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Exam (elaborations)

Air Evac Exam with Complete Solutions

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  • Air evacuation
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  • Air Evacuation

Air Evac Exam with Complete Solutions

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  • August 12, 2024
  • 5
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Air evacuation
  • Air evacuation
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LUCKYSTAR2022
Air Evac Exam with Complete Solutions
Consensus Burn Formula - ANS-(2-4 mL * kg) * TSBA

Half of amount is given in first 8 hours following burn, other half given over remaining 16
hours.

Lactated ringers is preferred.

Epinephrine Drip - ANS-2-10 mcg/min

Etomidate - ANS-1) Sedative/hypnotic
2) 0.3 mg/kg
3) Onset: 30-60 sec, duration: 3-5 min
4) Contra: Pregnancy, sepsis, adrenal insufficiency
5) S/E: Vomiting

Fentanyl (post-intubation) - ANS-0.5 - 1.5 mcg/kg q 2 min

Max single dose of 200 mcg

GCS (eyes) - ANS-4) Spontaneous movement
3) Opens to voice
2) Opens to pain
1) No response

GCS (motor) - ANS-6) Appropriate movements
5) Withdraw from pain
4) Localizes pain
3) Decorticate movements (flexion)
2) Decerebrate movements (extension)
1) No movements

GCS (verbal) - ANS-5) Appropriate answers
4) Confused
3) Inappropriate answers
2) Unintelligible/moaning
1) No response

Hypertensive Emergency treatment - ANS-If symptomatic with SBP > 180 and/or SBP >
120

a) Labetalol 20 mg q 10 min doubling each dose to max total of 300 mg

, * MAP should not decrease by > 20% in first hour.
* Contact medical control if Labetalol is ineffective or if cocaine is suspected

Ketamine - ANS-1) Sedative/hypnotic/analgesic
2) 1 mg/kg
3) Onset: 30-60 sec, duration 5-10 min
4) Contra: Heart patients, increased ICP (relative)
5) S/E: Laryngospasm, vomiting

Ketamine (post-intubation) - ANS-Adults:
0.5 - 1.0 mg/kg, may repeat with half initial dose q 15 min

Pediatric:
1.5 - 2.0 mg/kg, may repeat with half initial dose q 15

Lasix Dose - ANS-40 mg or double daily dose up to 200 mg

Mild and severe pre-eclampsia - ANS-Mild:
1) BP >140/90 with proteinuria

Severe:
1) BP >160/110
2) Platelets < 100k
3) AST/ALT >70
4) Creatinine >1.1
5) Abnormal neurological findings

Morphine (post-intubation) - ANS-0.05 - 0.1 mg/kg q 10 min

Nitroglycerine Drip - ANS-10 mcg/min, titrated up by 10 mcg to max of 200 mcg/min

Norepinephrine Drip - ANS-5-10 mcg/min

Oxygen tank formulas - ANS-(PSI x tank factor) / Flow Rate

Tank Factor:

1) D-cyl : 0.16
2) Main: 1.8

Preterm Labor Treatment - ANS-1) Transport on left side
2) IV infusion at 125 mL/hr
3) Magnesium 4 grams over 20 min, then drip at 2 gram/hr
4) Check DTR q 15 min

Rocuronium - ANS-1) Competitive non-depolarizing NMB

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