Clinical Simulation Exam 285 Questions with Verified Answers
If you decrease the frequency while using HFOV, what will increase, leading to what? -
... [Show More] CORRECT ANSWER If frequency decrease, the amplitude will increase, leading to a decrease in PaCO2.
If amplitude increases, what will increase while on HFOV? - CORRECT ANSWER Alveolar Ventilation
If you decrease the frequency, what will happen to the Respiratory Rate? - CORRECT ANSWER It will decrease
Neonate Desired PaO2? - CORRECT ANSWER >60
Neonate Desired PaCO2? - CORRECT ANSWER <50
What will increasing the MAP during HFOV do? - CORRECT ANSWER Increase the PaO2
Normal RR for Neo? - CORRECT ANSWER 30 - 60
Normal BP for Neo? - CORRECT ANSWER 60/40
Normal HR for Neo? - CORRECT ANSWER 110 - 160
Why is HBO (Hyperbaric Chamber) Used for? - CORRECT ANSWER 1. CO Poisoning
2. Decompression Sickness
3. Tissue Transplants
4. Anaerobic Infections
What is the initial HBO pressure? - CORRECT ANSWER 2 - 3 atm
Babinski Reflex - CORRECT ANSWER Used to test neurological functions of the brainstem and spinal cord function.
Helium Oxygen Therapy is indicated for what type of patient? - CORRECT ANSWER Increased Airway Resistance
Oxygen Carbon Dioxide is used to treat conditions of? - CORRECT ANSWER Reduce cerebral blood flow
What is the primary treatment for air embolism? - CORRECT ANSWER Hyperbaric Treatment
What is the primary setting for the HBO, with a patient with air embolism? - CORRECT ANSWER 6 atm
HBO for CO poisoning initial setting is? - CORRECT ANSWER 3 atm
What is an adequate administration time for HBO? - CORRECT ANSWER 90 min. at a time TID first day and BID for three consecutive days
Silverman Score - CORRECT ANSWER Evaluates the level of respiratory distress in neonates, with the score being 0 - 10, 10 being the worst
Dubowitz or Ballard Score - CORRECT ANSWER Used to determine gestational age
L:S Ratio closer to 0, can represent what disease? - CORRECT ANSWER Hyaline Membrane Disease or Respiratory Distress Syndrome
L:S Ratio normal? - CORRECT ANSWER 2:1
Normal Blood Glucose in Neonates? - CORRECT ANSWER >30
Brand Names for Surfactant - CORRECT ANSWER 1. Survanta
2.Exosurf
Recommended dosage for Survanta? - CORRECT ANSWER 100 ml/kg given in 4 equal dosages with 30 sec. apart w/ patient in different positions.
Recommended dosage for Exosurf? - CORRECT ANSWER 5 ml/kg of birth weight given in 2 equal doses, instilled directly to the trachea and baby is ventilated for 30 sec.
What type of patient is most likely to have bronchopulmonary dysplasia? - CORRECT ANSWER Infants with low birth weight and those who receive prolonged mechanical ventilation to treat respiratory distress syndrome
Treatment for BDP (Bronchopulmonary dysplasia? - CORRECT ANSWER Oxygen (CPAP)
Lasix
SABA
Steroids
Chest Physiotherapy
Normal WBC - CORRECT ANSWER 5,000 - 10,000
Normal RBC - CORRECT ANSWER 4 - 6
Normal CVP, Deals? - CORRECT ANSWER 2 - 6, Right Heart
Normal CPWP and Deals? - CORRECT ANSWER 4 - 12, Left Heart
Normal BP - CORRECT ANSWER 120/80
Normal PAP, Deals? - CORRECT ANSWER 25/8, Lungs
Normal MPAP - CORRECT ANSWER 14
Normal Hb - CORRECT ANSWER 12 - 16
Normal HCT - CORRECT ANSWER 40 - 50%
Normal K - CORRECT ANSWER 3.5 - 4.5
Normal Na - CORRECT ANSWER 135 - 145
Normal Cl - CORRECT ANSWER 80 - 100
Normal Creatine, For? - CORRECT ANSWER 0.7 - 1.3, Kidney
Normal BUN, For? - CORRECT ANSWER 8 - 25, Kidney
Normal ICP - CORRECT ANSWER 5 - 10
Normal BNP, For? - CORRECT ANSWER < 100, Cardiac
Normal Troponin, For? - CORRECT ANSWER < 0.1, Cardiac
ETT tube placement - CORRECT ANSWER 21 - 25 cm at lips
Normal CaO2 - CORRECT ANSWER 17 - 20
Normal CvO2 - CORRECT ANSWER 12 - 16
Normal C(a-v)O2 - CORRECT ANSWER 4 - 5
Normal Shunt - CORRECT ANSWER 3 - 5 %
Initial EPAP Settings - CORRECT ANSWER 3 - 4
Initial IPAP Settings - CORRECT ANSWER 6 - 8 above the EPAP
Emphysema Patient Characteristics - CORRECT ANSWER Thin, under weight
Barrel Chest
Clubbing late stage
Hyperresonant Percussion
Diminished breath sounds w/ prolonged expiration
Dyspnea, Pursed lip breathing
Respiratory Pattern Emphysema - CORRECT ANSWER Dyspnea, Pursed lip breathing, Accessory muscle use
Chronic Bronchitis Patient Characteristics - CORRECT ANSWER Overweight
Productive cough
Cyanotic
Rhonchi, Crackles, Wheezes
CXR for COPD - CORRECT ANSWER Hyperlucent, w/ flattened diaphragm
Emphysema DLCO - CORRECT ANSWER Decreased
Pulmonary Function Test for COPD - CORRECT ANSWER Decreased flow rates
COPD CBC will show? - CORRECT ANSWER Increased RBC, HB, HCT on the late stages
Treatment for COPD - CORRECT ANSWER Low Oxygen 1 - 2 L or 24 - 28%
Bronchodilators (SABA, LABA, Anticholinergic)
Antibiotics (Sputum Culture)
NPPV for Acute exacerbations
COPD Rehabilitation program suggestions - CORRECT ANSWER 1. Nutritional management
2. Avoiding infections (Anual flu vaccines)
3. Exercise Program
4. Secretion clearing techniques
5. Home oxygen
6. Appropriate medication administration
What are the 2 conditions and what else that may lead to Bronchiectasis? - CORRECT ANSWER Cystic Fibrosis and Kartagener Syndrome
Reoccurring Infections
Bronchiectasis Patient Characteristics? - CORRECT ANSWER Barrel Chest
Cyanotic
Clubbing
Hyperresonant
Wheezing and Diminished Breath sounds
Bronchiectasis Diagnostic Test - CORRECT ANSWER CT Scan = Increased bronchial wall opacity
Sputum = Infection
Pulmonary Function Test = Decreased flow rates
CXR = Hyperlucent, Depressed Diaphragm
Treatment for Bronchiectasis - CORRECT ANSWER Bronchial Pulmonary Hygiene
Lung Expansion Therapy
Antibiotics for Infection
Expectorants
Aerosolized medications
Surgical Resections of involved segments
Bronchiectasis Triggers - CORRECT ANSWER Upper respiratory infections
Smoking
Polluted environments
Patient Sleep Disorders Characteristics - CORRECT ANSWER Overweight, Short Stocky Neck, enlarged Tonsils, adenoids and tongue
Central sleep apnea caused by and poly results? - CORRECT ANSWER Respiratory Cente, Nasal flow decreased w/ decreased respiratory efforts
Obstructive sleep apnea caused by and poly results? - CORRECT ANSWER anatomic obstruction, Nasal flow decreased w/ increased respiratory efforts
Diagnostic Test for Sleep Apnea - CORRECT ANSWER Polysomnography
CXR = right and left heart enlargement
Pulmonary Function = Decreased volumes
Treatment for Central Sleep Apnea - CORRECT ANSWER NPPV
Treatment for Obstructive Sleep Apnea - CORRECT ANSWER Nasal CPAP
Weight loss
Sleep posture
Oxygen
Surgery
Oral Appliances
Chest Trauma Characteristics - CORRECT ANSWER Respiratory Pattern = paradoxical movement
Color = Cyanotic
Breath sounds = Diminished
Vital Signs = Elevated
Cough = Possible hemoptysis
Chest Trauma Diagnostic Tests - CORRECT ANSWER CXR = Increased opacity
PFT = Decreased vol. and capacities
Vital Signs of Large Pnuemothorax - CORRECT ANSWER Bradycardia, Hypotension, Pulsus Paradoxus
Treatment for Pneumothorax - CORRECT ANSWER Needle decompression
Chest Tube
Hyperinflation Therapy
Hemothorax CBC results? - CORRECT ANSWER Decreased RBC, HCT, and Hb
Treatment for Hemothorax - CORRECT ANSWER Thoracentesis or Chest Tube
Oxygen
Hyperinflation therapy
Treatment for Burning Patient or CO poisoning - CORRECT ANSWER 100% Oxygen
Hyperbaric Chamber
Isolation Room
Monitor ABG, Electrolytes, Fluids
Monitor Infection
Pulmonary Hygiene
Bronchodilators
ARDS Past Medical Hx - CORRECT ANSWER Aspiration, Trauma, Drug Overdose, Fluid Overload, Inhalation Toxins, and Irritants
ARDS CXR - CORRECT ANSWER Honeycomb or Ground glass
ARDS Hemodynamics - CORRECT ANSWER Increased PAP with normal PCWP
Treatment for ARDS - CORRECT ANSWER Underlying cause
CPAP/PEEP after 60%
Monitor Hemodynamics
Prone Positioning
ARDSNet Protocol - CORRECT ANSWER VT < 6ml/kg
Maintain plateau pressure < 30 cm H2O
Recruitment Manuvers
Alternative modes for ARDS - CORRECT ANSWER Inverse Ration
APRV
PRVC
HFV
Permissive Hypercapnia
Pulmonary Vasodilators (INO)
Monitoring for Neuromuscular Disorders - CORRECT ANSWER VT
VC
MIP
Myasthenia Gravis Patient Characteristics - CORRECT ANSWER Mind to ground
Dysphagia, General Weakness
Shallow Breathing
Diminished Breath sounds
Special Tests for Myasthenia Gravis - CORRECT ANSWER Edrophonium (Tensolin)
Medications for Myasthenia Gravis - CORRECT ANSWER Neostigmine (Prostigmin)
Pyridostigmine (Mestinon, Regonol)
Treatment for Myasthenia Gravis - CORRECT ANSWER Pulmonary Hygiene
Mechanical Ventilation
Hyperinflation
What is the proper dosage for treating tuberculosis? - CORRECT ANSWER A six-month treatment regime consisting of daily doses of isoniazid (INH), rifampicin, ethambutol and pyrazinamide for the first two months followed by a twice-weekly administration of INH and rifampin for four months.
pneumocystis jirovecii pneumonia is treated with what? - CORRECT ANSWER Pentamidine (Nebupent)
Pentamidine delivery system? - CORRECT ANSWER Respigard II
Dosage for pentamidine? - CORRECT ANSWER 300 mg, Treatment given once every four weeks for six months is the proper delivery frequency.
Ribavirin treats what? - CORRECT ANSWER RSV (Respiratory Synthetical Virus)
Treatment For Smoking - CORRECT ANSWER Nicotine
Normal Glucose for Infants - CORRECT ANSWER >30
Increase Eosinophils indicate? - CORRECT ANSWER Allergy, Asthma
Increased Monocytes indicate? - CORRECT ANSWER Tuberculosis
Normal HCT - CORRECT ANSWER 40 - 50%
Normal exhaled Carbon Monoxide - CORRECT ANSWER < 7
FeNO Test used to? - CORRECT ANSWER Effectiveness of airway inflammation therapy
Normal ICP - CORRECT ANSWER 5 - 10
Echocardiogram used for? - CORRECT ANSWER Abnormal heart sounds
Cardiac Abnormalities
Normal Neo Heart Rate - CORRECT ANSWER 110 - 160
Normal Neo PaCO2 - CORRECT ANSWER < 50
Pulmonary Angiogram used to identify? - CORRECT ANSWER Pulmonary Embolism
Normal Neo pH - CORRECT ANSWER > 7.30
Barium Swallow - CORRECT ANSWER Indicated for difficulty in swallowing
MRI used to identify? - CORRECT ANSWER Tumors, and soft tissue abnormalities
CT with contrast used to diagnose? - CORRECT ANSWER Pulmonary Embolism
Normal Neo PaO2 - CORRECT ANSWER > 60
CXR Increased vascular markings - CORRECT ANSWER CHF, Left Heart Failure
CXR decreased vascular markings - CORRECT ANSWER Pneumothorax
Croup X-ray - CORRECT ANSWER Steeple Sign
Epiglottis X-ray - CORRECT ANSWER Thumb Sign
Mantoux Test - CORRECT ANSWER Tuberculosis
Transcutaneous Monitor Temp. - CORRECT ANSWER 43 - 45
Cerebral Perfusion Range - CORRECT ANSWER 70 - 90
Therapeutic FiO2 Range - CORRECT ANSWER 30 - 60%
Initial Vt - CORRECT ANSWER 5 - 10 ml/kg
Initial Vt for ARDS - CORRECT ANSWER 6 ml/kg
SVR Formula & Normal - CORRECT ANSWER (MAP - CVP / QT) x 80
Normal 1600 dynes/sec
Normal QT - CORRECT ANSWER 4 - 8 (6)
VD/VT Acceptable - CORRECT ANSWER 60%
VD/VT Normal - CORRECT ANSWER 20 - 40%
PVR Formula & Normal - CORRECT ANSWER (MPAP - PCWP / QT ) x 80
Normal: 200 dynes
PAO2 - CORRECT ANSWER (Pb - 47) FiO2 - PaCO2 x 1.25
Suction Catheter Formula - CORRECT ANSWER (ID/2) x 3
RSBI Formula & Normal - CORRECT ANSWER RR / VT
Normal: < 100
Weaning RR - CORRECT ANSWER 8 - 20
Initial NPPV - CORRECT ANSWER IPAP: 8 - 12
EPAP: 4 - 6
Moderate AHI - CORRECT ANSWER 16 - 30
What measures Sleep Apnea? - CORRECT ANSWER AHI (Apnea Hypopnea Index)
Drug Dilution Formula - CORRECT ANSWER 1. Drug % x 10 = mg/ml
2. # mg/ml x dosage ordered
Ways to measure? - CORRECT ANSWER Stroke Volume
Thermaldilution
Fick Equation
FVC maneuver provides and identifies? - CORRECT ANSWER Flow rates and identifies Obstructive Disease
Initial Pressure for PC - CORRECT ANSWER < 35 or Plateau pressure during AC
Initial Respiratory Rate - CORRECT ANSWER 10 - 20
Initial FiO2 - CORRECT ANSWER 40 - 60% or current FiO2
Initial PEEP - CORRECT ANSWER 2 - 6 or current CPAP
IBW Formula - CORRECT ANSWER 50 + (2 x in over 5 ft)
Initial VT for Asthma - CORRECT ANSWER 4 ml/kg
Neo Initial PEEP - CORRECT ANSWER 2 - 4 or Current CPAP
Neo Initial VT - CORRECT ANSWER 4 - 6 ml/kg
VE Normal & Formula - CORRECT ANSWER < 10 L/min
Formula: VT x RR
Static Compliance Formula - CORRECT ANSWER Vt / (Plateau - PEEP)
MAP Formula - CORRECT ANSWER (Diastolic x 2) - Systolic / 3
What is the effect of Increase PAP and cause? - CORRECT ANSWER Pulmonary Hypoxemia, due to pulmonary vasoconstriction
RAW Formula - CORRECT ANSWER PIP - Plateau
Cheyne Stokes & Cause - CORRECT ANSWER Increase RR and Decreased with periods of apnea.
Cause:Drug OD, Trauma, Strokes
Normal Heart Rate - CORRECT ANSWER 60 - 100
Fine Crackles Indicate & Treatment - CORRECT ANSWER Fluid, Diuretics
Diuretics - CORRECT ANSWER Furosemide (Lasix)
Mannitol (Osmol)
Effects of fluid retention? - CORRECT ANSWER Electrolyte Imbalance
Hemodynamic Instability
Decrease compliance
Anti-tubercular - CORRECT ANSWER Isoniazid (INH)
Rifampin
Ethambutol
Proper Oxygen Flow for Oxyhood - CORRECT ANSWER 7 - 14 L/min
Simple Mask Flow and FiO2 - CORRECT ANSWER Flow : 6 - 10 L/min
FiO2: 40 - 55%
Ultrasonic Nebulizer used to induce? - CORRECT ANSWER Sputum
MVV used for? - CORRECT ANSWER Measures the muscular mechanics of breathing
Alarm on a blender indicates? - CORRECT ANSWER Low inlet pressure < 40
Treatment for Increased Troponin? - CORRECT ANSWER Oxygen
Aspirin
Morphine
Nitroglycerin
APGAR - CORRECT ANSWER Appearance
Pulse
Grimace
Activity
Respiratory Effort
CO normal value? - CORRECT ANSWER < 1%
Vasodilators - CORRECT ANSWER Nitroglycerine (Nipride)
Milrinone (Primacor)
Obstructie Disease - CORRECT ANSWER Cystic fibrosis
Bronchiectasis
Asthma
Bronchitis
Emphysema
Bradypnea Causes - CORRECT ANSWER Sleeping, Drug Overdose
Biots and Cause - CORRECT ANSWER Increased respiratory rate and periods of apnea
Causes: CNS Problem
Muscle Hypertrophy - CORRECT ANSWER COPD
Muscle Atrophy - CORRECT ANSWER Neuromuscular Disease
Pulsus Paradoxus Cause - CORRECT ANSWER Hyperinflation, Air trapping
Rhoncial Fremitus indicative of? - CORRECT ANSWER Secretions in the airway
Positive Inotropic Agents - CORRECT ANSWER Digoxin
Digitalis
Stridor Treatment - CORRECT ANSWER Racemic Epinephrine
Bronchoscopy
Hyperluncency over soft tissue indicates? - CORRECT ANSWER Subcutaneous Emphysema
Proper ETT Placement? - CORRECT ANSWER 2 - 6 cm Carina
Pleural Friction and Treatment - CORRECT ANSWER Pleurisy, TB, Pneumonia
Treatment: Steroids, Antibiotics
Lower Inflection Point Treatment - CORRECT ANSWER Increasing PEEP, Adjusting Breath
Acid Fast Stain Test - CORRECT ANSWER Tuberculosis
Depressed T Wave indicates - CORRECT ANSWER Ischemia
Elevated ST Segment Indicates - CORRECT ANSWER Injury
Elevated Q Wave Indicate - CORRECT ANSWER Infarction
Term Infant Age - CORRECT ANSWER 38 - 42
Infant Temp - CORRECT ANSWER 36.5
Term Infant BP - CORRECT ANSWER 60/40
Infant RR - CORRECT ANSWER 30 - 60
Preterm Infant BP - CORRECT ANSWER 50/30
Dubowitz/Ballard Method - CORRECT ANSWER Gestational Age
Infant Echocardiogram indicated? - CORRECT ANSWER Infant with Shunt
Vasoconstrictions increase? - CORRECT ANSWER BP and QT
Vasodilators decrease? - CORRECT ANSWER BP and QT
Cyanosis cause - CORRECT ANSWER Hypoxia
Erythema cause - CORRECT ANSWER Inflammation, Swelling
Clubbing caused by? - CORRECT ANSWER Chronic Hypoxemia, COPD, Cystic Fibrosis
Peripheral Edema caused by? - CORRECT ANSWER CHF, Renal Failure
General Malaise caused by? - CORRECT ANSWER Electrolyte imbalance
Orthopnea caused by? - CORRECT ANSWER CHF
Obtunded Patient, should be? - CORRECT ANSWER Intubated to protect airway
Sedatives - CORRECT ANSWER Diazepam (Valium)
Midazalam (Versed)
Laresipam (Ativan)
Alprazolam (Xanax)
Anesthetics - CORRECT ANSWER Propofol (Diprivan)
Ketamine (Ketalar)
Low Volume Alarm - CORRECT ANSWER Leak
Low Spontaneous Tidal Volume
High Pressure Alarm - CORRECT ANSWER Increase Airway Resistance
Decreased Compliance
Acceptable VC - CORRECT ANSWER >10 ml/kg
Acceptable MIP - CORRECT ANSWER 20 cmH2O
Acceptable RR - CORRECT ANSWER 8 - 20
Acceptable VT - CORRECT ANSWER 5 ml/kg
Acceptable MEP - CORRECT ANSWER 40
Acceptable VE - CORRECT ANSWER < 10ml/kg
Acceptable Compliance - CORRECT ANSWER > 25
How to use MDI? - CORRECT ANSWER Hold Breath for 10 sec.
MIP Indicates - CORRECT ANSWER Inspiratory Muscle Weakness
MEP Indicates - CORRECT ANSWER Poor ability to clear secretions
Normal Peak Flow - CORRECT ANSWER 10L/sec or 600 L/min
Spirometers Measure - CORRECT ANSWER Flow and volume
Pneumotachometers - CORRECT ANSWER Flow
Unilateral Lung Disease Position - CORRECT ANSWER Good lung down
Obese Position - CORRECT ANSWER Lateral
Normal Airway Resistance - CORRECT ANSWER 0.6 - 2.4
Normal Compliance - CORRECT ANSWER 60 - 100
Baby with OI index > 40 use? - CORRECT ANSWER ECMO
If CvO2 decreased what is the cause and what else decreases? - CORRECT ANSWER Increased PEEP, QT decreases as well
ABG with Air bubble what happens to values? - CORRECT ANSWER PaCO2: Decreases, PaO2: Increases, pH: Increases
DLCO Normal - CORRECT ANSWER 25
Decreased DLCO caused? - CORRECT ANSWER Restrictive Disease
Air entrainment mask indicative for? - CORRECT ANSWER Patients with irregular Vt, RR, Ve
Bronchography indicative for? - CORRECT ANSWER Bronchiectasis
Obstructive lessions
Bronchial sounds over the lung parenchyma indicate? - CORRECT ANSWER Consolidation
Crepitus indicates? - CORRECT ANSWER Subcutaneous Emphysema
What is the placement Central Venous Catheters? - CORRECT ANSWER Superior Vena Cava
Right Atrium
Where is the Pulmonary Catheter located? - CORRECT ANSWER Right lower lung field
SPAG is used to deliver and treat what? - CORRECT ANSWER Ribivarin
Treat: Respiratory Synsethical Virus (RSV)
Insufflation/Exufflation Devices used? - CORRECT ANSWER To clear secretions for muscle weakness
Vasoconstrictors - CORRECT ANSWER Epinephrine
Dopamine
Dobutamine
Norepinephrine
Treatment for IRDS/Hyaline Membrane - CORRECT ANSWER Surfactant
Treatment for ICP > 20 - CORRECT ANSWER Hyperventilation (25 - 30)
Analgesic and Sedatives
Low PEEP
Diuretics (Osmotics)
Katz used to evaluate? - CORRECT ANSWER Activities of Daily Living
Cause of JVD? - CORRECT ANSWER CHF
APRV used? - CORRECT ANSWER To maintain low MAP
Treatment for Decrease Compliance - CORRECT ANSWER Increase PEEP
Treatment for Increase Airway resistance - CORRECT ANSWER Suction
Treatment for Auto PEEP - CORRECT ANSWER Increasing Exp. Time
Treatment for Flow starvation - CORRECT ANSWER Increase Flow, Decrease IT, Increase Exp. time
Initial dosage for INO - CORRECT ANSWER 20 - 40 ppm
Correct Chest Tube Placement - CORRECT ANSWER Between 2 - 3 intercostal space mid-clavicular line
If collection bottle continues bubbling what does it indicate? - CORRECT ANSWER Air leaking, Pneumothorax
Anticoagulants - CORRECT ANSWER Nitroglyceride
Initial PSV - CORRECT ANSWER PIP - Plateau
Indication HFOV - CORRECT ANSWER Bronchial Pleural Fistula
Pneumothorax
Pulmonary interstitial emphysema
High PIP >50
Increased C(a-v)O2 indicative of ? - CORRECT ANSWER High PIP
Overdistension Treatment - CORRECT ANSWER Decreasing VT or PIP
Kussmals and caused by? - CORRECT ANSWER Increased RR and irregular rate Metabolic Acidosis
Ashen or Pallor Skin Caused by? - CORRECT ANSWER Anemia or Blood loss
Crowding of Ribs indicate? - CORRECT ANSWER Atelectasis
Straight or horizontal ribs indicate? - CORRECT ANSWER Pneumothorax
Frequency for Vest - CORRECT ANSWER 5 - 25 hz and 1 - 6 times/day for 30 mins
Benefits PEP - CORRECT ANSWER Clearing Secretions
Reduce hyperinflation
Expiratory PEP - CORRECT ANSWER 10 - 20 pressure, 3 - 4 times a day for 15 - 20 min.
Bronchial Hygiene Therapy for? - CORRECT ANSWER Bronchiectasis
Cystic Fibrosis
IPPB Problems - CORRECT ANSWER Loss of pressure
Excessive pressure
Fail to cycle inspiration
Fail to cycle expiration
Contraindication for Pneumothorax - CORRECT ANSWER Pneumothorax
Hypotension
Elevated ICP
Nasal Tube Distance - CORRECT ANSWER 26 - 29 cm
Analgesics - CORRECT ANSWER Morphine
Codeine
Mependine
Fentanyl
Oxycodone
Neuromuscular Blocking Agents (Paralytics) - CORRECT ANSWER Pancoronium
Vancoronium
Ronconorium
Use of accessory muscles indicate? - CORRECT ANSWER Decreased Compliance
Increased Airway Resistance
Night Sweats Indicates - CORRECT ANSWER Tuberculosis
Vancomycin used to treat? - CORRECT ANSWER MRSA
EGG Shape X-ray - CORRECT ANSWER Transposition of the great vessel
Boot Shape X-ray - CORRECT ANSWER Tetralogy of the Fallout
Infant Initial Pressure - CORRECT ANSWER 20 - 30
Infant Initial RR - CORRECT ANSWER 20 - 30
SIMV used for? - CORRECT ANSWER Patients with tachypnea
To decrease Paw
IRV patient should be? - CORRECT ANSWER Paralyzed and Sedated
IRV used for patients? - CORRECT ANSWER High FiO2
PEEP > 15
PIP >50
Low PaO2 with decrease Compliance
Indications Positive Inotropic Agents - CORRECT ANSWER CHF
Atrial Tachycardia
Ventricular Fibrillation
Indications for Pulmonary Vasodilators - CORRECT ANSWER Pulmonary Hypertension
ARDS
Right Ventricular Failure
Pulmonary Vasodilators - CORRECT ANSWER Flovan
Illoprest
Slidenafil
Chest tube placement for Pleural Effusions - CORRECT ANSWER 5 -7 intercostal space in the mid axillary line
Thoracentesis Placement - CORRECT ANSWER Between 7 - 8 intercostal space above the rib
Purpose for Helium therapy? - CORRECT ANSWER Decrease WOB
Treatment for infants with apnea prematurity? - CORRECT ANSWER Theophylline (5 - 10)
Caffeine
Treatments for Bradycardia - CORRECT ANSWER Atropine
Epinephrine
Medication for Ventricular fibrillation and pulseless ventricular tachycardia? - CORRECT ANSWER Amiodarone
Guillain Barre Syndrome Characteristics - CORRECT ANSWER Ground to Brain
Diminished breath sounds with crackles and rhonchi
Diagnostic tool for Guillain Barre - CORRECT ANSWER Lumbar Puncture = High Protein level in CSF
Cheyne Stokes is characteristic of what condition? - CORRECT ANSWER Stroke/CVA/ITA [Show Less]