PART 2

Question 1

On a flow volume loop tracing if the loop appears short and wide it is what kind of disease

Answer 1

An obstructive disease

Question 2

What are the 3 primary ways to perform an Spontaneous Breathing Trial

Answer 2

1. Simple t-piece without ventilatory support
2. CPAP mode with pressure support
3. CPAP mode without pressure support

Question 3

What way should you preform a SBT in which it can help the patient overcome the extra work of breathing that is imposed by the ET tube and also helps to increase tidal volumes and prevent
tachypnea.

Answer 3

CPAP mode with pressure support

Question 4

Capillary blood correlates well with the pH and PaCO2 values of arterial blood. Therefore, it is useful ONLY when

Answer 4

For assessing acid base status

Question 5

Capillary blood does not correlate well with what value? So you should never use a capillary sample to assess the infant’s oxygenation status.

Answer 5

PaO2

Question 6

A diffusion defect is usually found in patients with what disease?

Answer 6

Pulmonary fibrosis

Question 7

Alveolar Consolidation is usually associated with what disease?

Answer 7

Pneumonia

Question 8

What is always recommended to treat or prevent atelectasis in
postoperative patients

Answer 8

Hyperinflation therapy (EX: incentive spirometry)

Question 9

If a post operative patient cannot do the incentive spirometer what is an alternative solution to prevent atelectasis?

Answer 9

IPPB or mouthpiece positive pressure ventilator

Question 10

according to the AARC, you should only break a ventilator circuit when…

Answer 10

The circuit is soild

Question 11

For neuromuscular disorders such as Gullian Barre Syndrome you need to monitor inspiratory muscle strengths such as what 3 values

Answer 11

1. Tidal volume (VT)
2. Inspiratory Capacity (IC)
3. Maximum Inspiratory Pressure (MIP)

Question 12

For Gullian barre syndrome, if the patient’s inspiratory capacity were to drop too low what would be indicated

Answer 12

Intubation and mechanical ventilation

Question 13

Pink frothy secretions indicates what?

Answer 13

Pulmonary edema

Question 14

Pulmonary edema collapse the alveoli what would you need to provide on a patient with this?

Answer 14

Continuous positive airway pressure (CPAP)

Question 15

When weaning a patient from mechanical ventilation it is normal for RR to increase but no more than a maximum of

Answer 15

30-35 breath/min

Question 16

it’s acceptable for COPD patients to have a PaO2 in what range and an SpO2 in the 88-93%
range.

Answer 16

55-70 torr

Question 17

So, immediately after intubation, you should first do what

Answer 17

Auscultate the lungs and abdomen

Question 18

What does APGAR stand for in evaluating an infants condition right after birth

Answer 18

A- Appearance
P- Pulse
G- Grimace
A- Activity
R- Respirations

Question 19

What is a normal APGAR score

Answer 19

7-10

Question 20

What APGAR score is considered an emergency and requires resuscitation

Answer 20

less than 4

Question 21

What is the first thing you should do if you don’t hear breath sounds in left lung after intubation

Answer 21

Withdraw the endotracheal tube by 1-2 cm

Question 22

What type of breathing pattern is deep and fast

Answer 22

Kussmals breathing

Question 23

What type of breathing pattern is ireegular patterns with deep, shallow, fast, and slow breathing

Answer 23

Biots breathing

Question 24

What type of breathing pattern is periods of apnea and hyperventilation

Answer 24

Cheyne Stokes breathing

Question 25

What type of breathing pattern is a deep and gasping breathing pattern with pauses at full inspiration and brief exhalation

Answer 25

Aupneustic Breathing