PATIENT ASSESSMENT: Endotracheal tube positioned in right mainstem
All the following could bronchus is a problem but the co2 reading would not
cause capnography to go change, so
from 3 6 to 30 EXCEPT:
A. Endotracheal tube ANSWER is A.
positioned in the right
mainstream bronchus
B. Hyperventilation
C. pulmonary emboli
D. Hypovolemia
What is the target Vt for 6-8 ml/kg (of ideal body weight) This is new strategy as
individual on mechanical of January 2015
ventilation
Is the following Static OR Static Compliance
Dynamic Compliance:
Means flow throughout the
respiratory system has
stopped and all ventilatory
muscle activity is absent.
_______ conditions can be
imposed with an inspiratory
pause when a patient is
sedated and mechanically
ventilated.
,Is the following Static OR Dynamic Compliance
Dynamic Compliance:
Flow at airway opening is
zero. Mechanics are
evaluated under ______
conditions, when non-
intubated patient breathes
spontaneously.
A balloon tipped flow ANSWER is A. Cvp = deflated/proximal lumen
directed catheter is
positioned in the pulmonary Pap = deflated/distal
artery with the balloon Pwp = inflated/wedged
deflated. Which of the
following pressures will be
measured by the proximal
lumen:
a. Cvp
b. Pap
c. Pwp
d. Map
All of the following will Gas will pass through and out of a long sampling line
affect the accuracy of a before reaching analyzer so, low sampling flow will not
capnography EXCEPT give you enough information for a good reading, and
a. Long sampling line condensation as a rule is always a problem especially in
b. Low sampling flow analyzers. Dessicant removes moisture from the gas,
c. Condensation in the which is a good thing, so
tubing ANSWER is D
d. Use of desiccant
,A 1000 g neonate (normal Since the baby is stable, go less invasive, also go
baby is 3000 g) is stable in continuous monitoring (not 4 hour or 8 hour),
nicu. Which of the following Transcutaneous (Tc) continuous monitoring of CO2 and
should the respiratory O2 is the best. Answer is A
therapist use to monitor the
neonates overall
cardiopulmonary status.
a. TcPCO2 and TcPO2
monitor
b. Arterial blood gas
analysis Q4
c. SpO2 monitor
d. Capillary gas analysis Q8
A unilateral wheeze would You wouldn't have asthma on just one side (unilateral),
most likely indicate which of atelectasis would cause diminished breath sounds, with
the following. epiglottitis you would get stridor, since you are only
a. Asthma hearing wheezing on one side, you are hearing it on the
b. Atelectasis side where you aspirated something,
c. Foreign body aspiration so ANSWER is C
d. Epiglottitis
All of the following would With pneumothorax you would hear a high pitch
be associated with the hyperresonnance, breath sounds would be absent, and
presence of a respiratory distress could be present. Dull percussion
pneumothorax EXCEPT would NOT be present,
a. Tracheal deviation
b. Dull percussion so ANSWER is B.
c. Absent breath sounds
d. Respiratory distress
, What should you Multiple pvc's coming from multiple locations
recommend FIRST for a (multifocal) is a real problem and you should administer
patient with multifocal pvc's oxygen FIRST, so ANSWER is B. lidocaine will help
a. Administration of reduce irritability of heart and help with pvc's but would
lidocaine not be first option, atropine is used for bradycardia and
b. Administration of 100% cardiac irregularities but not pvc's, epinephrine is
oxygen emergency drug not for pvc's but more for pulseless
c. Administration of atropine ventricular tachycardia or ventricular fibrilation where
d. Administration of heart is not responding .
epinephrine
What is the normal range Mean pulmonary artery pressure in an adult should be in
for the mean pulmonary the teens
artery pressure in an adult
a. 2-6 mm Hg so best ANSWER is C
b. 4-12 mmHg
c. 9-18 mmHg
d. 21-28 mmHg
A patient in the emergency This is an emergency, they are having heart problems,
dept has frothy secretions, dyspnea, frothy secretions indicating severe pulmonary
moist crackles, and edema, etc. so 100% oxygen immediately, having the
tachypnea. The patient has patient in the Fowlers position (an upright position) will
marked dyspnea and a help pull fluid down away from the lungs, furosemide is a
history of heart disease. lasix (loop diuretic) which gets rid of excess fluid. You do
Which of the following NOT suction someone with frothy secretions and heart
should the respiratory problems, this just delays appropriate therapy. So
therapist recommend. ANSWER is 2,3,4
1.suction immediately
2.administer 100% oxygen
3.place in Fowlers position
4.administer furosemide
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