45 - 60 min

Term

Albumin

 

5 % has a __:__ expansion ratio

 

25 % has a __:__ expansion ratio

 

Halflife = ___ hrs

Definition

 

5 % has a 1 : 1 expansion ratio

 

25 % has a 4 : 1 expansion ratio

 

Halflife = 16 hours

Term

SALI                    Leads               Artery

  Inferior                                                    

Lateral                                                  

Anterior                                                  

Posterior                                                 

A-Lateral                                                 

A-Septal                                                  

Definition

SALI                    Leads               Artery

  Inferior               II, III, AVF            RCA       

Lateral               I, AVL, 5, 6          c-Lad    

Anterior              v2, v3, v4             LCA   

Posterior                  v1, v2               RCA     

A-Lateral            I, AVL, v4-6,             LAD     

A-Septal            v1, v2, v3                 LAD    

Term

Axis                  Lead 1                      AVF

 

Normal                                                     

Left (anterior)                                            

Right (Posterior)                                         

Erattic                                                       

Definition

Axis                  Lead 1                      AVF

 

Normal                   up                          up   

Left (anterior)         up                        down  

Right (Posterior)    down                        up    

Erattic                  down                      down   

Term

 

Cardiac Output (CO)

 Cardiac Index

 Stroke Volume

 MAP

MAP formula

 

Definition

Cardiac Output (CO) = 4 - 8 

 Cardiac Index = 2.5 - 4

 Stroke Volume = 60 - 130

 MAP =90 - 120

MAP formula =

Systolic + (2 x Diastolic)

Term

 

CVP

 

Reasons for CVP decrease

 

Reasons for CVP increase

Definition

 

CVP = 2 - 6

 

decrease = hypovolemia, vasodilation

 

increase = RV failure, COPD

Term

 

LVEDP, PCWP, LAP

 

Reasons for decrease in LAP

 

Reasons for increase in LAP

Definition

 

LVEDP, PCWP, LAP = 4 - 12

 

decrease = hypovolemia, vasodilation

 

increase = LV failure, mitral / aortic stenosis

Term

 

SVR (after load) normal

 

SVO2 normal

 

Blood to Crystalloid repacement ratio

Definition

 

SVR (after load) normal = 900 -1400

 

SVO2 normal = 60 -80

 

1 : 3

Term

PAP

 

PA-S RV in systolic

 

Reason for decrease

 

Reason for increase

Definition

PAP

 

PA-S RV in systolic = 20 - 30

 

 decrease = hypovolemia

 

increase = pulmonary edema, COPD, hypox

Term

PAP

 

PA-D LV in diastolic

 

Reason for decrease

 

Reason for increase

Definition

PAP

 

PA-D LV in diastolic = 10 - 15

 

decrease = hypovolemia

 

increase = LV failure, tamponade, mitral

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