bk misc

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btknipe
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44813
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bk misc
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2012-03-28 15:54:29
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bk misc
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  1. Ett tube size adults
    7.5 to 8.5
  2. blade size adults
    4-5
  3. Ett cc inflate amount
    10cc
  4. Direct admit
    bypass er/triage
  5. Hyperbaric chamber
    Sealed chamber supplying a high-pressure atmosphere primarily for medical therapy. Breathing air or oxygen at typically 1.5 – 3 times normal pressure increases the oxygen level in tissues. This effect is used, for example, to treat carbon monoxide poisoning or to inhibit growth of anaerobic bacteria (as in gas gangrene). The compressive effect of the elevated pressure causes damaging gas bubbles in tissues (as in air embolism or decompression sickness) to shrink and gradually be absorbed
  6. Pulmonary shunt
    condition which results when the alveoli of the lung are perfused with blood as normal, but ventilation (the supply of air) fails to supply the perfused region. In other words, the ventilation/perfusion ratio (the ratio of air reaching the alveoli to blood perfusing them) is zero.[1] A pulmonary shunt often occurs when the alveoli fill with fluid, causing parts of the lung to be unventilated although they are still perfused.[2] Intrapulmonary shunting is the main cause of hypoxemia (inadequate blood oxygen) in pulmonary edema and conditions such as pneumonia in which the lungs become consolidated
  7. Neuroleptic
    drug, especially one used in treating mental disorders
  8. Pleural effusion
    excess fluid that accumulates in the pleura, the fluid-filled space that surrounds the lungs. Excessive amounts of such fluid can impair breathing by limiting the expansion of the lungs during inspiration
  9. circulatory overload
    elevation in blood pressure caused by an increased blood volume, as by transfusion. The condition can lead to heart failure or pulmonary edema.
  10. Ibuprofen trade names
    advil motrin nurofen
  11. Ibuprofen use may cause these serious adverse effects
    Gi bleed, heart attack stroke
  12. Np placement
    biggest nare, curve toward mouth
  13. Chest tube
    inserted through the side of the chest into the pleural space. It is used to remove air (pneumothorax) or fluid (pleural effusion, blood, chyle), or pus (empyema) from the intrathoracic space
  14. tactile fremitus
    tremulous vibration of the chest wall during speaking that is palpable on physical examination. Tactile fremitus may be decreased or absent when vibrations from the larynx to the chest surface are impeded by chronic obstructive pulmonary disease, obstruction, pleural effusion, or pneumothorax. It is increased in pneumonia
  15. GSW
    gun shot wound
  16. Obstetrics
    surgical specialty dealing with the care of women and their children during pregnancy (prenatal period), childbirth and the postnatal period
  17. fascia
    a connective tissue that surrounds muscles, groups of muscles, blood vessels, and nerves, binding those structures together like plastic sandwich wraps
  18. Pulmonary edema
    abnormal build up of fluid in the air sacs of the lungs, which leads to shortness of breath
  19. ophthalmology
    the branch of medicine dealing with the eye, including its anatomy, physiology, and pathology
  20. DM I
    occurs when the pancreas does not produce enough insulin to properly control blood sugar levels. Insulin-dependent diabetes
  21. DM II
    body does not respond correctly to insulin. marked by high levels of sugar (glucose) in the blood. Type 2 diabetes is the most common form of diabetes.
  22. anemia
    condition in which the body does not have enough healthy red blood cells. Red blood cells provide oxygen to body tissues
  23. normal blood glucose levels
    70 to 140 mg/dl
  24. pancreas
    function
    • endocrine: a cells secrete glucagon, beta cells secrete insulin
    • exocrine: secrete pancreatic juices - enzymes that help digest food in small intestines
  25. gallbladder function
    stores bile which is secreted by liver - bile emulsifies( suspends globules of fat in water) fats and neutralizes acids in partly digested food
  26. angioedema
    a swelling, similar to hives, but the swelling is beneath the skin rather than on the surface. The hives are called welts. It is also possible to have angioedema without hives.
  27. chyme
    semifluid mass of partly digested food expelled by the stomach into the duodenum. In other words, chyme is partially digested food
  28. pulse pressure
    is the difference between systolic and diastolic blood pressures
  29. cushing's triad
    • checking for ICP from trauma or hemmoragic stroke. 3 things
    • HTN, bradycardia, irregular respirations, sometimes widened pulse pressure
  30. beck's triad
    • checking for cardiac tamponade, 3 things
    • JVD, distant/muffled heart sounds, narrowing pulse pressure
  31. formula for dopamine infusion drip

    pt = 220 lb
    orders - 5mcg dopamine
    drip set 60
    • mcg/kg x kg (weight) x drip set
    • __________________________ = gts/m

    concentration on hand x time
  32. barrium swallow
    • test that may be used to determine the cause of painful swallowing, difficulty with swallowing, abdominal pain, bloodstained vomit, or unexplained weight loss.
    • metallic compound that shows up on x-ray and is used to help see abnormalities in the esophagus and stomach. When taking the test, you drink a preparation containing this solution. The x-rays track its path through your digestive system.
  33. laparotomy
    procedure involving a large incision through the abdominal wall to gain access into the abdominal cavity.
  34. tangential wound
    aka gutter wound. through skin and may graze a structure and exits at another point in skin
  35. DPL
    • Diagnostic peritoneal lavage
    • vertical skin incision is made one third of the distance from the umbilicus to the pubic symphysis. The linea alba is divided and the peritoneum entered after it has been picked up to prevent bowel perforation. A catheter is inserted towards the pelvis and aspiration of material attempted using a syringe. If no blood is aspirated, 1 litre of warm 0.9% saline is infused and after a few (usually 5) minutes this is drained and sent for analysis.
    • performed when intra-abdominal bleeding (hemoperitoneum) usually secondary to trauma is suspected.[1] In a hemodynamically unstable patient with high-risk mechanism of injury, peritoneal lavage is the quickest, most reliable modality to determine whether there is a concomitant intra-abdominal injury requiring laparotomy.
  36. Neuropathy
    collection of disorders that occurs when nerves of the peripheral nervous system (the part of the nervous system outside of the brain and spinal cord) are damaged. The condition is generally referred to as peripheral neuropathy, and it is most commonly due to damage to nerve axons. Neuropathy usually causes pain and numbness in the hands and feet. It can result from traumatic injuries, infections, metabolic disorders, and exposure to toxins. One of the most common causes of neuropathy is diabetes.
  37. lbs to kg, ex 200 lbs
    • 200 /2 = 100
    • 100 x 10% = 10
    • 100 - 10 = 90 kg
  38. ordered dose formula.
    order for 2mg valium. you have a 5ml vial with 10 mg
    • ordered dose = volume on hand x orderd dose / concentration(mg)
    • x = 2mg x 5ml / 10 mg
    • = 1 ml
  39. - parkland formula
    70 kg Male 30% BSA
    infulsion rate? with 15gtts set
    • 4ml/kg x %BSA
    • 8400 or 4200ml 1st 8 hours
    • 4200x15gtts/8hr x 60 -480
    • 131gtts
  40. asymptomatic
    showing no evidence of disease
  41. atypical
    not typical, irregular
  42. cullens sign
    grey turners sign
    mcburneys point
    • cullens - umbillical bruise
    • grey turners - flank bruise
    • mc bur - right umbi appendit
  43. cushings disease
    addisons
    mxedema
    graves disease
    • mxedema-hypothyroidism-puffy face
    • addisons -hypoadrenalism- orthos hypoten
    • cushings- high levels cortisone in blood
    • graves- hyperthtyroidism

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