Exam 2

What is hyperkalemia?

High potassium

What is the normal pH level?

7.35-7.45

What does ROME stand for?

Respiratory opposite, metabolic equal

When pH is low what is it considered?

acidosis

When pH is high what is it considered?

Alkalosis

What determines respiratory side of pH scale?

CO2

If a patient is in respiratory acidosis, what is happening to their CO2? What about pH?

CO2 is high, pH is low

If a patient is in respiratory alkalosis, what is happening to their CO2? What about their pH?

CO2 is low, pH is high

What are red blood cells called and what do they do?

Erythrocyte, transport oxygen

What are white blood cells called and what do they do?

Leukocytes, fight infection

What are platelets called and what do they do?

Thrombocytes, form clots

What happens to RR in respiratory acidosis?

Lowers

What happens to RR in respiratory alkalosis?

Raises

What are the sites for needle decompression?

2nd or 3rd midclavicular intercostal spaces, 4th or 5th midaxillary intercostal spaces

Why do physicians perform pericardioentesis?

Reliving pressure off the pericardial sac

What types of patients need surgical crics?

If you cannot intubate them

What is peak expiratory flow? What can help if this number is low?

The amount of air exhaled in one breath, bronchodilator

What is the number one goal after post intubation?

Keeping the patient sedated

What is the concentration for epi anaphylaxis?

1mg/ml

What is the adult dose for epinephrine- anaphlyaxis?

0.3 mL

What is the pediatric dose for epinephrine- anaphylaxis?

0.15 mL

What are the four main types of shock?

Hypovolemic (fluid loss), cardiogenic (pump failure), obstructive (obstruction), distributive (vessel problem)

What are the 3 types of distributive shock?

Septic, anaphylaxis, neurological

Need to give patient 10cc/kg of fluid. Pt is 132 lbs, You give a rapid 250cc and need to give the rest over 45 mins using a 10 drop set. How many gtts/min?

78 gtss/min

What type of medication is epinephrine?

Sympathomimetic, alpha 1 and beta agonist

Dose for epi is 5mcg/min. You mix 1mg in 100cc bag using a 60 drop set. How many gtts/min?

30

What is the DOPE mnemonic?

Dislodged, obstructed, pneumothorax, equipment

Two ways of intubation?

Nasotracheal, oraltracheal

If CO2 is up, RR is?

Down

If CO2 is down, RR is?

Up

You are to infuse 500cc of fluid using a 10 drop set. You set your infusion pump at 125 gtta/min. How long will it take to give the whole dose?

40 mins

You are ordered to give 2 mcg/min. You mis 4mg in a 1 L bag using a 60 drop set.Your transport time takes 30 mins. How many gtta/min? How much medication are you to give during the transport?

30 gtts/min, 60mcg