What are the four critical life functions? -ANSWER 1. ventilation
2.oxygenation
3. circulation
4. perfusion
Which of these life functions is the first priority? -ANSWER getting oxygen--->
VENTILATION
What assessments would determine how well a patient is ventilating? -ANSWER Visual
assessnt
How would the therapist determine if a patient has a problem with oxygenation?
-ANSWER 1. color
2. sensorium
3. heart rate
What would you look for that would give the therapist an indication of a patient's
circulation is adequate? - ANS 1. pulse
2. heart rate
What changes would you expect to see that would give you an indication a patient does
not have adequate perfusion? - ANS 1. B/P
2 sensorium
3. Temp
Describe the difference between "signs" and "symptoms" and give at least one example
,of each. - ANS 1. Signs: Objective, what you see and measure.
2. Symptoms: Subjective, what patient says.
Things to review when viewing a patients chart: List the 8 items that are important to
examine when reviewing a patient's chart. - ANSWER 1. Adm Notes
2. Occupation
3. Smoking Hx
4. Allergies
5. Signs and symptoms
6. Prior surgery
7. Vital signs
8. Physical exam of chest
Define an advance directive - ANSWER Notary sign document authorizing someone to
make decision of treatment.
List the three types of advance directives. - ANSWER 1. DNI/DNR
2. Living will
3. Power of Attorney for Health Care
An appropriately written order for respiratory care must identify which four factors? -
ANSWER 1. Medication
2. Dose
3. Time (frequency)
4. Doctor signiture
The respiratory therapist has just completed providing an aerosol treatment with
albuterol to a child with asthma. How should the treatment be charted? - ANSWER 1.
Date
, 2. Time
3. Dosage
4. Vital sign before and after treatment
What is the normal value for urine output? - ANSWER 40 mL/hr
What would be some findings that would indicate this patient's fluid intake has exceeded
his urine output? - ANSWER 1. Weight gain
2. Electrolyte imbalance
3. Increase hemodynamic pressures
4. Decrease lung compliance
Changes in what reading can reflect hydrovolemia? - ANSWER Increase CVP >6mmHg
Patient interview/history: Define the following terms: - ANSWER 1. Semi-comatose:
responds only to painful stimuli
2. Lethargy/somnolence: consider COPD O2 overdose or sleep apnea
3. Obtunded: somnolent state, may have reduced cough, gag reflex, aspiration risk.
During the assessment of a patient's orientation for time, place and person, what are
some of the factors that might affect a patient's ability to co-operate? - ANS 1. Language
problems
2. Medication effects
3. Loss of hearing
4. Fear, apprehension, depression, etc
Define ADLs - ANS the routine activities of daily living
Activities of Daily Living are based upon the following six criteria, list them. - ANSWER 1.
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