Exam (elaborations)
FCCS 2024 (Fundamentals of Critical Care Support) Exam (2024/2025) Newest Questions and Answers (Verified Answers)
FCCS 2024 (Fundamentals of Critical Care Support) Exam (2024/2025) Newest Questions and Answers (Verified Answers)
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FCCS 2024 (Fundamentals of Critical Care Support)
Exam (2024/2025) Newest Questions and Answers (Verified
Answers)
What .is .the .single .most .important .indicator .in .critical .illness? .- .(correct .answer) .-tachypnea
Beck's .Triad .- .(correct .answer) .-hypotension, .JVD, .muffled .heart .sounds
- .a/w .cardiac .tamponade
What .is .the .thyromental .distance? .- .(correct .answer) .-
It .is .the .distance .in .finger .breadths .between .the .anterior .prominence .of .the .thyroid .cartilage .
(adam's .apple) .and .the .tip .of .the .mandible .
(chin). .It .is .an .estimate .of .the .length .of .the .mandible .and .the .available .space .anterior .to .the .larynx
What .does .it .mean .when .the .thyromental .space .is .< .3 .fingerbreadths? .- .
(correct .answer) .-- .approx .6 .cm
- .indicates .the .larynx .might .be .more .anterior .and .therefore .difficult .to .visualize .during .laryngoscopy
** .a .more .acute .angulation .of .the .stylet .at .the .distal .end .of .the .endotracheal .tube .may .be .helpful.
Patient .is .apneic .w/ .a .pulse. .What .do .you .do? .- .(correct .answer) .-Bag .them. .
- .One .handed .bag .compressions .should .be .delivered .10-
20 .times .per .min. .Each .compression .should .take .place .over .1 .second. .
** .If .patient .starts .spontaneously .breathing, .try .to .be .synchronous .with .their .respiratory .efforts.
**
.If/once .the .patient .is .breathing .easily .and .adequate .Vt .are .being .inhaled, .enough .to .produce .minut
e .ventilation, .stop .bagging.
,What .is .the .goal .of .manual .mask .ventilation? .- .(correct .answer) .-
to .provide .adequate .minute .ventilation: .the .product .of .the .tidal .volume .delivered .during .each .resus
citation .bag .compression .and .the .number .of .compressions .per .min. .
** .The .total .gas .volume .within .most .adult .resus .bags .is .1 .to .1.5 .LITERS
Bag .mask .should .be .connected .to .________% .oxygen .and .flow .at .a .rate .of ._______ .- .
(correct .answer) .-100% .oxygen .at .a .rate .of .15L/min
HFNC .- .(correct .answer) .-- .Uses .up .to .100% .oxygen .source .
- .Provides .higher .amounts .of .FIO2 .(0.32-
1.0) .in .patients .with .high .minute .ventilation .requirements .by .matching .patient's .inspiratory .demand
s .and .minimizing .air .dilution
- .These .devices .also .can .generate .PEEP .
(that .is .difficult .to .measure; .can .cause .barotrauma .in .theory)
- .Flow .rates .up .to .60L/min
- .heated .and .humidified .oxygen
NRB .- .(correct .answer) .-- .AKA .Reservoir .Face .Mask
- .Bag .is .filled .with .100% .oxygen .from .a .supply .source .(tank)
- .The .flow .rate .must .be .adjusted .so .that .the .bag .remains .completely .or .partially .distended .through
out .the .respiratory .cycle
- .When .the .mask .is .properly .applied, .oxygen .delivery .can .be .maximized .but .rarely .exceeds .a .FIO2 .o
f .0.6 .to .0.9
- .One .way .flap .valves .minimize .entrapment .of .room .air .which .dilutes .FiO2
- .NRB .is .a .high .oxygen .high, .flow .device. .
- .non .humidified .oxygen
** .commonly .used .to .improve .oxygenation .in .patients .with .severe .hypoxemia .until .further .eval .and
.treatments .are .accomplished.
,Aerosol .Face .Mask .- .
(correct .answer) .-- .This .mask .has .large .side .holes, .the .mask .itself .is .attached .to .large .bore .tubing .to
.a .nebulize .that .blends .100% .oxygen .and .room .air .to .deliver .a .PRESET .FIO2 .level .
(done .by .dial .on .oxygen .adapter)
- .If .the .entire .aerosol .mist .disappears .from .the .mask .during. .inhalation, .the .patient's .inspiratory .flo
w .demands .are .probably .exceeding .the .capacity .of .the .nebulizer .and .room .air .is .being .entrained.
- .minimum .flow .rate .= .8L/min
- .Max .FIO2 .= .40-60%
- .This .is .a .variable .oxygen, .moderate-flow .device.
Simple .Face .Mask .- .(correct .answer) .-- .minimum .flow .rate: .6L/min .(to .clear .CO2 .from .mask)
- .humidified .O2
- .Approx. .concentrations .L .to .FIO2 .ratios:
6L .= .40%
7L .= .50%
8L .= .60%
Venturi .Face .Mask .- .(correct .answer) .-- .aka .air .entrainment .face .mask
- .delivers .O2 .through .a .jet .mixing .device .that .increases .the .velocity .of .oxygen .and .causes .a .controll
ed .entrainment
- .the .FiO2 .can .be .more .precisely .controlled .from ..24 .to ..5 .
(24% .to .50%) .at .high .flow .rates .simply .my .selecting .the .interchangeable .nozzle .and .adjusting .the .O
2 .flow .rate
- .this .is .a .high .flow, .controlled .oxygen .device.
Nasal .Cannula .flow .rate .to .FIO2 .estimates .if .RR .and .tidal .volumes .are .normal .- .(correct .answer) .-
1L .= .24%
2L .= .28%
3L .= .32%
4L .= .36%
5L .= .40%
, 6L .= .44%
NPPV .uses .two .levels .of .positive .airway .pressure, .combining .modalities .of .pressure .support .ventilati
on .and .what? .- .(correct .answer) .-CPAP
What .is .CPAP? .- .(correct .answer) .-continuous .positive .airway .pressure
- .Allows .spontaneous .breathing .from .a .gas .source .at .an .elevated .baseline .system .pressure .
(higher .than .atmospheric .pressure)
- .Functionally .equivalent .to .PEEP.
By .convention, .PSV .mode .is .referred .to .as ._______ .and .CPAP .is .referred .to .as ._______ .when .talkin
g .about .NPPV/BIPAP .- .(correct .answer) .-PSV .= .IPAP
CPAP .= .EPAP
The .difference .between .these .two .numbers .determines .the .tidal .volume .generated.
Initiation .of .NPPV .guidelines .- .
(correct .answer) .-- .Do .not .delay .intubation .if .needed .and .keep .in .mind .the .patient's .resuscitation .st
atus.
- .Consider .ABG .analysis .prior .to .initiation.
- .Explain .the .procedure.
- .Keep .head .of .bed .at .≥45°.
- .Ensure .appropriate .mask .or .helmet .size.
- .Assess .the .patient's .tolerance .of .the .mask .by .applying .it .by .hand .before .securing .the .harness.