Term
| five major stages of the cardiac cycle |
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Definition
late diastole/ventricular filling
atrial systole
isovolumetric ventricular contraction
ventricular ejection
isovolumic ventricular relaxation |
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Term
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Definition
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Term
|
Definition
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Term
| IABP is a volume displacement device |
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Definition
IABP inflation=increased supply
IABP deflation=decreased demand |
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Term
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Definition
| in thoracic aorta 1-2 cm below the subclavian artery |
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Term
| what percentage of the artery does the IABP occlude |
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Definition
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Term
| absolute contra indications for IABP |
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Definition
aortic valve sufficiency
dissecting aortic aneurysm |
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Term
| what signs will you see with tearing or bursting or the balloon |
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Definition
| blood or rust in the tubing |
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Term
| when should you check limb pulses with an IABP |
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Definition
| 30 minutes after insertion and then every two hours |
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Term
| when should you notify an MD in balloon pump failure |
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Definition
| if the balloon is immobile for 30 minutes or longer |
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Term
| what should you do if the balloon pump machine fails |
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Definition
| inflate and deflate the balloon with the appropriate amount of air (40cc per test) of air every 5 minutes |
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Term
| what happens when the IABP balloon is inflated |
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Definition
| blood is pushed superiorly into the coronary arteries and inferiorly into the distal organs |
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Term
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Definition
uses R wave on the EKG to stimulate baloon inflation
deflated before the full onset of systole |
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Term
| other timing for inflation of IABP |
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Definition
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Term
| during cardiac arrest the IABP must e placed in what mmode |
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Definition
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Term
| IABP is inflated with how much helium |
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Definition
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Term
| what is the purpose of ventricle assist device |
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Definition
| decrease the workload of the heart while maintaining adequate flow and blood pressure |
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Term
| three main functions of the renal system |
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Definition
excretion
elimination
regulation |
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Term
|
Definition
renal function
elevated BUN = poor kidney function |
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Term
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Definition
BUN
Creatinine
urine output
electrolytes |
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Term
| what risk factors do indwelling foley catheters increase |
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Definition
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Term
| contraindication for foley catheters |
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Definition
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Term
| how if foley catheter balloon inflates |
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Definition
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Term
| how many arteries and veins does the umbilical cord contain |
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Definition
| two arteries and one vein |
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Term
| treatment for preterm contractions |
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Definition
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Term
| if giving mag sulfate what must you monitor |
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Definition
deep tendon reflexes
and respiratory status |
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Term
| antidote for mag sulfate toxicity |
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Definition
| calcium gluconate 1 gm over 3 m iinutes |
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Term
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Definition
Volume of air that the lungs can hold with maximal expiration
(5500 to 6000 ml Normal) |
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Term
| Right ahift in oxyhemoglobin curve |
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Definition
| more O2 released from hemoglobin |
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Term
| causes of right shift in oxyhemoglobin curve |
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Definition
increased PCO2
increased temperature
increased 2,3-DPG
decreased pH |
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Term
| Left shift of oxyhemoglobin curve |
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Definition
| holds on to O2 resulting in decreased O2 delivery to tissues |
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Term
| clinical criteria for ARDS |
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Definition
Acute onset
predisposing condition
PaO2/Fio2 <200 regardless of PEEP
bilateral infiltrates on chest x ray
PCWP < 18 mmHg |
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Term
| what causes a left shift in oxyhemoglobin curve |
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Definition
decreased PCO2
decreased temperature
decreased 2,3-DPG
increased pH
carbon monoxide poisoning |
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Term
| Expiratory Reserve Volume (ERV) |
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Definition
Volume of air that can be maximally exhaled after a normal expiration
Approx. 1 L Normal |
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Term
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Definition
The amount of air forced out of the lungs after a maximal respiration.
Approx. 4.6-4.8 L Normal
IRV-ERV=VC |
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Term
| what is the most common cause of medical complication in pregnancy |
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Definition
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Term
| define chronic hypertension |
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Definition
| a blood pressure of 140/90 mmHg before pregnancy or before 20 weeks gestation |
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Term
| what drug is given to treat and prevent seizures in pregnant women |
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Definition
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Term
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Definition
| loading dose IV 4-6 g over 20 minutes followed by a maintenance dose of 1-2 g/h |
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Term
| nuemmonic HELLP is abbreviation of the main findings |
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Definition
Hemolytic anemia
Elevated Liver enzymes
Low Platelet count |
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Term
| Early postpartem hemorrhage |
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Definition
| more than 500 ml blood loss within 24 hours of delivery |
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Term
| late postpartum hemorrhage |
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Definition
| more than 550 ml of blood loss within 6 weeks |
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Term
| severe postpartum hemorrhage |
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Definition
| more than 1000 ml blood loss |
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Term
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Definition
Stay calm
Triage
Assess
baby
Launch
Elevate and Evacuate |
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Term
| what is the goal of FMH (fetal heart monitoring) |
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Definition
| to detect fetal hypoxia and to reduce and avoid harm to the fetus |
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Term
| four components of FHR pattern interpretation |
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Definition
baseline FHR
variables
accelerations
decelerations |
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Term
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Definition
Amount of air expired per minute
RR x TV
5-10 L Normal
(Similar to Cardiac Output) |
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Term
|
Definition
Volume of air that is involved in alveolar gas exchange.
Normal 350 ml |
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Term
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Definition
Volume of air that remains in the conductive region
Normal Approx. 150 ml |
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Term
Physiological Dead Space
VD |
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Definition
The anatomical dead space and the alveolar dead space
(insert really complex, unimportant equation here) |
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Term
| Name the 3 Atmospheric Zones & Altitudes |
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Definition
Physiologic (up to 10k)
Physiologically Deficient (10k to 50k)
Space Equivalent (50k to 250k) |
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Term
| Cardiac silhouette should be no more than _____ of the transverse diamter of the thoracic cage |
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Definition
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Term
| Universal Gas Law States... |
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Definition
| Gas Molecules will move from an area of higher concentration to an area of lower concentration. |
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Term
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Definition
| The amount of gas is determined by its pressure, volume, and temreature. |
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Term
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Definition
| When temperature remains constant, the volume of a gas is inversely proportional to its pressure. |
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Term
| When preparing to transport a patient by fixed wing, what indwelling devices should be modified and how? |
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Definition
MAST Pants (Adjust for Flight altitude)
ETT (Exchange air in cuff for Liquid) |
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Term
| Distal end of the ET tube should be ____ above the carina |
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Definition
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Term
| A - I approach mnemonic device is???? |
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Definition
Airwa
Bony thorax
Cardiac silhouette
Diaphragm
Effusion
Fields (lungs)
Gastric bubble
Hilum
Invasive devices and lines |
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Term
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Definition
The pressue of a gas mixture is the sum of the individual partial pressures of all of the gases in the mixture.
Dalton's Gang... |
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Term
| what is the most serious type of visceral pain |
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Definition
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Term
| what is the onset of ischemic viseral pain |
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Definition
| sudden and extreme in nature |
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Term
| what indwelling equipment should be placed in patients with upper GI bleed |
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Definition
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Term
| what are common causes of Mallory Weiss syndrome |
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Definition
| repeated reguritation, retching or forceful coughing |
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Term
| signs and symptoms of acute liver failure |
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Definition
rapid deterioration of liver function
coagulopathy
AMS |
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Term
| primary cause of acute liver failure |
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Definition
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Term
| treatment for acetaminophen overdose |
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Definition
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Term
| treatment for acetaminophen overdose |
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Definition
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Term
| classic signs and symtoms of esophageal varicies |
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Definition
hematemesis- with or without melena
signs and symptoms of shock |
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Term
| classic signs of appendicitis |
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Definition
anorexia
periumbilical pain
nausea
right lower quadrant pain
vomiting |
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
control the heart rate
reduce contractility
and be prepared for rupture. |
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Term
Name the type of hypoxia manifested by
Inadequate tissue oxygenation secondary to a metabolic disorder or poisoning of the cytochrome oxidase system resulting in cellular inability to utilize oxygen |
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Definition
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Term
| Hyperventilation in flight should always be initally treated as what? |
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Definition
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Term
| clinical indicators for mechanical vent |
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Definition
PaCO2 greater than 50
and/or pH less than 7.30
PaO2 less than 60 with oygen administration of 60%
respiratory rate of greater than 30-35
decreased LOC |
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Term
| Name the components of the neumonic DEATH which is regarding self improved stressors |
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Definition
D rugs
E xhaustion
A lcohol
T obacco
H ypoglycemia |
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Term
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Definition
| gives a preset volume or pressure, patient may initiate breath and will give full perscribed breath |
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Term
|
Definition
| gives a preset volume or pressure and patient may initiate a breath but will only get what he can initiate. pressure support may be added. |
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Term
| A single episode of Hypoxia lower than ___ in the 1st ___ Hours after a TBI will increase mortality 200% |
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Definition
| A single episode of Hypoxia lower than 90% in the 1st 48 Hours after a TBI will increase mortality 200% |
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Term
| What is the approximate volume of CSF within the meninges? |
|
Definition
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Term
| vent settings normal ranges |
|
Definition
FiO2 100%
Volume 6-10 ml/kg
Pressure 18-25
I:E ratio 1:2
Rate: 10-20
peep: 5-10
sensitivity setting: -2
pressure support: less than pressure |
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Term
|
Definition
peak inspiration pressure
normal less than 40 |
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Term
| low pressure alarm for vent settings |
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Definition
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|
Term
| high pressure alarm for vent settings |
|
Definition
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Term
|
Definition
| Preclampsia accompanied by convulsions and or unexplained coma, even in the presence of a PMH of Epilepsy |
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Term
| A Swan Ganz Line has a continuous flow of ___ ml/hr supplied by a Liter of saline in a pressure bag at ___ torr |
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Definition
| 3 ml/hr, pressured to 300 torr |
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
| Volume of RBCs found in 100mL of blood expressed in a percentage |
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Term
|
Definition
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Term
|
Definition
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Term
| Cardiac Output is the amount of blood ejected in what time frame? |
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
|
Definition
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Term
| The brain has ____ minutes of reserve O2 and glucose |
|
Definition
| less then or equal to 2 minutes |
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Term
|
Definition
| 70-100mmHg under 60 is organ failure |
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Term
|
Definition
| 0.6-1.4 (males) 0.6-1.1 (females) |
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Term
|
Definition
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Term
|
Definition
|
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Term
|
Definition
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|
Term
| Modert-severe failure BUN levels |
|
Definition
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Term
|
Definition
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