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Flight Paramedic Certification (IBSC FP-C) 2022

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Flight Paramedic Certification (IBSC FP-C) 2022 Norm ph range ...... ANS - 7.35 - 7.45 Co2 norm range in ABG ...... ANS - 35-45 HCO3 norm range in ABG ......ANS - 22-26 Pa02 of 60 = _____ Sa02 ...... ANS - 90% Name 2 catalysts for respiratory alkalosis ...... ANS - Heat injury, ASA overdose What number indicates ion gap acidosis ...... ANS - greater than or = 16 List "MUDPILES" / causes of ion gap acidosis ...... ANS - Methanol, Uremia, DKA, Propylene Glycol, Isoniazid (INH)/ Iron, Lactate, Ethelyne Glycol, Salicylates What is methanol? ...... ANS - Alcohol poisoning What is uremia? ...... ANS - Kidney failure What is DKA? ...... ANS - Diabetic Ketoacidosis What is propylene glycol? ...... ANS - Liquid agent in Diazapam and Lorazapam Isoniazid (INH) / Iron ...... ANS - Tuperculosis medication / Iron Supplements Lactate ...... ANS - from anaerobic metabolism Ethelyne Glycol ...... ANS - Antifreeze Salicylate ...... ANS - ASA List PAILS and corresponding arteries with leads ...... ANS - posterior - LCX - v1-v4 anterior - LAD - v3,v4 inferior - RCA - II, III, AVF lateral - LCX - I, V5, V6, AVL septal - LAD - v1, v2 Mean Arterial Pressure (MAP) Formula ..... .ANS - SBP + (2 x DBP) _____________ Cerebral Perfusion Pressure (CPP) Formula ...... ANS - MAP - ICP Normal Range for ICP ...... ANS - 0 - 10 mmHg ICP Transducer is placed at _________ ...... ANS - foramen of Monro (level of ear) 2 chemical elements that drastically affect brain ...... ANS - glucose, sodium 3 terms synonymous with brain herniation ...... ANS - uncal, tentorial, brainstem Seeing __________ breathing pattern...suspect increased ICP / herniation ...... ANS - Cheyne - Stokes -intubate -hyperventilate -mannitol -hypertonic solution -Barbituate coma Tx of herniation ...... ANS - -paralyze Never use _____ solutions with herniation ...... ANS - hypotonic Herniation onset seizures can be treated with these 2 ...... ANS - a benzo, or phosphenytoin Skull fracture along sutures ...... ANS - diastatic Skull fx that extend towards base of skull ...... ANS - linear Mulitiple fx that radiate form compressed area like a spider web ...... ANS - linear stellate Fx that result in battle signs, racoon eyes, otorrhea, clear rhinorrhea (leaking CSF) ...... ANS - basilar Name 3 layers of skull, outside to in ...... ANS - skull, dura mater, arachnoid Cephalic hemotoma between skull and dura mater ...... ANS - subdural Cephalic hematoma between dura mater and arachnoid ...... ANS - epidural Cephalic hematoma between brain and arachnoid ...... ANS - sub arachnoid Slow skull bleed that is very lethal ...... ANS - subdural hematoma MMA artery head bleed that has gives pt lucid interval ...... ANS - epidural hematoma Head bleed that shows starfish pattern on CT and gives 'worst headache of you life'. ......ANS - subarachnoid hematoma T or F ; with subarachnoid bleeders, avoid lumbar puntures and keep sys BP under 140 ......A NS - True Drug treatment for Subarachnoid bleed ...... ANS - nimodipine Why is there pupil dilation in Epidural bleeds? ...... ANS - loss of parasympathetic tone after occulomotor nerve injury classic - memory loss diffuse axonal injury - Coma Great drug for intracranial hemorrage that results in high BP ...... ANS - nipride 3 types of concussions ...... ANS - mild - knocked out no memory loss A seizure lasting over 30 minutes ...... ANS - status epilecticus

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