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Advanced Medical Life Support with complete solutions

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Advanced Medical Life Support with complete solutions

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  • November 2, 2024
  • 34
  • 2024/2025
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BravelRadon
Advanced Medical Life Support with
complete solutions

the six Rs to put together information and make better judgments under pressure - correct answer
✔✔Read the scene

- observe environmental conditions



read the patient

- assess the pat. condition, vital signs, treat life threats, review chief complaint



react

+ manage life threats, ABC, in order discovered, treat pat. based on cardinal presentation



reevaluate

- reassess



revise management plan

- revise management plan to new clinical picture



review performance

- critiquing the call or pat. encounter for reflection



algorithm for AMLS patient assessment - correct answer ✔✔



normal PaCO2 levels - correct answer ✔✔35-45 mmHg (or 5,1-5,6 kPa)



normal PaO2 levels - correct answer ✔✔80-100 mmHg (10-13,5 kPa)

,normal adult male TLC - correct answer ✔✔6000 ml



lung volumes approx:



- IRV



- RV



- ERV



- TV - correct answer ✔✔- 3000



- 1200



- 1200



- 500



minute volume formula - correct answer ✔✔RR x TV - dead space



tactile (vocal) fremitus:



conditions in which it may be increased



conditions in which it may be decreased - correct answer ✔✔- pneumonia



- Ptx, pleural effusion

,how can we ddx respiratory distress from respiratory failure - correct answer ✔✔if pat. improves with
simple resuscitation maneuveres -> respiratory distress



if not -> respiratory failure



normal ETCO2 levels - correct answer ✔✔35-45 mmHg



ABG, BE values, normal range and meaning - correct answer ✔✔normal: -3 to +3



- Ω acidosis



+ Ω alkalosis



ABG, normal HCO3- range - correct answer ✔✔22-26



adjusting postiive-pressure ventilation, how to adjust if:



- increased PaCO2



- decreased Paco2



- how to adjust FiO2 - correct answer ✔✔- increase f x2-5 or VT x 50-100 ml (f is rate)



- decrease fx2-5 or VT x 50-100 ml



- for increases of SpO2 > 95% decrease FiO2 in increments of 5% to maintain SpO2 > 94%



respiratory disorders, examples of initial and basic management techniques - correct answer ✔✔O2

- nasal cannula

, - Venturi, standard face mask

- reservoir



positive-pressure ventilation

- bag-mask device

- CPAP

- BiPAP



invasive airway ventilation

- pressure-cycled ventilation

- volume-cycled ventilation



ABG criteria for acute respiratory failure - correct answer ✔✔PaO2 < 55 mmHg



PaCO2 > 50 mmHg



pH < 7,32



modes of ventilatory support, 4 principal methods - correct answer ✔✔controlled mechanical
ventilation (CMV)

- ventilator deliver breath at preset interval, regardless of patients effort

- for apneic pat. and pharm. paralysis



assist/controlled ventilation (A/C)

- if pat. takes breath, assisted breath is given at the same time, and ventilator monitor resets within 5 sec

- if no breath within 5 sec -> machine delivers and clock starts again



intermittent mandatory ventilation (IMV)

- CMV combined with pat. spontaneous ventilation

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