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Scientific notation
Method of expressing very large or very small numbers
scientific notation negative v positive
negative = decimal point is moved to the right
positive = decimal point is moved to the left
Multiplying w/ scientific notation
multiply coefficients and add the exponents
dividing with scientific notation
divide coefficients and subtract exponents
what is required for adding/subtracting w/ scientific notation
must be the same exponents
Correct order for operations (math)
PEMDAS
parenthesis
exponents
multiplication
division
addition
subtraction
1 kg = ___ g
1000 g
1 g = _____ mg
1000 mg
1 mg = ___ mcg
1000 mcg
1 mcg = ____ nanograms
1000 nano grams
1 atm = ____ lbs/inch = ____ mmHg
14.7 lbs/inch
760 mmHg
1 inch = ___ cm
2.54 cm
1 cm = _____ inch
0.394 inch
1 lbs = _____ kg
0.454 kg
1 kg = ____ lbs
2.22 lbs
What is the first step of an infusion rate calculation
must first determinet he concentration of the drug
concentration =
amount of drug added / volume of solution
What is the second step of infusion rate calculations
determine rate after you determine the concentration
1% = ____ mg/mL
10 mg/mL
1: 1000 = ____ mg/mL
1 mg/mL
C to F
C = 5/9 (F - 32)
F to C
F = 9/5C + 32
K to C
K = C + 273
When using ideal gas law what temperature unit should you always use?
kelvin
BMI calculation
kg/m2
BSA calculation
BAS = (cm x kg / 3600)^0.5
What are BSA calculations used to determine?
indices such as:
cardiac index
stroke work index
etc.
Unless the atm is given what should you assume it is
760 mmHg
how to convert to partial pressure
partial pressure = % concentration x 760 mmHg
How to convert partial pressure to %
% = (PP/760 mmHg) x 100
How to calculate MAP
MAP = (SBP + 2DBP) / 3
Why do you multiply DBP 2 x for MAP?
because the heart spends 2x as much time in D as S (assuming normal rate)
What is MAP
average pressure exerted against the walls of the arteries
Calculate perfusion pressures (systemic)
systemic perfusion pressure = MAP - CVP
What do prefusion pressures represent?
Forward force of flow of the organ minus the back force resisting the flow
calculate cerebral perfusion pressure
CPP = MAP - ICP
When can LV perfusion occur
only during diastole
Coronary perfusion pressure calculation
Coronary PP = DBP - LVEDP
What is systemic vascular resistance
Resistance to blood flow in the peripheral vascular system
Major determinant of SVR
arterial tone
What controls arterial tone
SNS and local metabolite accumulation
Normal range SVR
700 - 1600 dyne sec / cm^5
How do you convert from wood units to dynes
((MAP - CVP)/CO) x 80
Ohm's law
what is pH a reflection of
hydrogen ion concentration in a solution
pH <7.0
acidic
pH > 7.0
alkaline
How is pH defined
negative decimal logarithm of the hydrogen ion concentration in a solution
As pH falls what happens to the concentration of hydrogen ions
increases
normal pH
7.35-7.45
How to calculate pH based off hydrogen ion conentration 4 x 10^-8
- (log 4 + log 10^-8)
Fluid deficit calculation "rule"
__ : __ : __
4: 2: 1
4 ml/kg/hr for ifrst 10kg
2mL/kg/hr for 2nd 10 kg
1 mL/kg/hr every kg >20
How do you calculate fluid deficit
hourly req x # of NPO hours
Adult avg blood volume
70 mL/kg
child avg blood volume
80 mL/kg
infant avg blood volume
85 mL/kg
neonate avg blood volume
90 mL/kg
premature avg blood volume
100 mL/kg
How do you calculate maximal allowable blood loss
kg x blood vol x ((Hct0 - Hct1) / Hcta)
**Hct 0 = original
Hct 1 = lowest acceptable
Hact a = avg of 0 and 1
Calculation of pediatric ETT size
(age + 16) / 4
Calculation of ETT depth pediatric
(age/2) + 12
How much should ETT size be decreased by if a cuffed tube is used?
0.5 mm
LMA size calculation
size = (kg/5)^0.5
note: any fraction = round up to next size
Weight estimation in pediatric patients
kg = (age x 3) + 7