FPC - Study Guide - CB 100% VERIFIED ANSWERS 2024/2025 CORRECT, Exams of Nursing

Download FPC - Study Guide - CB 100% VERIFIED ANSWERS 2024/2025 CORRECT and more Exams Nursing in PDF only on Docsity! FPC - Study Guide - CB 100% VERIFIED ANSWERS 2024/2025 CORRECT JVD Tamponade Tracheal disruption right main stem intubation Can't bag, can't ventilate Cric Pt was involved in a MVA, can't visualize cords, can't bag... Cric Heat Stroke LOC + respiratory alkalosis & metabolic acidosis Heat Exhaustion Body can still sweat Vent question - if Obstructive... ...then lower ventilation rate to emphasize exhale. Vent question - if Injury... ...higher rate & lower volume to protect sensitive lungs. High PCWP (Pulmonary Capillary Wedge Pressure) Limit fluid, left ventricular failure Babies No fat Pt can move upper extremities but can't flex... Bicep & Deltoid = Spine C6 (pg. 245) Flexion of forearm C5 - C6 Subtle seizures for kids Bicycling, lip smacking, etc. PE on 12-lead changes, minimal usually Tachy Tx for Tetralogy of Fallot (pg. 483) keep PDA (Patent Ductus Arteriosus) open, give Prostaglandin, limit O2 (only thing keeping them alive is open ductus, closes w/ O2) Question of when TPA is NOT contraindicated, believe it said "Precluded"... ...3/4 of the ?'s were obvious, like recent head bleed, recent GI bleed, etc. Bowel sounds in Left chest Diaphragm rupture Two questions regarding Useful Consciousness... ...sources say always put..."least amount of time". Pt is leaving sending facility at a certain at FiO2 0.40 , receiving facility is at this altitude. Whats is the correct FiO2 for flight? Formula is for mmHg!!! (% of O2 Pt is on X pressure of sending) / pressure at altitude (mmHg) Throttle, Fuel, Batteries At night you need 3 mile visibility for VFR...they give you a night helicopter mission question... I put you can't do it due to low visibility NML - non mountain local Night: 800 / 3 Day: 800 / 2 Crash position Seat belt, Sit up knees together, Arms crossed, Chin to chest ELT Emergency Locator Transmitter Post crash Turn off equipment, Exit the aircraft & help, Assemble at 12 o'clock Medication for impending delivery Terbutaline Petechiae on chest & arms for child Meningitis You have a lady who delivered a child and has vaginal bleeding, bleeding won't stop post massage. Uterine Atony S3 murmur CHF, limit fluids Tx for Aortic Dissection Labetalol (not Nipride) Kid post trauma w/ warm skin, low BP, head injury... Neuro Shock Normal variability for Fetus / Mother 10 - 15 BPM Terbutaline stops contractions... Immediately 0.25 mg q 15 min Tetralogy of Fallot treatment Morphine + Knee Flex forward & upward First signs of Herniation LOC Left shoulder pain Spleen (think Kehr's sign) ...it won't ask specifically for the sign, just know left shoulder pain is spleen involvement. Diabetes Insipidus / SIADH Fluid deficit (9 L) SIADH Hyponatremia is the problem. ...give IV hypertonic saline. Esophageal Varices Sandostatin, Beta blockers, Zofran Periumbilical bruising w/ bruising on the flanks Pancreatitis High K (potassium) treatment Normal: 3.5-5.5 mEq/L I believe you will have a question that is what is NOT an acceptable treatment......Sodium bicarb (NaHCO3) + Sodium gluconate Proper Treatment... 1. Calcium given into your veins (IV) to treat the muscle and heart effects of high potassium levels. 2. Glucose and insulin given into your veins (IV) to help lower potassium levels long enough to correct the cause. 3. Kidney dialysis if your kidney function is poor. 4. Medicines that help remove potassium from the intestines before it is absorbed. 5. Sodium bicarbonate if the problem is caused by acidosis. Some water pills (diuretics) 6. Kaexylate - Binds with K+ ions and causes excretion decreasing potassium Rhabdomyolysis Bicarb, Mannitol & Lasix. Bad for Kidneys Parkland formula (4mL) X (kg) X ( % TBSA burned) = total fluid requirement for the first 24 hours after the burn or (4 ml x BSA x kg) / 4 ...from study guide Myoglobinuria Urine Output 100 cc / hr , w/ Sodium Bicarb for Acidosis and Mannitol Isoproterenol (Isuprel) - heart transplant Pt and hypothermic - taken when bradycardic. Clubbed fingers, SOB w/ O2 coming from rural...like 2 weeks post delivery... Results from chronic hypoxia. Tetralogy of Fallot? CONFIRM Transposition of great vessels? CONFIRM Burns to all of back, back of legs, back of head & neck... Parkland formula 1st eight hrs. What is the most common cause for HEMS crash? Financial burden to carry out the mission? CONFIRM Flight tracking while on mission? Every 15 min while on mission Question was indicating Sepsis and asked what NOT to give... Succinylcholine, due to possible high Potassium (K) without lab values. CONFIRM I had a couple of long QRS w/ peaked T questions. One was tricky cause at the very end it said what would you NOT give... Succinylcholine CONFIRM When to actively rewarm? Give fluids, vasopressor or not for hypothermic kid submerged. Bradycardia. Severe Hypothermia? CONFIRM Burn Pt, post fluid resuscitation. Asked for anticipated Sodium and Potassium? High Potassium for cell death. High Sodium from Fluid. CONFIRM Target EtCO2 for head injury 30 - 35 mmHg Head injury w/ high Serum Indicates dehydration...give Mannitol. Sodium Na+ 135-145 mEq/L Serum Osmolality 275-295 mOsm/kg water 1. Intubate and mildly hyperventilate to a PCO2 of 28 - 32. 2. Assure adequate Hgb and cardiac output 3. Adequate Fluid resuscitation, then Mannitol, Hypertonic Solution. 4. Maintain serum sodium 155 5. Serum Osmolarity less than 320 6. Barbituate therapy Anticipated urine output for Burn Pt 30 - 50 cc / hr Burn Pt with low urine output Give more fluids Compartment syndrome - someone got hit by a car 2 hrs ago in the leg...then develops symptoms... Crush injury is 4 hrs of being crushed or more? CONFIRM Myoglobin taxes... Renal system Two Pt's are going to different altitudes to hospitals.... Pt "A" should have more effects since he is traveling more altitude and from Low to High. CONFIRM Pt was given Mag for HTN / seizures w/ pregnancy. She becomes apneic...what's the Tx? Calcium Gluconate CONFIRM Two week old premie is born and has SOB, what intervention can you ask from the sending facility prior to transport? Admin Surfactant. Resp disorders - Surfactant deficiency most common cause of resp distress in premies. Pt has Subcutaneous emphysema post trauma at neck region, what is the likely cause? Esophageal rupture? Tracheobronchial injury? CONFIRM What gas law is applied to Dive injuries? Henry's Law What is the pathophysiology of Dive injuries? Arterial Gas Embolism Potassium, sodium, magnesium, and calcium Hyponatremia What to do if Pt cannot be ventilated and is trapped in MVC? Surgical Cric First sign of head injury / most reliable sign... Altered LOC Intra-aortic Balloon Pump (IABP) Waveforms Know them :) What situations cannot use a Intra-aortic Balloon Pump (IABP)? Sepsis, MI, Cardiogenic shock, Aortic Deficiency What environment is hardest on human body in flight? Cold vs Hot , Dry vs Humid Answer = Cold & Dry Change in altitude formula for FiO2 titration CONFIRM Subcutaneous emphysema indicator of what injury? Trachea Rupture What to do if the Pt keeps getting worse and intubated Pt causes more SQ air... Right mainstem Best drug for thoracic dissection Pt w/ Low heart rate but High pressure? Nitroprusside Ventilating baby with or without O2 HR of 90 Pericarditis EKG Diffuse ST elevation Posterior MI Coronary artery affected. V1-V4 ST depression, progression of tall R waves. I See All Leads Inferior - II , III , aVF Septal - V1 , V2 Anterior - V3 , V4 Lateral - I , AVL , V5 , V6 Lateral MI I, aVL, V5, V6 EKG regarding Swan Ganz balloon - appears like V-tach or V-fib... Pull back Do you transport with the balloon inflated or deflated? CONFIRM V-tach PT intervention Synchronized cardioversion understand CO understand CI understand SVR Cardiogenic Shock CONFIRM Time of Useful consciousness 35,000 ft 30 seconds Time of Useful consciousness - 2nd ? 40, 000 MSL CONFIRM What kind of hypoxia is fixable w/ O2? Hypoxic GI bleed and giving blood CONFIRM What injury occurs the most with MVC's? CONFIRM Hyperkalemic Pt w/ Fever CONFIRM Bruising around the umbilicus w/ ABD pain and Vomiting Pancreas Post MVC shoulder pain and ABD pain... Splenic laceration Changing fluids for a 25 kg pediatric Pt putting out 15 - 30 ml an hour... CONFIRM Why is the urine dark colored - dark tea colored indicator of what? CONFIRM Electric burn injury and fluids... NC at 30%? NRB? CPAP? PIP alarm 20 min into flight... Sedate Coma of unknown origin overdose? give what drug? Downside of AC on conscious or semiconscious Pt? Greater risk for Breath Stacking COPD waveform vs Asthma waveform Question about giving Beta 2 Agonist for a particular waveform... Question about appearance of COPD waveform Drug to consider before transporting premature infant? Surfactant Maintenance fluid for kids - type and quantity - 20 kg kid ? Barodontalgia (aerodontalgia) vs Barosinusitis Barodontalgia - Tooth pain caused by an increase or decrease in ambient pressure, usually reported by aircraft personnel and divers. Barosinusitis - Inflammation of the sinus tract in ambient pressure, most common in frontal and maxillary areas. Which on is affected by Henry's Law? Which law plays a role in sudden decompression from Diving? Henry's Law Cause of SpO2 drop w/ change in altitude? Partial pressure of Oxygen CONFIRM Metabolic acidosis - DKA and HHNK - One question w/ High Sugar and High K but NO Ketones... ? Insulin question - reading higher than 786 - what's your next Insulin choice? Short acting SQ or Infusion? or long acting SQ or Infusion? CONFIRM Hydrocephalus vs Encephalitis - child comes in w/ swollen ventricles Hydrocephalus ? Child w/ seizure complained of headache prior to seizure... possible Meningitis? Continuous chest pain despite NTG and MS - what drug now? choices are Lidocaine, ACE inhibitor, Calcium Channel Blocker. "Calcium Channel Blocker" CONFIRM BP drop and HR increased after admin of NTG - what part of the heart is infarcting? ? What is the purpose of PAWP (pulmonary artery wedge pressure) measurement? ? PAWP (pulmonary artery wedge pressure) o Volume/preload in LEFT side of heart. o Also known as Left Ventricular End Diastolic Pressure (LVEDP) o Normal PAWP = 6-12 mm Hg High PAWP (>12) - left heart failure Low PAWP (<6) - hypovolemia/dehydration o Measured by momentarily inflating distal balloon to allow the catheter to wedge Pulmonary Edema and Dyspnea after being near burning couches - what toxin? Cyanide Organophosphate poisoning drug admin Atropine and 2PAM Chloride DuoDote Auto-Injector (sterile solution of Atropine) at (2.1 mg/0.7 mL) and Pralidoxime Chloride (600 mg/2 mL) in two separate internal chambers. What electrolyte is normally off in chronic alcoholics? Hyponatremia CONFIRM Drug used to stop GI bleed / Esophagus bleed? Sandostatin (octreotide) Antidiarrheal; antidote What is the complication most likely in accidentally removed chest tube? Pneumothorax Which Pt will experience more physiologic change - from 44 feet to 4200 feet OR 9500 feet to 6200 feet? from 44 feet to 4200 feet