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ACCS RT
RT critical care
| Question | Answer |
|---|---|
| BNP | 100 and below, no <3 failure 100-300 mild MI 300-600 moderate MI |
| Cardiac output | 4-8 normal range |
| Vd | Dead space = 1ml per lb of IBW |
| Rales/crackles vs rhonchi | Rales, mobilize secretions Rhonchi can be suctioned. |
| AEC | Airway exchange catheters Superior to bougie |
| Platelets | Transfuse only when less than 10,000 for coagulation |
| 5 types of shock | Volume Cardiac Anaphylaxic Septic Neurogenic kdrugs) |
| Bronchoscopy | 7.0.ETT or bigger |
| NIPPV Initial settings | 12/6 |
| Vent weaning | SBT is preferred |
| P/F Ratio | Pao2/fio2 as a decimal |
| How to use P/F ratio | <300 ALI <200 ARDS |
| 4 ARDS lung protective modes | APRV (bilevel) PC PRVC HFOV |
| Indications for APRV | ALI ARDS extensive atelectasis Difuse PNA TE fistula |
| APRV contraindications | Cerebral edema (increased ICP) Status epileticus Neuromuscular disease COPD / asthma |
| APRV Weaning | Drop & stretch Drop pHi 1-2 cm q2 Drop tHi ,5 for every 1cm drop pHi @pHi 10 switch ro cpap |
| Resistance = | Delta p/delta f |
| Compliance = | Delta v / delta p |
| HFOV Initial Settings | Paw is 5 above Paw on CMV Fio2 100% Hertz 5-6 Power 4 I time 33% Bias flow 40 lpm |
| Carboxyhemoglobin threshold | 20% or greater |
| Myesthenia Gravis Tensilon challenge | If pt improves w tensilon, a MG crisis is happening |
| Keys to monitoring MG | Monitor Vt, MIP, VC |
| Guillan Barre | Can come on slowly, will run its course. Intubate when VC is less than 1.0 L |
| PEs (dead space disease) | V/Q scan to dx |
| Anti coagulants | Heparin, coumadin Clot-buster is streptokinase or heparin bolus |
| Pneumocystic carinii | Common in AIDS patients |
| Test for HIV | Elisa |
| CF | Sweat chloride above 60 mEq/L |
| Inhaled meds for CF | Tobrimyacin, Pulmozyme (dornase alpha) |
| Methemoglobinemia | Caused by drug use Treat w methylene blue |
| Gram + | Mostly cocci Treat w penacillin and other cillins |
| Gram negative | Not the coccis Treat w myacins |
| R!pod Sequence Intubation | 10 mg etomodate 30 mg rocuronium |
| 6altitude sickness (Induced PHTN) | Sildenafil citrate (viagra) |
| Analgesics | Toradol Fentanyl Dilaudid Morphine (vasodilator) |
| Anesthetic | Ketamine |
| Anxiety control | Versed Valium Ativan (benzo) |
| Reverses benzodiazapines | Romazicon |
| Adenosine | For SVT |
| Nitroglycerine | Vasodilator Relaxes smooth muscle |
| Epi | Increases cardiac contraction |
| Atropine | Treats bradycardia |
| Paralytics | Succs (anectine) Vecuronium Pancuronium |
| Resp stimulants | Dopram Duapram. Tx central sleep apnea |
| Pulm vasodilators | Viagra iNo Nitroprusside Hydrolazine diuretic Flolan Beta I blockers |
| Sedation | Propofol Presedex Phenobarbitol (tx high ICP &anticonvulsant) Haldol Etomidate |
| Siezure control | Dilantin |
| Vasodilators | Prostacyclin Dobutamine |
| Dopamine | Vasoconstrictor good for shock Levophed also good if dopamine doesnt work |
| SUDDEN rise in PIP is caused by | Bronchospasm |
| If Pplat increases it means | Atelectasis (Lungs, not airway) |
| Electrolyte imbalance | Angry, irradic behavior |
Created by:
Clohkamp
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