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Exam (elaborations)

Pulmonology ICU prophecy

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Pulmonology ICU prophecy/Pulmonology ICU prophecy/Pulmonology ICU prophecy

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  • September 28, 2024
  • 2
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Pulmonology ICU prophecy
  • Pulmonology ICU prophecy
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Pulmonology ICU prophecy
ABG interpretation -- correct answer pH 7.35 - 7.45

PaCO2 35 - 45 mmHg

HCO3 18 - 24 mEq/L

PaO2 > 90 mmHg

S/S of ARDS -- correct answer Acute onset, bilateral infiltrates, PAWP < 18

Hypoxemia, PHTN, decreased pulmonary compliance, dyspnea, tachypnea, dry cough,
tachycardia, crackles/ronchi/wheezes



Treatment: Perfusion, positioning (prone), protective lung ventilation, protocol weaning,
prevent complications

S/S of pneumonia -- correct answer Cough, SOB, fever/chills, dyspnea, rapid/shallow breathing

"Good lung down"

Pulmonary Emboli -- correct answer A pulmonary emboli is a piece of foreign material that has
traveled from another part of the body and is lodged, blocking the pulmonary artery.



D-dimer, CXR, CT pulmonary angiography, pulmonary angiogram, or MRI

Criteria for intubation and extubation (?) -- correct answer Failure to oxygenate, failure to
ventilate, failure to protect airway, sepsis, ICP, and diagnostic



1. Assessment for readiness to wean

2. SBT

Ventilator settings -- correct answer Volume

Pressure

Rate

Flow

O2

CMV (AC/Assisted control) -- correct answer Rate at pt's spontaneous breathing rate

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