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14 Cards in this Set
- Front
- Back
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Why do you need at least a 20 gauge needle for peripheral IV
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Any smaller will lyse RBCS
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What artery has the highest chance of infection when inserting a Central venous catheter? lowest?
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highest? Femoral
Lowest? jugular |
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What is the quick and dirty to getting femoral access if in a big hurry?
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two finger breadths of the pubic tubercle
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How do you put a line in the subclavian?
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Put the needle under the bend in the clavicle and direct towards the suprasternal notch
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What is the best way to access the internal jugular?
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Insert needle between the two heads of the sternocleidomastoid, and direct towards the ipsilateral nipple
Posterior method - posterior SCM direct needle to contralateral nipple |
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WHAT IS THE MAINTENANCE RATE FOR GIVING FLUIDS
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4/2/1 rule -
4cc/kg for 1st 10 kg, 2cc/kg for 2nd 10 kg. 1cc/kg for each remaining kg *all of this is per hour 60cc/20kg then 1 cc/kg after that |
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what is important about maintaining fluids for patients?
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keep track of ins and outs
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What is the general rule for transfusion in most patients?
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Hemoglobin <7
cardiac disease patients - 9-10 |
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What is the triangle of death?
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acidosis
hypothermia coagulopathy |
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What are the W's of fever?
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Wind - atelectasis
Water - UTI Wound - infection, usually 3rd day Walking - DVT Wonder drug - Tylenol |
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What should you always do if somebody spikes a fever?
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get a urine sample
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What does a P/F ratio of < 200 mean?
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ARDS
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What does a P/F ratio of <300 mean?
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ALI
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What is the key to managing ARDS
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Higher PEEP and lower tidal volumes
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