FCCS Exam Complete Questions and Answers 100% Correct- Latest 2023/2024
FCCS Exam Complete Questions and
Answers 100% Correct- Latest 2023/2024
What
... [Show More] labs should you order immediately when assessing the acutely ill or injured
pt? (2)
ABG, BG
What is the single most important indicator of critical illness? (hint: it's a vital
sign)
Tachypnea
Increase in depth of breathing
Kussmaul/hyperpnea
Increase in depth of breathing, also called Kussmaul or hyperpnea, may indicate
what severe acid/base abnormality?
severe metabolic acidosis
Periodic breathing with apnea or hypopnea
Cheyne-Stokes
Periodic breathing with apnea or hypopnea (Cheyne-stokes breathing) may indicate
what?
Severe brainstem injury or cardiac dysfunction
When you assess the A (airway) in a critically ill patient, what are you
look/listening/feeling for?
LOOK: cyanosis, altered respiratory pattern and rate, use of accessory respiratory
muscles, tracheal tug, paradoxical breathing, altered consciousness
LISTEN: noisy breathing (grunting, stridor, wheezing, gurgling); silence indicates
complete obstruction
FEEL: decreased or absent airflow
When you assess the B (breathing) in a critically ill patient, what are you
look/listening/feeling for?
LOOK: cyanosis, altered respiratory pattern and rate, use of accessory respiratory
muscles, tracheal tug, paradoxical breathing, equality and depth of breaths, O2
sats, altered consciousness
LISTEN: dyspnea, inability to talk, noisy breathing, dullness to percussion,
auscultation of breath sounds
FEEL: symmetry and extent of chest movements, position of trachea, crepitus,
abd. distension
What is pulsus paradoxus?
decrease in >10mmHG in systole during inspiration
When you assess the C (circulation) in a critically ill patient, what are you
look/listening/feeling for?
LOOK: reduced peripheral perfusion (pallor) and delayed cap refill, hemorrhage
(obvious or concealed), AMS, dyspnea, decreased urine output, jugular venous
distension
LISTEN: altered heart sounds, carotid bruits
FEEL: precordial cardiac pulsation, central and peripheral pulses (assessing rate,
quality, regularity, symmetry), cool extremities
How do you intubate in someone with a cervical spine injury?
Immobilize with C-collar, then elevate mandible/open the mouth
Which airway is not used if airway reflexes are intact, as it may cause
gagging/laryngospasm/emesis: nasopharyngeal airway or oropharyngeal airway?
oropharyngeal airway
Oropharyngeal airway
a curved device inserted through the patient's mouth into the pharynx to help
maintain an open airway
Nasopharyngeal airway
Airway adjunct inserted into the nostril of an unresponsive patient, or a patient
with an altered level of consciousness who is unable to maintain airway patency
independently.
When is a nasopharyngeal airway contraindicated?
-LeFort II or III fracture
-Basilar skull fracture
-CSF rhinorrhea
-Raccoon eyes
-Periorbital edema
-Coagulopathy
-Previous transsphenoidal hypophysectomy or Caldwell-Luc procedure
MC cause of airway obstruction
pt's tongue
When is bag mask ventilation indicated?
Pt apneic
Spontaneous tidal volumes are inadequate
Reduce work of breathing
Hypoxemia is associated with poor spontaneous ventilation
In bag mask ventilation, how many bpm? how long should the breaths be over?
10-12 bpms over 1 second for each breath
Risks to too many breaths with bag mask resuscitation?
hyperventilation
respiratory alkalemia
gastric distension
What % O2 should be delivered in bag mask ventilation? [Show Less]