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FISDAP AIRWAY EXAM MID EAST QUESTIONS ANSWERS AND
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FISDAP AIRWAY EXAM MID EAST QUESTIONS ANSWERS AND.
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FISDAP AIRWAY EXAM MID EASTQUESTIONS ANSWERS AND
Significance of stomach distension, and rapidly decreased ETCO2 after successful
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intubation - Correct Answer - Tube was placed into esophagus
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Method to RAPIDLY confirm that a stoma is clear (direct laryngoscopy, suction,
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removing inner
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cannula) * - Correct Answer - remove inner catheter to see that its clear
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Methods to clear tracheostomy tubes - Correct Answer - 3 ml of saline and suction.
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"Maximum allowable time" for intubation attempts. - Correct Answer - 30 seconds with
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noxygenation between attempts n n
Indications and contraindications for nasotracheal intubation - Correct Answer -
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nIndications: Breathing spontaneously but require definitive airway management.
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nResponsive
patients and patients with an altered mental status and an intact gag reflex who are in
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nrespiratory
failure.
Contraindications: patients that should receive orotracheal intubation, head trauma, andn n n n n n n n n
possible midface fractures.
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Differential diagnosis for emphysema, pneumonia, pleural effusion and CHF - Correct
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Answer - -Emphysema (Pink Puffer "Polycythemia", Barrel chested) is a loss of
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elasticity of the alveoli of the lungs. This causes extra dead space and these patients
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breathe off of a hypoxic drive due to the retained CO2 in the lungs and respiratory
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system.
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-Pneumonia is going to incorporate a FEVER. Most commonly it is only a one sided
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nissue. Productive cough. Ask about secretion color.
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- Pleural effusion is air or fluid in the chest cavity "air or fluid constricts lung, making it
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nharder to breathe" (Visceral Pleura, Parietal Pleura Space). Sharp pain made worse by
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ndeep breath.
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-CHF is going to have pedal edema and cough up pink frothy sputum. Exacerbated by
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nlying flat (Orthopnea). Known by history and medications taken. left sided heart failure
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nprecedes right side heart failure. Pump problem not a pipe problem.
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, Treatment of asthma patients depending on how they present (wheezes or not,
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mannerism of
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speaking, distress etc) - Correct Answer - Patients who are hypersensitive- remove
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them from irritant
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Asthma patient who is dehydrated- needs hydrated
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Asthma patients who are wheezing- Nebulizer treatment, also consider corticosteroid
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and CPAP
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Blue Bloater (Chronic Bronchitis) - Correct Answer - Chronic Bronchitis: airway flow
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problem, recurrent productive cough, hypoxia, respiratory
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acidosis, dyspnea on exertion, high hemoglobin, 'blue bloater' increase respiratory rate,
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dyspnea on
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exertion, digital clubbing, fat finger tips, cardiac enlargement, bilateral lower extremity
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enlargement
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pink puffer - Correct Answer - Emphysema: Pursed lip breathing, barrel chested, high
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nRR (to compensate for poor functioning
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lungs), high HR, 'pink puffers', pink skin caused by polycythemia which is
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noverproduction of red blood n n n
cells
Escalation of airway management in a burn patient. - Correct Answer - Be prepared to
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intubate. Basic airway management, nebulizer treatment. Be ready to intubate.
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NTG=(Nitro) - Correct Answer - vasodilator that works throughout the entire body.
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Decreased the work of the
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heart. Gives somewhere for the fluid to go. Give SL 0.4 mg q 3-5 min. Given also as 1"
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nitropaste
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Drip dose. Nitro Drip 10 mcg/min.
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Lasix(furosemide) - Correct Answer - 40-100 mg IV/IO. (0.5-1 mg/kg). n n n n n n n n n
nIndications=Pulmonary Edema/CHF. Double n n
dose of prescribed dose. DO NOT GIVE IF PATIENT IS HYPOTENSIVE OR
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nHYPOVOLEMIC. Works in n n
the Loop of Henle in the kidneys. Moves Sodium, and also causes shift in potassium.
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Albuterol - Correct Answer - 2.5 mg nebulized. Works on B2 receptors. Bronchodilator.
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Contraindications=CHF.
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Use caution with tachydysrhythmias.
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Dexamethasone - Correct Answer - Dexamethasone=Corticosteroid. 10-100 mg IV n n n n n n n n
nPush 1 mg/kg IV bolus. Pedi 0.25-1 mg/kg IV.IO.
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IM. You can have the pt drink the medication if no IV. Contraindication-Systemic Sepsis.
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