Rule of 9's for ADULTS

Rule of 9's for PEDS

Rule of 9's for Adults: 9% for each arm, 18% for each leg, 9% for head,18% for front torso, 18% for back torso

Rule of 9's for Children: 9% for each arm, 14% for each leg, 18% for head, 18% for front torso, 18% for back torso.

Parkland Formula

Brooke Formula

4cc x kg x %BSA (1/2 over 1st 8 hours)

2cc x kg x % BSA (1/2 over 1st 8 hours)

Primary intracellular ion

Primary extra cellular ion

K+

Na+

Adult urinary output

Pediatric urinary output

Neonate urinary output

Ideal burn victim urinary output

30 - 70 cc per hr

1 cc / kg / hr

2 cc / kg / hr

100 cc per hr

Peds Sux dosing

Peds Verseed dosing

Peds Fentynal dosing

Peds Bi-carb dosing

2 mg / kg

0.05 mg /kg

1 -2 mcg / kg

1 meq / kg

Peds normal BP

Peds hypotensive BP

Peds normal QRS duration

Peds SVT =

90 + 2 x childs age

70 + 2 x childs age

QRS < 0.08 s

SVT = HR 220 +

Boyle's Law

Dalton's Law

 P1 + V1 = P2 + V2  

PT = P1 + P2 +... Pn

Peds maintenance formula

Peds bolus

Crystalloid / Colloid

4 cc / kg for the first 10 kg

2 cc / kg for the next 10 kg

1 cc / kg for any other kg

Crystalloid = 20 cc / kg

Colloid = 10 cc / kg

Adult rewarming C / hr

Peds rewarming C / hr

2 degrees C / hr

1 degree C / hr

Normal lab values

K+ (relationship to cell)

Na+(relationship to cell)

RBC 

Hgb 

Hct 

Normal Lab values

K+ = 3.5 - 5 (intracellular)

RBC = 5

Hgb = 15

Hct = 45

ABG values

PCO2

PO2

Ph

HCO3

Platelets

ABG values

PCO2 = 35 - 45

PO2 = 80 - 100

Ph = 7.35 - 7.45

HCO3 = 19 - 25

Platelets = 150k - 400k

Lab values

PT

PTT

 B.U.N.

Creatinine

B.U.N. / Creatinine Ratio

Lab values

PT = 11.2 -13.2 (Coumadin)

PTT = 22.1 - 34.1 (Heparin)

B.U.N. = 8 -20

Creatnine = 1.0

10 : 1

RSI

Procedure

Order of paraylisis

Preparation, Pre-oxygenate,

Sedation, Paralysis,

Intubation, Confirm & secure

1. eyes, face, neck  2. extremities

3. Abdomen  4. Intercostal, epiglottis

5. Diaphragm

ICP normal value

CPP normal value

CPP = ____ - ____

ICP = 0 - 15

CPP = 70 - 150

CPP = MAP - ICP

Master Formula

Desired Dose x Kg x Solution Set

Concentration x Time

=  Fluid (push) or Flow Rate

RSI drugs (paralytics)

dose : duration 

Sux (Adult)

Sux (Peds)

Vecuronium

Pancuronium

Sux (Adult) = 1 mg / kg : 3 - 5 min

Sux (Peds) = 2 mg / kg : 3 -5 min

Vecuronium = 0.1 mg /kg : 25 -30 min

Pancuronium = 0.1 mg / kg : 45 - 60 min

Albumin

5 % has a __:__ expansion ratio

25 % has a __:__ expansion ratio

Halflife = ___ hrs

5 % has a 1 : 1 expansion ratio

25 % has a 4 : 1 expansion ratio

Halflife = 16 hours

SALI                    Leads               Artery

  Inferior                                                    

Lateral                                                  

Anterior                                                  

Posterior                                                 

A-Lateral                                                 

A-Septal                                                  

SALI                    Leads               Artery

  Inferior               II, III, AVF            RCA       

Lateral               I, AVL, 5, 6          c-Lad    

Anterior              v2, v3, v4             LCA   

Posterior                  v1, v2               RCA     

A-Lateral            I, AVL, v4-6,             LAD     

A-Septal            v1, v2, v3                 LAD    

Axis                  Lead 1                      AVF

Normal                                                     

Left (anterior)                                            

Right (Posterior)                                         

Erattic                                                       

Axis                  Lead 1                      AVF

Normal                   up                          up   

Left (anterior)         up                        down  

Right (Posterior)    down                        up    

Erattic                  down                      down   

Cardiac Output (CO)

 Cardiac Index

 Stroke Volume

 MAP

MAP formula

Cardiac Output (CO) = 4 - 8 

 Cardiac Index = 2.5 - 4

 Stroke Volume = 60 - 130

 MAP =90 - 120

MAP formula =

Systolic + (2 x Diastolic)

3 

CVP

Reasons for CVP decrease

Reasons for CVP increase

CVP = 2 - 6

decrease = hypovolemia, vasodilation

increase = RV failure, COPD

LVEDP, PCWP, LAP

Reasons for decrease in LAP

Reasons for increase in LAP

LVEDP, PCWP, LAP = 4 - 12

decrease = hypovolemia, vasodilation

increase = LV failure, mitral / aortic stenosis

SVR (after load) normal

SVO2 normal

Blood to Crystalloid repacement ratio

SVR (after load) normal = 900 -1400

SVO2 normal = 60 -80

1 : 3

PAP

PA-S RV in systolic

Reason for decrease

Reason for increase

PAP

PA-S RV in systolic = 20 - 30

 decrease = hypovolemia

increase = pulmonary edema, COPD, hypox

PAP

PA-D LV in diastolic

Reason for decrease

Reason for increase

PAP

PA-D LV in diastolic = 10 - 15

decrease = hypovolemia

increase = LV failure, tamponade, mitral