Tension Pneumothorax
- Air Enters Pleural Space, but Can't Exit
 - Trauma or Infection
 - Decreased Breath Sounds
 - Trachea Deviates Away from Affected Side
 - Chest Pain
 - Tachycardia
 - Tachypnea
 - Hypotension
 - Hypoxemia
 - Hyperresonance
 - Emergency
 
Spontaneous Pneumothorax
- Accumulation of Air in Pleural Space
 - Tall and Thin Young Males
 - Bleb or Bulla Rupture
 - Underlying Disease
 - Hypoxemia
 - Chest Pain
 - Decreased Breath Sounds
 - Hyperresonance
 - Shortness of Breath (SOB)
 
Spontaneous Abortion Overview
- Bleeding < 20 weeks Gestation
 - Identify Type
 - Bed Rest
 - Monitor for Hemorrhage
 - Save Pads and Linens
 - RhoGAM
 - Dilation and Curettage (DandC)
 - Cerclage
 - Emotional Support
 
Spontaneous Abortion Types
- Missed Abortion
 - No Fetal Heartbeat, No Cervical Dilation, No Bleeding
 - Threatened Abortion
 - No Cervical Dilation and Minimal Bleeding
 - Inevitable Abortion
 - Bleeding and Cervical Dilation with No Loss of Products of Conception
 - Incomplete Abortion
 - Bleeding and Cervical Dilation with Loss of Some Products of Conception
 - Complete Abortion
 - Bleeding with No Cervical Dilation, with Loss of All Products of Conception
 
Stages of Hypothermia
- 32 to 35°C (90 to 95°F)
 - Shivering
 - 28 to 32°C (82 to 90°F)
 - Obvious Motor Impairment
 - Slowed Thinking
 - < 28°C (< 82°F)
 - Shivering Stops
 - Paradoxical Undressing
 - Arrhythmias
 
Hypothermia Interventions
- Remove From Environment
 - Remove Wet Clothing
 - Warm Clothing
 - Heated Blankets
 - Warm IV Solutions
 - Heated Oxygen
 - Warm Gastric Lavage
 - Warm Trunk BEFORE Extremities
 
Malignant Hyperthermia vs. Neuroleptic Malignant Syndrome vs. Serotonin Syndrome
- Autonomic Instability
 - Muscle Rigidity
 - Ryanodine Receptor 1 Mutation
 - Inhaled Anesthetics
 - Succinylcholine
 - Dantrolene
 - Antidopaminergic Medications
 - Hyporeflexia
 - Myoglobinuria
 - Dantrolene
 - Serotonergic Medications
 - Hyperreflexia
 - Clonus
 - Cyproheptadine
 
Rabies Symptoms and Animals
- Bats, Skunks, and Raccoons (Inside United States)
 - Dog Bites (Outside United States)
 - Fever
 - Agitation
 - Paralysis
 - Hydrophobia
 - Photophobia
 - Fatal If Not Treated
 
Rabies Virus
- Enveloped
 - RNA Virus
 - SS Negative Linear
 - Helical
 - Bullet-Shaped Envelope
 - Binds to Acetylcholine Receptor
 - Retrograde Fashion
 - Migrates to Saliva
 - Negri Bodies
 - Cytoplasmic Inclusions in Neurons
 - Purkinje Cells of Cerebellum
 
Pasteurella multocida
- Gram-Negative
 - Coccobacilli
 - Charcoal Yeast with Iron and Cysteine
 - Zoonotic - Cats and Dogs
 - Cellulitis
 - Osteomyelitis
 - Septic Arthritis
 - Amoxicillin-clavulanate
 - Intravenous Antibiotics for Invasive Disease
 
Clostridium tetani
- Gram-Positive
 - Bacilli
 - Obligate Anaerobic
 - Exotoxin
 - Spore-Forming
 - Renshaw Cells in the Spinal Cord
 - Blocks Glycine and GABA Release
 - Spasms
 - Risus Sardonicus
 - Lockjaw
 - Opisthotonus
 
Clostridium botulinum
- Bacillus
 - Gram-positive
 - Anaerobe
 - Spore-forming
 - Heat Labile Toxin
 - Inhibits Acetylcholine (Ach) Release at Neuromuscular Junction (NMJ)
 - Canned Food in Adults
 - Spores in Honey
 - Descending Flaccid Paralysis
 - Diplopia
 - Ptosis
 - Floppy Baby
 - Constipation
 
Reading a Chest X-Ray
- Airway and Appliances
 - Bones
 - Cardiac
 - Diaphragm
 - Everything Else
 - Masses
 - Pulmonary Vasculature
 - Lung Parenchyma
 
Oxygen Delivery Methods
- Nasal Cannula
 - Simple Face Mask
 - Non-Rebreather Mask
 - Venturi-Mask
 - Oxygen In Use Sign
 - No Electrical Sparks
 - Six Feet Away from Open Flames
 - Dry Nasal and Upper Airway Mucosa
 - Skin Irritation
 - Home Education
 
Amniocentesis
- Transabdominal Puncture
 - > 14 weeks gestation
 - Genetic and Congenital Anomalies
 - Fetal Hemolytic Disease
 - Fetal Lung Maturity
 - Miscarriage
 - Hemorrhage
 - Infection
 - RhoGAM (Rh Immune Globulin)
 
Chest Tubes: Management and Care
- Confirm suction order
 - Crepitus
 - Kinking
 - Shortness of Breath (SOB)
 - Infection
 - Excessive bubbling
 - If tube dislodges from patient, use petroleum gauze taped 3 ways
 - If drainage system is damaged, place disconnected drainage tube in sterile water
 
Wound Drainage Types and Devices
- Serous
 - Serosanguineous
 - Sanguineous
 - Purulent
 - T-tube
 - Penrose
 - Jackson-Pratt (JP)
 - Hemovac
 - Record Drainage Amounts
 - Check Device Function
 
Types of Wound Healing
- Acute
 - Chronic
 - Primary Intention
 - Approximated Edges
 - Secondary Intention
 - Edges Not Approximated
 - Tertiary Intention
 - Delayed Closure due to Infection and Necrosis
 
Stages of Burn Care
- Resuscitative/Emergent Phase
 - Injury to Return of Capillary Permeability
 - 48-72 hours
 - IV Fluid Replacement
 - Acute Phase
 - Diuresis to Near Wound Closure
 - Wound Closure to Return of Optimal Level
 
IV Solutions
- Hypotonic (< 280 mOsm/L)
 - 1/4 Normal Saline (0.225% NaCl)
 - 1/2 Normal Saline (0.45% NaCl)
 - Isotonic (280-300 mOsm)
 - Normal Saline (0.9% NaCl)
 - Lactated Ringer's (LR)
 - Dextrose 5% in Water  (D5W)
 - Hypertonic (> 300 mOsm)
 - 3% or 5% NaCl
 - Dextrose 5% in 0.45% NaCl
 - Dextrose 10% in Water  (D10W)
 
Blood Types
- Allele A is Dominant
 - Allele B is Dominant
 - Allele O is Recessive
 - Genotypes AA and AO have Type A Blood
 - Genotypes BB and BO have Type B Blood
 - Genotype AB is co-dominant and has Type AB Blood
 - Genotype OO Results in Type O Blood
 
Blood Types and Compatibilities
- No Antigens (Type O Blood)
 - Universal Donor
 - A Antigen (Type A Blood)
 - B Antigen (Type B Blood)
 - AB Antigen  (Type AB Blood)
 - Universal Recipient
 - Rh (Rhesus) Antigen
 - Never Rh+ to Rh-
 - Blood Transfusion
 - Obstetric Patient
 
Types of Blood Products
- Whole Blood
 - Packed Red Blood Cells
 - Fresh Frozen Plasma
 - Immunoglobulins
 - Clotting Factors
 - Albumin
 - Platelets
 - Use within 24 Hours
 - Washing Removes Antibodies
 - Irradiation Destroys WBCs
 
Whole Blood Composition
- Plasma
 - Electrolytes And Other Solutes
 - Proteins
 - Albumin
 - Fibrinogen
 - Globulins
 - Water
 - Formed Elements
 - Buffy Coat
 - White Blood Cells (WBC)
 - Platelets
 - Red Blood Cells (RBC)
 
Esophageal Perforation
- Iatrogenic
 - Inflammation
 - Trauma
 - Boerhaave Syndrome
 - Retrosternal Pain
 - Subcutaneous Emphysema
 - Pneumomediastinum
 - Chest X-Ray
 - Esophagram
 - Computed Tomography
 - ABCs (Airway, Breathing, Circulation)
 - Broad-Spectrum Antibiotics
 - Surgical Repair
 
Teratogens
- ACE-Inhibitors: Kidney Damage
 - Aminoglycosides: Ototoxicity
 - Lithium: Ebstein Anomaly
 - Folate Antagonists: Neural Tube Defects
 - Cocaine: Low Birth Weight
 - Cocaine: Placental Abruption
 - Vitamin A Excess: Spontaneous Abortion
 - Vitamin A Excess: Cleft Palate
 - X-Rays: Intellectual Disability
 
Malignant Hyperthermia
- Autosomal-Dominant
 - Ryanodine Receptor 1 Mutation
 - Inhaled Anesthetics
 - Succinylcholine
 - Autonomic Instability
 - Muscle Rigidity
 - Dantrolene
 
Lumbar Puncture
- CSF Sample
 - CSF Pressure
 - Empty Bladder
 - Side-lying Position
 - Between 3rd and 4th Lumbar Vertebrae
 - Number Tubes
 - Supine Position After Procedure
 - Increased ICP (Intracranial Pressure)
 - Infection at Puncture Site
 
Tort Law
- Tort
 - Intentional Tort
 - Assault
 - False Imprisonment
 - Battery
 - Unintentional Tort
 - Negligence
 - Malpractice
 - Documentation
 
Cardiopulmonary Resuscitation (CPR) for Adults
- Scan Scene
 - Activate Emergency Response System
 - Check For Breathing (Max 10 Seconds)
 - Open Airway
 - Compressions: 2 Inches Deep (100-120 Compressions/Min)
 - Airway: Ensure Airway is Still Open
 - Breathing: Administer 2 Rescue Breaths
 - Repeat C-A-B Sequence (30:2) Until Help Arrives