boardReviewJun07A-1 - Board Review 2007 Karl Wagner MD June...

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Unformatted text preview: Board Review 2007 Karl Wagner MD June 14, 2007 Things to read Hall Faust Morgan and Mikhail Bible Jensens Do questions Adult pt had GA with ETT. He is now waking at the end. RR 29, VC 12 cc/kg, MIF -15. Do you extubate? no Criteria for extubation Mechanics -- RR <30, VC >15cc/kg (adult), >10cc/kg (child), MIF greater than -20 Oxygenation PaO2 70mmHg on 40% fiO2, A-a grad <350 with fiO2 100 Ventilation PaCO2 <55, Vd/Vt <0.6 Also afebrile, no pressors, stable vitals, awake and alert What is the O2 consumption for an adult? Neonate? 3 cc/kg and 6 cc/kg respectively Is this a normal gas? Newborn umbilical vein 7.35/40/30 ABGs They will just show you a gas and ask what you should do. Nothing, intubate, give bicarb, leave room. Uvein as before, Uart 7.28/50/20 (remember the weird fetal circ), 60 mins 7.35/30/60, 24 hrs 7.35/30/70, Adult and child 7.4/40/100. How much blood does Vera have? Neonate 0-30 days -- 85cc/kg Infant 1-12 months 80 cc/kg Child 1-12 years 75 cc/kg Adult 70 cc/kg How do you calculate the dose of bicarb? They will tell you the patients base deficit (deviation of bicarb from 24) is x and ask you to choose the appropriate dose of bicarb. Kg x be x 0.2 Note: if infant use 0.4 How fast does CO2 climb in one of Woodrings patients? 6 the first min and 3 every min after. They will just give you the PaCO2 and ask how long the patient has been apneic (dont forget they start at 40!) Can you name the six things I listed on the next slide that decrease FRC? Pregnancy Ascites Neonate GA Obesity Supine position PANGOS What increases dead space?...
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This note was uploaded on 12/16/2011 for the course BIOLOGY 101 taught by Professor Mr.wallace during the Fall '11 term at Montgomery College.

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boardReviewJun07A-1 - Board Review 2007 Karl Wagner MD June...

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