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FCCS POST TEST REVIEW QUESTIONS WITH COMPLETE ANSWERS
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FCCS POST TEST REVIEW QUESTIONS WITH COMPLETE ANSWERS
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FCCS POST TEST REVIEW QUESTIONSWITH COMPLETE ANSWERS
Most timportant tindicator tthat ta tpatient thas ta tsevere tillness? t- t✔✔Tachypnea
3 trespiratory ttypes, tand ttheir tcriteria t- t✔✔Hypoxemic t(PaO2 t<50-60)
Hypercapnic t(PaCO2 t>50, tpH t<7.36)
Mixed
Delta tgap t(formula, twhen tand twhy tit's tused) t- t✔✔Difference tin tAG tfrom tnormal t- tDifference tin
tHCO3 tfrom tnormal
In tAG tmetabolic tacidosis tit's tused. tIt ttells tyou tif tthere's tunderlying tmetabolic talkalosis tor
trespiratory tacidosis twith tbicarb tcompensation tIN tADDITION tto tthe tAG tmetabolic tacidosis. tBoth tof
tthose twould tresult tin ta thigh tbicarb tto tbegin twith, tand ta tsmaller tchange tin tbicarb tfrom tnormal.
Winter's tformula t(equation, twhat tit tmeasures) t- t✔✔1.5[HCO3] t+ t8 t+/- t2
If tcompensation tis tadequate tin tacid/base tissues
How tAG tchanges twith talbumin tchanges t- t✔✔Decreases t2.5-3 tfor tevery t1 tdecrease tin talbumin
Hemodynamic tchanges tafter tintubation t- t✔✔Hypo/hypertension
Arrhythmia
Tachycardia
Pressure tsupport tequation tfor tBiPAP t- t✔✔IPAP t- tEPAP
, 3 ttypes tof tvent tcycles t- t✔✔Volume t(preset ttidal tvolume, trelieves tWOB tthe tmost)
Time t(constant tpressure tof ttime)
Flow t(constant tpressure tuntil tinspiratory tflow tis tbelow t25% tof tpeak)
Goal ttidal tvolume t- t✔✔10 tcc/kg
Goal tFiO2 ton tvent t- t✔✔Start tat t1.0, tthen tdecrease tas tSpO2 ttolerates t(goal tof t92-94 tsaturation)
Ppeak t- t✔✔Peak tinspiratory tpressure
Pplat t(try tto tkeep tit tbelow t?) t- t✔✔Inspiratory tplateau tpressure t(shows talveolar tdistention)
30
AutoPEEP t(what tit tis, twhat tit tcauses, thow tto tfix tit) t- t✔✔Breath tstacking
Decreases tpreload tto tthe theart twith tpositive tpressure ton tthe tlungs t--> thypotension
Decrease tRR, tdecrease tinspiration ttime t(goal tis tto thave tmore ttime tfor tthe tlungs tto texhale)
Danger tof tincreased tPEEP t- t✔✔Increases tautoPEEP, tincreases tPplat
PaO2 twe're tusually thappy twith t- t✔✔>60
When tto tconsider tNPPV tvs tinvasive t- t✔✔When tit's ta tquickly tsolved tproblem tin t1-2 tdays t(e.g.
tCOPD texacerbation)
When tthe tpatient tcan tbe tcompliant twith tworking twith tNPPV
When tto tconsider tswitching tfrom tNPPV tto tinvasive tventilation tsupport t- t✔✔If tthings taren't treally
timproving tin ta tmatter tof thours
If tyour ttherapeutic tgoals thaven't tbeen tmet tin t4-6 thours
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