Exam (elaborations)
IA MED FPC (1).
- Course
- Institution
Exam of 20 pages for the course ASQ: Ch 14- Techniques, Methodologies and Tools Ap at ASQ: Ch 14- Techniques, Methodologies and Tools Ap (IA MED FPC (1).)
[Show more]
Seller
Follow
lydiaomutho
Content preview
IA MED FPCHow long does it take for the Bicarb/Carbonic Acid buffer system to react? - ANS-Seconds
What is the normal range of pH? - ANS-7.35 - 7.45
If you are retaining Hydrogen ions does that mean you are acidotic or alkalotic? - ANS-Acidotic
What is the normal value of PaCO2? - ANS-35 to 45
What is the normal value of HCO3? - ANS-22 to 26
What is thermal value of base excess? - ANS--2 to 2
What is the formula for calculating replacement of HCO3? - ANS-0.1 x (-BE) x kg = Bicarb
needed
What is the normal value for PaO2? - ANS-80 to 100 mmHg
A PaO2 of 60% is roughly equal to an SaO2 of what? - ANS-90%
What are the critical ABGs for intubation? - ANS-PaO2 < 60
CO2 > 55
pH < 7.2
For every change of 10 in pH the K will change by _______ in the ______ direction. - ANS-0.6 /
opposite
Metabolic acidosis is evident by what ABG findings? - ANS-pH < 7.35
Bicarb < 22
#1 cause is lactic acidosis (lactate > 4)
Often caused by: keto acidosis, hyperthermia/fever, seizures, rhabdomyolysis
Name this ABG...
pH - 7.490
PCO2 - 42.3 mmHg
PO2 - 88 mmHg
HCO3 - 32 mmol/L
BEecf - 9 mmol/L
sO2* - 97%
,*calculated
FIO2 - 100
Sample Type: ART - ANS-Uncompensated Metabolic Alkalosis
What makes up the 3 sides of the pediatric assessment triangle? - ANS-Appearance
Work of breathing
Circulation
Describe the LEMON difficulty intubation assessment. - ANS-L - look externally
E - Evaluate 3-3-2
M - Mallampati
O - Obstructions
N - Neck mobility
Optimal intubation is to be performed with the patient's eat at the level of their _______? -
ANS-Sternal notch
What airway adjunct provides maximal protection against aspiration? - ANS-Endotracheal Tube
True or False: High flow nasal cannulas may be used on the ventilator on both CPAP and
Bi-level methods of delivery. - ANS-True
What should you target the ETT cuff pressure to? - ANS-20 - 30 mmHg. Gold standard is 25.
What is the gold standard for confirmation of ET placement? - ANS-Chest X-ray
The distal tip of the ETT should be placed _______cm above the carina at the level of which
vertebrae? - ANS-2 to 3 cm / T2 to T3
RSI: What are 2 important therapies to consider with a hypotensive patient prior to
induction/paralyzation? - ANS-Fluid bolus
Push dose pressors
True or False: OG/NG tubes are only to be used in conjunction with an ETT if they are within 4
hours. - ANS-False.
OG/NG tubes shall be used with all intubations given there aren't any contraindications.
Which induction agent provides both analgesia and sedation? What is the proper dose in RSI? -
ANS-Ketamine
2mg/kg
State 3 contraindications for administration of Succinylcholine. - ANS-Hyperkalemia
Eye injuries
Nervous system disorder
, What is the treatment for malignant hyperthermia? - ANS-Dantrolene
Hemodynamically unstable patients: Consider _________ the dose of an induction agent, and
________ the dose of paralytic. - ANS-Half / Doubling
In the post intubation critical care patient is it better to provide push dose sedation or IV infusion
sedation? - ANS-IV infusion
You have had 2 failed attempts at intubation and have preoxygenated you patient to 95% SpO2
prior to you next step. Should you...
(A) Have the most experienced provider perform the intubation
(B) Perform a cricothyrotomy - ANS-A
One last attempt should be made. 3 are permitted given the SpO2 maintains above 90%.
Where are the central chemoreceptors located? - ANS-Medulla and pons
What is the gold standard diagnostic tool for monitoring ventilation? - ANS-Capnography
What 2 factors are used to influence oxygenation? - ANS-PEEP
FiO2
What 2 factors are used to influence ventilation? - ANS-Respiratory Rate
Tidal Volume
Plateau Pressure (Pplat) should be maintained less than _____? - ANS-30
Peak Inspiratory Pressure (PIP) should be maintained less than ____? - ANS-35
What is the Ideal Body Weight calculation for both males and females? - ANS-Males : 50 kg +
2.3 kg for each inch over 5 ft
Females : 45.5 kg + 2.3 kg for each inch over 5 ft
When making changes to the ventilator how many minutes should you wait for serial ABGs? -
ANS-15 minutes
What does the ventilator alarm "DOPE" stand for? - ANS-D - Dislodged
O - Obstruction
P- Pneumothorax
E - Equipment
Patient/ventilator dysynchrony often develops due to what causes? - ANS-Respiratory demands
not being met
Inadequate pain control
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lydiaomutho. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
76449 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now