Spatial Areas Spatial Areas of Planning – AICP

Question Answer
National Planning Focus of Fed Programs – Fed Housing (HUD)Fed Transportation (FHWA, FTA) Fed Environmental (Army Corps of Engg)
Multistate Planning Across state boundaries- Environmental and Transportation eg. Tenessee Valley Authority … multi-state planning (flood management, electricity)
TEA 21 Funding for multi-state corridor planning
State Planning Flood plainEnvironmental Protection Dillon's rule
First to introduce mandatory Statewide Planning Hawaii
Statewide Growth Management Plan Maryland
Dillon's Rule State Idaho, Maryland and Michigan
Home Rule State Oregon,New Jersey, Massachusetts, Only Chartered Cities in CA
Sub-state Planning Parks, Environmental, Transportationeg. Silicon Valley – economic sub-state area
County Planning County-Multi-jurisdictionalHazard Mitigation Growth Management Intergovernmnetal Coop
Urban Planning Mostly City focus – Redevelopment/Infill, Traffic Management, Poverty and Heat Island
Urban Heat Island An urban heat island (UHI) is a metropolitan area which is significantly warmer than its surrounding rural areas. advantages – less chance of tornadoesdisadvantages – hotter cities
Suburban Planning Foreclosure, Sprawl, Connectivity, Infrastructure
Placemaking Converting suburbs into 'places' … building a sense of community
Rural Planning Access to InfrastructureFarm EconomicsSmall Town CharacterSocial and health services
Corridor Planning Corridor Transportation PlanningNational Corridor PlanningScenic Corridor PlanningGreenway/Blueway Planning
Issues in Corridor Planning ConnectivitySafetyParkingDesign
SAFETEA-LU Safe Accountable Flexible Eficient Transportation Equity Act – A Legacy for Users Grant program for corridor planning
Proposed I-69(NAFTA Super Highway) Brownsville to CanadaTrans-Tex Corridor (initiative out of NAFTA)
National Scenic Byway Program 1992 Preserve the quality of scenic corridorsUS-1, Elvis Priestly Scenic Hwy (Tenessee to Mississippi)
Neighborhood Neighborhood Unit Concept (Clarence Perry)- 1 mile square area- Arterial roads running on the four sides- Retail, Housing, School and Park- eg. Amarillo, Texas
Waterfront Planning Water AccessibiltyEnvironmental conditionsHazard mitigationEconomic viability
Clean Water Act 1972 Major amendments -Clean Water Act of 1977 -Water Quality Act of 1987
Historic Districts National Register DistrictsState Level Districts
National Historic Act 1966, last amended in 2006The National Register of Historic Places, overseen by the National Park Service
Downtown Planning (similar to Urban Planning) Traffic CirculationDowntown Housing and RetailBusiness Improvement Districts
Business Improvement Districts Property owners agree to a tax rate in exchange for certain enhancement of services, facilities etc. (police patrol, street cleaning etc.)
Special Assessment District (SAD)vs.Business Improvement District (BID)vs. Special District (SD) BID: agree on increase of tax rate SAD: one time increase in property tax associated with the cost of a one-time improvement SD: Isolated taxing unit eg. Fire Improvement Dist leving increase in taxes for special fire services in certain areas
Consolidated Plan Required by the US Dept. of Housing for Block Grant Funding
Who is primarily responsible for Flood Control projects? Planning is done at the National Level US Army Corps of Eng. is responsible for flood control projects.
MPO vs. COG MPO: transportation only, can be a COG (SCAG, SANDAG) COG: can be part of an MPO, can be a city govt. that serves the region in that role, responsible for regional planning issues (solid waste planning, reg. water, growth mngnt etc.) – started 1950
Community Development Corporation (CDC) Non-profit org. that have specific purpose (eg. comm. housing) – eligible for low – income housing tax credits and other fed programs – geog. specific

Practicum III (Peds) Test 3: Martin Lecture 2: medicolegal, PACU

Question Answer Considerations for the pediatric patient rolling to PACU keep warm, presentable (for the parents), bring with emergency equipment (just in case), Organized, side rails up, side-lying, airway cognizant, tonsil position ***At what point is it ok to leave the patient with PACU staff The CRNA must remain with the child until the patient is stable and the PACU team is comfortable and ready to assume the care of the child. sick ratio 1:1 routine ratio 1:2 rate of emergence is directly related to what? duration of anesthesia (with inhaled agents) T/F – midazolam appears to reduce postoperative agitation false – pull out extra midazolam remaining in the stomach prior to PACU Emergence delirium is especially prevalent in what ages? < 6yrs old How to treat emergence delirium low dose opioids, ketoralac, tylenol, time (the faster you emerge them, the higher the likelihood of emgergence delirium How would emergence delirium cost the facility more $ it may be a reason to delay discharge from the PACU Extubation should be followed immediately by ______ and the patient should not be transported until _____ O2, Sats sustained at >= 95% ***Most frequent and worrisome complication Respiratory insufficiency Most common respiratory events that occur in the PACU Hypoxemia, hypoventilation, upper airway obstruction conditions contributing to hypoxemia hypoventilation, diffusion hypoxia, upper airway obstruction, bronchospasm, aspiration of gastric contents, post-obstructive pulmonary edema, pneumothorax, atelectasis (basically anything that would block normal exchange) Minute volume equation MV = RR * Tv Hypoventilation leads to hypercarbia and alveolar collapse Ventilatory response to CO2 is _____ dependent age Differential diagnoses to hypoventilation muscle weakness, respiratory disturbance, upper airway obstruction, inadequate analgesia (breath holding) clinical hallmarks to airway obstruction O2 desaturation, inspiratory stridor, inspiratory retraction, paradoxical chest wall motion Initial intervention to airway obstruction improve airway patency If the initial intervention to airway obstruction fail (improving airway patency), what are you going to do? add O2, atropine + succinylcholine, reintubate Interventions for post-intubation croup humidified O2, nebulized racemic epi over 10 minutes ***Which postoperative patients would need to be MONITORED (in the hospital) former preterm infants that are < 55 weeks PCA, those who are anemic (hct<30%), and those with ongoing apnea. ***If an infant is deemed as high risk for post-operative apnea, what interventions can be done? prophylactic admin of caffeine (10mg/kg) ***Most common cause of bradycardia in infants and children hypoxemia unless proven otherwise! ***Bradycardia – what should be done In this order: O2 and ventillation, atropine (0,02 mg/kg), if no response – epinephrine (2 – 10 mcg/kg), then standard CPR postoperative Tachycardia may be due to hypoxemia, hypercapnia, hypovolemia, emergence delirium, anxiety, pain, sepsis (fever), hypervolemia, full bladder, previously unrecognized conduction abnormality Postoperative pain should be handled in what way multimodal Postoperative multimodal approach would likely include what? Acetaminophen: oral (15mg/kg) OR rectal (35-45 mg/kg preoperatively), ibuprofen (10mg/kg), ketoralac (0.2 – 0.5 mg/kg IV q 6 hrs) – all of which can drop opioid requirements by 25-30% ***which patients would likely be OBSERVED postoperatively for an extended period of time? former preterm infants 55-60 weeks PCA (anemia and apnea do not need to be present) Medicolegal: Make certain you adhere to “policy and procedures” written for individual institutions (if not it may be used against you) an unanticipated event happens: who should be informed the patient and in some cases, the family. Outcomes in general are to be shared with these problems during patient care that have the potential to cause an undesirable or unanticipated outcome Adverse event How old must a patient be to give consent 18 T/F – Consent means to agree to something after thoughtful consideration false (this is assent) Process that provides patients with sufficient information to make an informed choice regarding anesthesia consent A child with a hx of multiple surgeries may have suggestions that should be considered for the anesthetic TIVA indicated for what kinds of sx strabismus / eye sx, any child with high risk of PONV PACU: Increased emergence delirium with _____ (more/less) soluble inhalation agents less Pediatric patient is on doses of theophylline – would they take their morning dose? yes All patients < _____ (what age) need to be admitted for monitoring if receiving general anesthesia full term neonates less than 30 days of age Post conceptual age formula PCA = weeks of age at birth + weeks of age since birth. For example: 25 weeks at birth + 15 weeks since birth = 40 weeks PCA two biggest reasons for tachycardia in the peds patient anxiety and pain prolonged intubation is > ____ (how long) 2 hrs risk factors for post intubation stridor age < 4 years old, multiple attempts at intubation, prolonged intubation, head and neck sx, URI, coughing vigorously prior to intubation, airway trauma, inhalational injury, hx of asthma ways to treat post intubation stridor avoid agitation (crying), cool mist O2, inhaled racemic epinephrine, decadron, reintubation

Deportes espanol 2 sports

Term Definition
al aire libre outdoors
andar en patineta skateboard
el baloncesto basketball
el bate bat
beisbol baseball
bola ball
campo field
casco court
cerrar to close
empezar to begin
entender to understand
el equipo team
esquiar ski
el estadio stadium
favorito favorite
el futbol soccer
el futbol americano football
ganar to win
el gol goal
la gorra baseball cap
el guante glove
el hockey hockey
jugar to play
leventar pesas to lift weights
loca crazy
mas de more than
mas…que more…than
mayor older
menor younger
menos de less than
menos…que less…than
merendar to have a snack
el partido game
patines skates
patineta skateboard
peligroso dangerous
la pelota baseball
pensar to think/plan
peor worse
perder to lose
la piscina swimming pool
preferir to prefer
querer to want
la raqueta racket
saber to know
sobre hielo on ice
surfear to surf
el surfing surfing
tan…como as…as
tanto como as much as
el tenis tennis
le tienda de deportes sporting goods store
el voleibol volleyball

AE 10 Lessons 19 and 20

Question Answer
dilatory intended to delay
languid lacking energy, spirit, or force
lethargy a severe lack of energy and enthusiasm
melancholy deep sadness or depression
quiescent being still, quiet, or inactive
repose rest, relaxation, peacefulness
sloth laziness, avoiding work or effort
somnambilate to sleepwalk
soporific causing or tending to cause sleep
stupor a confused condition of reduced consciousness, often brought on by shock or illness
abhor to hate intensely
affinity a natural attraction, liking, or feeling of kinship
animosity bitter hostility
ardent passionate, showing strong enthusiasm or devotion
disdain to regard or treat with contempt or scorn
enamor to inspire with love
estrange to destroy affection or friendliness
judos praise for exceptional achievement
pejorative disrespectful, insulting
repugnance extreme dislike, disgust

deportes espanol 2 sport

Term Definition
al aire libre outdoors
andar en patineta to skateboard
el baloncesto basketball
el bate bat
el beisbol baseball
la bola ball
el campo field
la cancha court
el casco helmet
cerrer to close
emprezar to begin
entender to understand
el equipo team
esquiar to ski
el estudio stadium
favorito favorite
el futbol soccer
el futbol americano football
ganar to win
el gol goal
la gorra baseball cap
el guante glove
el hockey hockey
jugar to play
levantar pesas to lift wieghts
loco/a crazy
mas de more than
mas…que more…than
mayor older
menor younger
menos de less than
menos…que less..than
merendar to have a snack
el partido game
los pantines skates
la patineta skateboard
peligroso dangerous
la pelota baseball
pensar to think/plan
peer worse
perder to lose
la piscina swimming pool
preferir to prefer
querer to want
la raqueta racket
saber to know
sobre hielo on ice
surfear to surf
el surfing surfing
tan..como as..as
tanto como as much as
el tenis tennis
la tienda de deportes sporting goods store
el voleibol volleybol

Deportes Espanol 2

Question Answer
al aire libre outdoors
andar en patineta to skateboard
el baloncesto basketball
el bate bat
el beisbol baseball (sport)
la bola ball
el campo field
la cancha court
el casco helmet
cerrar to close
empezar to begin
entender to understand
el equipo team
esquiar to ski
el estadio stadium
favorito/a favorite
el futbol soccer
el futbol americano football
ganar to win
el gol goal
la gorra baseball cap
el guante glove
el hockey hockey
jugar to play
levantar pesas to lift weights
loco/a crazy
mas de more than
mas…que more…than
mayor older
menor younger
menos de less than
menos…que less…than
merendar to have a snack
el partido game
los patines skates
la patineta skateboard
peligroso/a dangerous
la pelota baseball (ball)
pensar to think/plan
peor worse
perder to lose
la piscina swimming pool
preferir to prefer
querer to want
la raqueta racket
saber to know
sobre hielo on ice
surfear to surf
el surfing surfing
tan…como as…as
tanto como as much as
el tenis tennis
la tienda de deportes sporting goods store
el voleibol volleyball