Air Methods Critical Care Exam (NEW 2023/ 2024 Update) Questions and Verified Answers| 100% Correct| Grade A

Air Methods Critical Care Exam (NEW 2023/ 2024 Update) Questions and Verified Answers| 100% Correct| Grade A

Air Methods Critical Care Exam (NEW 2023/
2024 Update) Questions and Verified
Answers| 100% Correct| Grade A
QUESTION
What is an upper airway obstruction?
Answer: Interruption in airflow through nose, mouth, pharynx, or larynx. The large always
outside the thorax.
QUESTION
PALS What causes upper airway obstruction?
Answer: Airway Swelling
(anaphylactoid rx) ,Infection r/t croup
Aspirated foreign body enlarged tonsils or adenoids
Decreased level of consciousness GCS of 8?
QUESTION
Infants and small children are especially vulnerable to
Answer: Upper airway ob- struction.
Infants are obligate nose breathers.
QUESTION
PALS Management of upper airway obstruction
Answer: position of comfort, or jaw thrust chin lift
100% FIO2 via non rebreather
-Carefully weigh decision to suction. Don’t do it if it’s croup of anaphylaxis.
-give nebulizer epinephrine particularly if swelling is beyond the tongue.
-Give inhaled or IV cortical steroids
-OPA for AMS and NPA for ams with a gag.

• consider cpap.
  -Only experienced intubation should be considered ensure pt can be ventilated prior to paralytic
• prepare for difficult airway (needle cricothyroidotomy)
  QUESTION
  In infants and children, retraction of the skin, muscles, and other tissue around the clavicle
  and between the ribs indicates:
  A.
  shallow breathing. B.
  labored breathing. C.
  see-saw breathing.
  D.
  normal breathing.
  Answer:
  QUESTION
  PALS Management of upper airway obstruction caused by croup.
  Answer:
  QUESTION
  PALS Management of Anaphylaxis
  Answer: In addition to ABC….
• Administer IM epic by auto injector or regular syringe every 10 to 15 minutes as needed.
  Repeat doses may be needed.
  -Treat bronchospasm with albuterol MDI or Nebulizer
  -Give continuous nebulizer treatment if needed.
  -**For severe respiratory distress anticipate further airway swelling and prepare for endotracheal
  intubation
  QUESTION
  PALS Management of anaphylaxis continues

Answer: To treat hypotension:
-Place child in trendelenburg position as tollerated
-administer isotonic crystalloid (NS/LR) at 20ml/kg repeat as needed.
-For hypotension unresponsive to fluids and IM epinephrine, start a gtt at 0.05-2 mcg/kg/min
titrate to effect
QUESTION
Pals Management of anaphylaxis continues finally…
Answer: Administer Diphenhy- dramine 1mg/kg and an H2 blocker, ranitadine IV.
-Administer methylprednisolone or equivalent IV
QUESTION
PALS Management of Lower Airway Obstruction
Answer: After ABC… If assisted ventilation is needed provide at a slow rate.
QUESTION
PALS Management of Lower Airway Obstruction Bronchiolitis
Answer: After ABC
-Suction as needed
Consider labs: viral studies, chest X-ray and ABG
trial nebulize epi or albuterol, if no improvement, Discontinue
QUESTION
PALS Management of acute asthma Mild to Moderate
Answer: -Administer humidified
O2 in high concentration via nasal cannnula or O2 mask. K
-Keep SpO2 >= 94%
-Administer Albuterol via MDI or Nebulizer
-PO corticosteroids

QUESTION
PALS Management of Moderate to Severe Asthma
Answer: -Administer O2 for a
SpO2 >= 94% NC or NRB
-Albuterol via MDI with Spacer or Nebulizer
-Continuous Albuterol may be needed
-Administer Ipatroprium in combo with the albuterol
-Corticosterorids IV
-Magnesium Sulfate 25-50mg/Kg via slow IV bolus over 15 to 30 minutes. MAX 2g
-Labs as indicated
QUESTION
PALS Management of Severe Asthma
Answer: In Addition to all of the interventions for moderate to sever asthma…
-Consider Terbutaline 10mcg/Kg load over 5 minutes SQ or as a gtt 0.1 mcg/kg/min or IM epi as
an alt.
-Bipap
-If refractory hypoxemia intubate.
QUESTION
Epi Dose, Flight nurse trick
Answer: 0.1ML/kg no matter what concentration according to Bill.
QUESTION
PALS Defibrillation dose
Answer: 2 J/kg
QUESTION
PALS Cardioversion dose
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