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Phase 2 - Block 1
| Question | Answer |
|---|---|
| AFOSH AFI | 91-302 |
| Electrical Safety in MTF AFI | 41-203 |
| Hazard Report Form | 457 |
| Use this if N95 not available | PAPR - powered air purifying respirator |
| PAPR and N95 are ____ masks | HEPA - high efficiency particulate air |
| Hazardous Waste Management Guide AFPAM | 32-7043 |
| Measures amount of radiation exposure | TLD - thermolucent dosimeter |
| Double vision | Biplopia |
| Fixed and dilated pupils | Mydriasis |
| Mydriasis results from | catecholamines, atropine, brain death |
| Pinpoint pupils | parasympathetic stimulants, opiates |
| Eyelid drooping | ptosis |
| Nystagmus | involuntary eye movement |
| JVD indicates | right heart failure |
| Right heart failure is also known as | Cor pulmonale |
| Hemoglobin male | 13.5 - 16.5 |
| Hemoglobin female | 12 - 15 |
| Hematocrit male (%) | 40 - 54 |
| Hematocrit female (%) | 37 - 47 |
| Sodium | 137 - 147 |
| Potassium | 3.5 - 4.8 |
| Glucose | 70 - 105 |
| Radionuclide Lung Scanning measures | ventilation/perfusion and pulmonary embolism |
| Positron Emission Tomopgraphy (PET scan) measures | lesions and cancer |
| Pulmonary Angiography measures | pulmonary circulation |
| Urine output (ml/hr) | 40 - 80 |
| Inspiratory pressures male (cmH2O) | > -75 |
| Inspiratory pressures female (cmH2O) | > -50 |
| Expiratory pressures male (cmH2O) | > 100 |
| Expiratory pressures female (cmH2O) | > 80 |
| Vital Capacity less than ___ (ml/kg) = respiratory failure | < 10 |
| PEFR (LPM) | > 500 |
| RR (BPM) | 12 - 20 |
| VT (ml/kg of IBW) | 5 - 7 |
| Minute Volume (LPM) | < 10 (normal 6 - 10) |
| Static Compliance | VT/Pplat - PEEP |
| Dynamic Compliance | VT/PiP - PEEP |
| RAW (cmH2O/L/sec) | 0.6 - 2.4 |
| PtcCO2 | severinghaus electrode |
| PtcO2 | clark electrode |
| Increase PETCO2 results in | decreased ventilation |
| CVP (mmHg and cmH2O) | < 6 or < 12 |
| CVP measures | Right heart |
| Pulmonary Artery Pressure systolic (mmHg) | 20 - 30 |
| Pulmonary Artery Pressure distolic (mmHg) | 6 - 15 |
| Pulmonary Artery Pressure mean (mmHg) | 10 - 20 |
| PAWP/PCWP (mmHg) | 2 -12 |
| Increase in PAWP/PCWP indicates | left heart |
| Hypertension | > 160/90 |
| Hypotension | < 90/60 |
| SVR (dynes/s/cm-5) | 900 -1400; left heart |
| PVR (dynes/s/cm-5) | 150 - 250; right heart |
| Pre-ductal PaO2 | right arm |
| Post-ductal PaO2 | umbilical artery |
| Pre/post ductal PaO2 difference > 15 torr indicates | right to left shunt |
| If > 15 torr measured recommend this test | echocardiogram |
| CT scan (computed tomography) | slices of body - (useful in lung tumors, pneumonia, COPD, bronchiectasis, AIDS) |
| MRI | high technology radiograph imaging technique |
| IBW equation | 50 + 2.3(height inches - 60) 45.5 + 2.3 (height inches - 60) [multiply by 2.2 for pounds] |
| Pulse Pressure is the | difference between systolic and diastolic |
| Pulse Pressure (mmHg) | 30 - 40 |
| MAP (mean arterial pressure) mmHg | 80 - 100 |
| Cardiac output | fick equation: QC =VO2/C(a-v)O2 ;QC = HR x SV |
| Cardiac output (L/min) | 5 - 8 |
| Polysomnography | sleep study |
| OSA | 10s apnea with abdominal efforts |
| CSA | 10s apnea without abdominal efforts |
| SOB scale | Borg 0-10 |
| CXR, PA | scapulae are rotated away from lung |
| CXR, AP | heart size magnified |
| CXR, lateral | views lung bases and parenchyma |
| CXR, oblique | projects abnormalities away from overlying structures |
| CXR, lordotic | view lung apex, lingual, right middle lobe |
| CXR, lateral decubitus | affected side down; to determine presence of free pleural fluid or air fluid level in lung |
| CXR, lateral neck | distinguishes between croup and epiglottits |
| CXR honeycomb, ground glass, or reticulogranular indicates | ARDS |
| CXR heart measurement | horizontal width of heart divided by widest width of thorax - 1:2 or less |
| CXR COPD | hyperlucency and bullae |
| CXR Pneumonia | white consolidations |
| CXR Atelectasis | displacement of fissures toward collapsed lung; dicoid or platelike |
| CXR left heart failure (CHF) | cardiac silhouette enlarged |
| Mild left heart failure | interstitial edema, pulmonary vessel margins less sharp, peripheral interstitial markings dominant |
| Moderate left heart failure | short lines, Kerley B Lines |
| Severe left heart failure | alveolar edema resulting in opacification of lower lung zones |
| CXR pulmonary embolism | wedge-shaped infiltrate, right heart failure |
| CXR ET tube position | T4-T5; 4-6cm above carina |
| ET tube diameter | 1/2 - 2/3 of tracheal lumen |
| Tracheostomy tube | 1/2 - 2/3 distance between stoma and carina |
| Transcutaneous electrode is placed on | fatty tissue |
| Transcutaneous electrode is ___ degrees celsius | 44 |
| Patient positioning prevents | bed sores, thromboembolism, muscle wasting, atelectasis, pneumonia |
| Absolute contraindications for repositioning patient | unstable spinal cord injuries and traction |
| Avoid leaving ____ patients in supine | comatose / helpless |
| Radiolucent | body tissues that are penetrated by x-rays; produces black area on CXR |
| Radiodensity | ability of object to block x-ray energy, determined by composition and thickness |
| Radiopaque | body tissues that cannot be penetrated produces white area on CXR |
| Consolidation | occurs when fluid present in lung; increase radiodensity |
| Infiltrate demonstrates | area of lung with increased opacity; ill defined |
| MIP measures | muscle strength (diaphragm) |
| MEP varies depending on function of | abdominal, accessory muscles and elastic recoil |
| Pleural friction rub is also known as | pleurisy |
| Stridor caused by | croup, epiglottitis, extubation |
| Kussmaul's | increased RR and depth / labored (DKA patients) |
| Biot's | increased RR and depth w irregular apnea |
| Enlarged and tender lymph nodes | respiratory infection |
| Enlarged, non-tender lymph nodes | malignancy, HIV |
| PERRLA | pupils, equal, round, reactive to light and accommodation |
| Tracheal shift towards | atelectasis |
| Tracheal shift away | pneumothorax, pleural effusion, tumor |
| Two sterile preventative procedures | tracheostomy care, open suctioning |
| Most common method for disinfection | pasteurization |
| Neutropenic | immunosuppressed patient |
| Contact | direct and indirect |
| Droplet | 3-6 feet distance, cough, sneeze, talking, rhinovirus, influenza, rubella |
| Airborne | hangs in air longer, legionellosis, TB, varicella |
| Vehicle | waterborne, foodborne |
| Vector | insect |
| What do we identify when incident occurs | identify who is involved (name and ID), identify witnesses |
| What 3 places can information about chemicals in hospital be found | MSDS, Bioenvironmental, CDC |
Created by:
hspointon
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