RESIDENCY Flashcards

(38 cards)

1
Q

When to do ABG after hooking to mech vent

A

Within an hour

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2
Q

Mech vent: How to set TV

A

6-8cc/kg

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3
Q

Mech vent: How to set FiO2

A

Begin wih 100, wean as tolerated

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4
Q

Mech vent: How to set PEEP

A

Begin with 5

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5
Q

ABG parameter to measure oxygenation

A

PO2

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6
Q

ABG parameter to measure ventilation

A

PCO2

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7
Q

Parameters to manipulate to alter oxygenation (PO2)

A

1) FiO2
2) PEEP
3) I-time

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8
Q

Parameters to manipulate to alter ventilation (PCO2)

A

1) RR
2) TV
3) Shorten I-time to lengthen E-time

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9
Q

Proper ET size

A

(Age/4) + 4 OR

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10
Q

ET length

A

Size x 3 OR
Wt. + 6 OR
(Age/2) + 12

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11
Q

Mech vent: How to set rate

A

Infant: 25-30/min
Child: 15-20/min
Teen: 10-14/min

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12
Q

Incidence of hemophilia A

A

1/10,000 male births

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13
Q

Incidence of hemophilia B

A

1/30,000 male births

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14
Q

Symptomatic female carriers of hemophilia A

A

30%

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15
Q

Factors that increase risk of inhibitor development

A

Surgery
Infection
Most important: Genetics (gene mutation)

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16
Q

% factor activity goal in hemophilia in Phils in factor transfusion

A

60-80%

100% in developed countries

17
Q

% factor activity for adequate hemostasis (hemophilia)

18
Q

How to screen for inhibitors in patients with hemophilia

A

Mixing studies (px plasma + normal plasma –> aPtt: 60% increase from baseline = no inhibitor)

19
Q

Indications for admission of hemophiliac patients

A

1) Life-threatening bleed (excluding hemarthroses)

2) Non-life-threatening bleed IF known to have inhibitor

20
Q

Phenobarbital, side effect (WOF when loading)

A

Respiratory depression

21
Q

Incidence of hemophilia A

A

1/10,000 male birthd

22
Q

Incidence of hemophilia B

A

1/30,000 male births

23
Q

Symptomatic female carriers of hemophilia A

24
Q

Factors that increase risk of inhibitor development

A

Surgery
Infection
Most important: Genetics (gene mutation)

25
% factor activity goal in hemophilia in Phils in factor transfusion
60-80% | 100% in developed countries
26
% factor activity for adequate hemostasis (hemophilia)
30%
27
How to screen for inhibitors in patients with hemophilia
Mixing studies (px plasma + normal plasma --> aPtt: 60% increase from baseline = no inhibitor)
28
Indications for admission of hemophiliac patients
1) Life-threatening bleed (excluding hemarthroses) | 2) Non-life-threatening bleed IF known to have inhibitor
29
Phenobarbital, side effect (WOF when loading)
Respiratory depression
30
Incidence of hemophilia A
1/10,000 male birthd
31
Incidence of hemophilia B
1/30,000 male births
32
Symptomatic female carriers of hemophilia A
30%
33
Factors that increase risk of inhibitor development
Surgery Infection Most important: Genetics (gene mutation)
34
% factor activity goal in hemophilia in Phils in factor transfusion
60-80% | 100% in developed countries
35
% factor activity for adequate hemostasis (hemophilia)
30%
36
How to screen for inhibitors in patients with hemophilia
Mixing studies (px plasma + normal plasma --> aPtt: 60% increase from baseline = no inhibitor)
37
Indications for admission of hemophiliac patients
1) Life-threatening bleed (excluding hemarthroses) | 2) Non-life-threatening bleed IF known to have inhibitor
38
Phenobarbital, side effect (WOF when loading)
Respiratory depression