Cpp
Map -icp
MAP
(Dias x2)+ sBp/3
136x2= 272 + 70 =342
343÷3= 114 map
Pulse pressure
SBP-DBP
E tank amount in min
0.28 x psi of tank ÷ liter flow
.28 x 2000= 560 ÷10lt flow
=56 min of 02 left
Neo nuggets
MAP for less than 44weeks = Age in weeks = map
Infants > 44weeks=
If >10yo sys 90 is low
Age in years x 2 + 70= sys
Anterior fontanel closes @ 12-18 mo
Posterior font closes @12 mo
Ett > 1yr= Age + 16÷4
Dead space calculation
33% of Vt or approx 1ml/pound of ideal body weight
Pressure support should be set no more than 75% of set tidal volume
To prevent lung injury
For air trapping physiology (asthma)
Inc rate, inc vol. ✅ Exp time & exp pressure
When you increase fio2 to correct Hypoxic Hypoxia, the gas law is
Henry’s law
Fio2 x 5
I PaO2 example. 50% x 5= 250mmhg
Cardiac pressure norms
CVP- 2-6 reflect preload
CI (cardiac index)1.9-6.5
= Cardiac output)
PA S/D S- 20-30
D 10-15 ( determine L side❤️ fxn)
MAP PA 10-20
IF >20= Pulm HTN
PCWP 8-12 indication of
Left side preload
>12= L ❤️ fx
< 4= R ❤️ fx
SVR 800-1200( if hi pt I cold shock trying constrict
> 1500 = vasoconstr
(HTN, Hypervol,shk)
<700= vasodial
(Sepsis, anaphalx)
Neonate > 28 week fluid maintenance
100ml/kg/day of D10
Glucose infusion rate
(GIR) = 6-8 mg/kg/day
Dicrotic Notch on Art line
The closing of the AORTIC VALVE= beginning of the diastolic phase
High CVP. Means L ❤️
Low CI. disfunction c
High PA s/d. back press.
High PCWP Hi back press
High SVR= atempt to constrict cold shock
Left systolic disfunction
ETT DEPTH
Age/2+12
Ett Size
Uncuffed= Age/4 +4
Cuffed= Age/4 +3
MR. SOPA
Mask readjust
Reposition head
Suction mouth then nose
Open mouth jaw lift
Pip increase
Airway adjunct
APGAR
Appearance blue,across,pink
Pulse <60-0,>60-100 >100
Grimace nun, feeble cry,cough pull away
Activity muscle 0, lil flex, active
Resp 0, weak, strong
