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Question 1

Easily forgotten critical action for meningitis

Answer 1

Respiratory isolation

Treat close contacts

Question 2

COPD Vent setting

Answer 2

-Volume assist control
-RR: 8-10 breaths/min
-Tidal volume: 6-8 mL/kg
-FiO2: 40%
-PEEP: 0-5 cm H2O.

Question 3

Vent setting- ARDS/pneumonia/sepsis/lung-protective strategy

Answer 3

-Volume assist control
-RR: 8-10 breaths/min
-Tidal volume: 6-8 mL/kg of predicted body weight
-FiO2: Titrate to manage oxygenation
-PEEP: Titrate to manage oxygenation

Question 4

Vent setting- Acute cardiogenic pulmonary edema

Answer 4

Volume assist control
RR: 15-18 bpm
Tidal volume: 6-8 mL/kg
FiO2: 100%*
PEEP 5 cm H2O*

Titrate to manage oxygenation

Question 5

In elevated intracranial pressure, it is necessary to avoid ________ due to the potential for cerebral vasodilation.

Answer 5

permissive hypercapnia

Question 6

Initial mechanical ventilation settings- general

Answer 6

Volume-assist control
Rate 8-12/min
Tidal volume: 5-8 cc/kg
FiO2 100% (1.0) and ween down
PEEP 0-5 mmH20

Question 7

Hs and Ts
H

Answer 7

Hypovolemia
Hypoxia
Hydrogen ion excess (acidosis)
Hypoglycemia
Hypokalemia
Hyperkalemia
Hypothermia

Question 8

Hs and Ts
H

Answer 8

Hypovolemia
Hypoxia
Hydrogen ion excess (acidosis)
Hypoglycemia
Hypokalemia
Hyperkalemia
Hypothermia

Question 9

Hs and Ts
T

Answer 9

Tension pneumothorax
Tamponade – Cardiac
Toxins
Thrombosis (pulmonary embolus)
Thrombosis (myocardial infarction)

Question 10

The components of the GCS are:

Answer 10

MOTOR 6
6 Follows commands
5 Localizes to pain
4 Withdraws from pain
3 Flexes in response to stimuli (decorticate posturing)
2 Extends in response to stimuli (decerebrate posturing)
1 Does not move in response to stimuli

VERBAL5
5 Coherent speech
4 Confused speech
3 Incoherent words
2 Incomprehensible sounds
1 No speech

EYES 4
4Opens spontaneously
3 Opens to noise
2 Opens to pain
1 Does not open