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What should you use to inspect the gestational age of an infant? - correct answer ballard there is a shunt in the patient's left arm and absent flow in the ulnar artery in the right arm, where should you draw from? - correct answer dorsalis pedis what can excessive vomiting cause? - correct answer alkalosis what is the equation for deadspace? - correct answer Vd/Vt ratio: PaCO2-PetCO2/PaCO2 what is the equation for static compliance? - correct answer exhaled Vt/Pplat - PEEP Of the following settings, which ventilator alarm parameter is set inappropriately? -Apnea alarm -minute ventilation -high pressure alarms -high respiratory rate - correct answer minute ventilation during transport in a fixed winged aircraft going up to 8,000 ft, the RT should monitor which of the following: -PetCO2 -tidal volume -pulse oximetry - correct answer pulse oximetry when monitoring a patient with neuromuscular disease, what would you use? -pressure manometer -peak flow -pneumotachometer -wright respirometer - correct answer wright respirometer what is the normal ejection fraction? -60% -40% -90% - correct answer 60% What is negative about liquid O2 tanks? -cannot be refilled -can only hold 2L -fit hospital values -something about being bulky - correct answer still thinking about this one The suction catheter is unable to go down the trach, what should you do? - correct answer replace the inner cannula a patient with pneumonia and HIV has brown dusky fingernail buds, what should you look at? -methemoglobin -WBC -platelets -carboxyhemoglobin - correct answer WBC a patient fell 20 ft off of a building and has asymmetrical chest movement, what is this? - correct answer flail chest a trach patient has been involved in an MVC and has dyspnea due to blood being in their mouth and throat. What should you prioritize? -suction mouth -confirm that cuff is properly inflated - correct answer confirm that cuff is properly inflated a patient has OSA and is completing a CPAP titration study. The patient has a CPAP of 12 with an AHI of 3. O2 saturations remain at 90% but he still has slight snoring, what should you do? -increase CPAP level to 13 -document 12 at optimal CPAP - correct answer increase CPAP level to 13 a patient with a cerebrovascular accident meets extubation criteria but has no response to verbal stimuli. Good stats, strong cough, HR, and RR. What should you do? -extubate and put on low flow oxygen -keep on mechanical ventilaiton -SBT daily - correct answer extubate and put on low flow oxygen a neonate has feeding every every 3 hours and percussion treatments every 4 hours. What should you do? -put treatment 1 hour after feedings -discontinue treatment -continue treatment as ordered -change treatment to 4 or 2 times a day - correct answer put treatment 1 hour after feedings a blood gas analyzer must be calibrated every _____ hours according to the CLIA: -8 -24 -48 -12 - correct answer 8 hours what should HFCWO for an infant, what would should you set the Hz to initially? -3-5 -1-2 -10-15 -20-30 - correct answer 10-15hz when you are giving an infant inhaled NO, which of these can you use to deliver it? -mechanical ventilator -HFCWO -oxygen hood -heated high flow nasal cannula - correct answer mechanical ventilation, HFCWO, and heated high flow nasal cannula a tracheostomy tube was inserted and the patient experiences air around the neck and face? What is the issue and what needs to be corrected? - correct answer air is getting underneath the skin because air is coming around the trach the LMA insertion with no chest rise and diminished breath sounds, what should you do? -reposition -inflate -intubate with ET tube - correct answer reposition? patient is on continuous albuterol but now has clear BS and normal sats, what should you do? -discontinue -change to Q4 - correct answer discontinue? having trouble suctioning a trach, pressure is set at 80, what do you do? - correct answer increase to 120 patient with a cva accident intubated. what would you expect to see on the colorimetric device? -purple color appears on window screen -5 CO2

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