Crash Cart et Utensilia Medicorum
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Questions and Answers

Quid est usus principalis Hydroxocobalamini?

  • Antidotum pro Cyanide et Toxicitate Nitroprussidum (correct)
  • Antidotum pro Benzodiazepinum toxicity
  • Antidotum contra Arsenicum toxicitatem
  • Antidotum contra Plumbum toxicitatem

    • Quanta est dosis Hydroxocobalamini pro adultis et pueris?

  • 30 mg/kg
  • 100 mg/kg
  • 50 mg/kg
  • 70 mg/kg (correct)

    • Quoties repetere potest Hydroxocobalaminum administratum?

  • Semel
  • Tres (correct)
  • Duo
  • Quattuor

    • Quod est maximum dosum Hydroxocobalamini adhibendum?

    <p>5 grams</p> Signup and view all the answers

    Quod est forma administrandi Hydroxocobalaminum?

    <p>Intravenosum</p> Signup and view all the answers

    Quod medicamentum necessarium est ad dosim $0.5 mg/kg$?

    <p>Atracurium</p> Signup and view all the answers

    Quam diu durat effectus Vecuronium in dosis $0.1 mg/kg$?

    <p>30-35 minuta</p> Signup and view all the answers

    Quod medicamentum velocitatis altae non exceedit $110$ minuta?

    <p>Rocuronium</p> Signup and view all the answers

    Quid est dosis standardis Rocuronii?

    <p>1.0 mg/kg</p> Signup and view all the answers

    Quod medicamentum non adhibetur pro dura inter $60$ et $120$ minuta?

    <p>Atracurium</p> Signup and view all the answers

    Quid ex sequentibus inaequabilitati QT longiore vitandum est?

    <p>Congestive heart failure</p> Signup and view all the answers

    Quae ratio non adhibenda est in patientibus cum torsades de pointes?

    <p>Antiarhythmica</p> Signup and view all the answers

    Quae conditio non indicata est pro medicamentis in patientibus cum hepatotoxicitate?

    <p>Atrial flutter</p> Signup and view all the answers

    Quae ex sequentibus condiciones vitandae sunt in terapia?

    <p>Congestive heart failure</p> Signup and view all the answers

    Quae medicae notiones in sequentibus admonitiones requirunt?

    <p>Atrial fibrillation/flutter</p> Signup and view all the answers

    Quod genus difficultatis respiratoriae commendatur ad usum medicamentorum cum parvam vel nullam respirationis difficultatem?

    <p>Nulla difficultas respiratoria</p> Signup and view all the answers

    Quae conditio salutis indicat usum medicamentorum pro difficultate respiratoria moderata?

    <p>Difficultas moderata cum oxigenationis problema</p> Signup and view all the answers

    Quae ex sequentibus problematibus respiratoriis non indicat ut medicamenta adhibeantur?

    <p>Difficultas parva vel nulla</p> Signup and view all the answers

    Quis ex sequentibus initialem conditionem pro curatione respiri medicamentorum non approbat?

    <p>Status respiratorius optimus</p> Signup and view all the answers

    Quae ratio non pertinet ad usum medicamentorum in difficultatibus respiratoriis?

    <p>Naturalis origo respiratoria</p> Signup and view all the answers

    Quis est usus obductoris occlusivi in insertione tubi pectoralis?

    <p>Ad vitandum pneumothorax tensionis</p> Signup and view all the answers

    Quot latera obductoris occlusivi flectuntur in insertione tubi pectoralis?

    <p>Tres latera</p> Signup and view all the answers

    Quando usus est quaevis chorda in occlusive dressing?

    <p>Ad summam aeris retinendam</p> Signup and view all the answers

    Quod instrumentum adhibetur ad decompressionem needli?

    <p>Sheath decompressionis</p> Signup and view all the answers

    Quid est principale propositum occlusivi obductoris?

    <p>Aeris intrusum prohibere</p> Signup and view all the answers

    Quae viae aereum sunt aptae pro patientibus qui reflexum gag habent?

    <p>Nasopharyngeal airways (NPA)</p> Signup and view all the answers

    Quis modus aereum non est toleratus a patientibus unresponsive?

    <p>Oropharyngeal airways (OPA)</p> Signup and view all the answers

    In quibus condicionibus Uti Nasopharyngeal airways (NPA) contraindicantur?

    <p>Patientibus cum cranio faciei laesione</p> Signup and view all the answers

    Quae res vera est de Oropharyngeal airways (OPA)?

    <p>OPA non adhibentur ad patientes cum obstructione aereum.</p> Signup and view all the answers

    Quomodo debeat tractari patientes qui semiconscientes sunt?

    <p>Usus NPA est commendabilis.</p> Signup and view all the answers

    Study Notes

    Crash Cart Contents

    • The crash cart is a wheeled medical trolley containing essential equipment and medications for immediate use in critical situations.
    • The cart is organized into separate drawers or compartments, each containing different types of supplies.
    • The drawers contain medications, equipment, and supplies for various clinical scenarios.

    Devices in the Intensive Care Unit

    • The crash cart contains crucial devices for life-saving procedures.
    • Oxygen tanks (cylinders) are included for administering oxygen.
    • Sharps and waste containers are for safe disposal of contaminated needles and fluids.
    • An intravenous (I.V) stand is for intravenous (I.V) infusions, delivering fluids and medications directly into the bloodstream.
    • The crash cart is equipped with a defibrillator to restart cardiac activity through electrical shocks.

    Sedatives and Analgesics

    • These medications are used to induce sedation, provide pain relief, and create amnesia.
    • Analgesics (e.g., morphine, fentanyl) are used to manage pain in critical care.
    • Sedatives (e.g., midazolam, ketamine, etomidate, propofol) cause sedation and amnesia.
    • The doses and onset times vary depending on the sedative/analgesic.

    Muscle Relaxants (Paralysis)

    • Muscle relaxants are used for rapid sequence intubation, during which the patient's airways are opened.
    • Medications like succinylcholine, pancuronium, vecuronium, atracurium, and rocuronium are used.
    • The IV doses vary for managing skeletal muscle relaxation, adjusting dosage for specific patients (infants and children).

    ACLS Medications (Resuscitation Drugs)

    • These medications are crucial in cardiovascular emergencies.
    • Epinephrine (adrenaline) is a medication to treat cardiac arrest (PEA, asystole, VF, and pulseless VT).
    • The dosage varies according to the patient's condition, administration method (IV/IO), and situation (e.g., anaphylaxis).
    • Amiodarone, lidocaine, atropine, and adenosine are used in specific cardiac arrhythmias, bradycardia, and supraventricular tachycardia (PSVT/SVT).
    • The dosages vary depending on the patient and situation.

    Airway Management Equipment

    • The second drawer contains multiple airway management equipment, including different sizes of oropharyngeal airways (OPAs) and nasopharyngeal airways (NPAs).
    • Suction catheters (multiple sizes) for removing secretions are included.
    • Endotracheal tubes (ETTs) - different sizes and types (disposable, cuffed, or un-cuffed reusable) are provided.
    • Laryngoscope handles and blades with spare bulbs and batteries.
    • Devices for checking O2 saturation, such as pulse oximeters and end-tidal CO2 monitoring device are also in this drawer.
    • Additional non-visualized advanced airways such as LMA (Laryngeal Mask Airway) which comes in various sizes to fit the patient's needs

    IV Supplies

    • The intubation supplies consist of cannulas of different sizes (14G, 16G, 18G, etc.), suited for various body types and situations.
    • There are also central venous line supplies (different sizes from 4.0F to 7.0F) for various patients.
    • Measurement devices like a three-way stopcock and a manometer are used for CVP measurement.

    Intraosseous Needles or Devices

    • Intraosseous (IO) access devices for emergency vascular access into the medullary cavity of bone are available.

    Infusion Bags/Solutions

    • IV solutions like Ringer's Lactated, Normal Saline (DNS), or D5W are available in different volumes (500 ml, 1000 ml, etc).

    Defibrillator, Lubricant, Shaver, and Pacemakers

    • Defibrillator electrodes and lubricant (gel) are present to manage cardiac issues.
    • A shaver along with portable pacemakers are included for additional emergency support, including a bipolar lead wire with sheath catheters.

    Chest Tube Drainage Bags and Accessories

    • Chest tubes with various sizes (e.g., 10–40 French size), Heimlich valves, underwater seals, and related accessories are included on the third drawer.

    Personal Protective Equipment (PPE) for Infection Control

    • The sixth drawer is for personal protective equipment, including gloves, masks, and eye protection for safety as well as for isolation purposes.

    Sutures/Dressings

    • The seventh compartment houses different suture materials for use in closing wounds or tissues. Different types of suture (e.g. absorbable (chromic catgut), non-absorbable (PDS, prolene)) are offered alongside various types of dressings and gauze.

    Dressing, Bandages & other Supplies

    • The crash cart contains various dressing supplies including bandages, adhesive dressings, sterile gauze, and packing gauze of different size/types for different needs.

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    Crash Cart - Medical Procedures (PDF)

    Description

    Quiz de contenta cartae crisi et utensilium in unitate critica. Discite de medicamentis, instrumentis et provisionibus ad curationem urgentem necessariam. Facite peritia de sedativis et analgesicis, necnon vita-saluigia machinis in curatione intensiva.

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