PART 3

Question 1

A normal WBC is

Answer 1

5,000 to 10,000/mm3

Question 2

When the FEV1/FVC is decreased it is always what kind of disease

Answer 2

An obstructive disease

Question 3

Static compliance equals

Answer 3

exhaled tidal volume(VT)/(Pplat-PEEP)

Question 4

Dynamic compliance equals

Answer 4

exhaled tidal volume (VT)/(PIP-PEEP)

Question 5

Bronchial breath sounds are commonly heard over the lower lobes in patients with what disease process

Answer 5

Pneumonia

Question 6

Bronchial breath sounds in the low lobes usually means what

Answer 6

Consolidation

Question 7

What is the first step befor terminating the breathing trial if the patient’s RR is increasing to high

Answer 7

Apply 5-10cm of pressure support to CPAP

Question 8

When a patient is hyperventilating on mechanical ventilation what can you do to the setting to help

Answer 8

Decrease the tidal volume or decrease the rate

Question 9

What medication is a benzodiazepine that is used to provide sedation for patients receiving mechanical ventilation

Answer 9

Lorazepam (Ativan)

Question 10

What are 4 other medications used to provide sedation for patients receiving mechanical ventilation besides Ativan

Answer 10

Xanax
Valium
Diprivan
Midazolam versed

Question 11

The best way to evaluate a patients ability to breath is

Answer 11

Drawing an ABG

Question 12

If there is blunting of the costophrenic angle on a chest xray there is always a what present?

Answer 12

Pleural effusion

Question 13

Furosemid is another name for

Answer 13

Lasix

Question 14

Any time a patient is given diuretic there ____level will go up

Answer 14

Potassium level

Question 15

Inspiratory stridor is a sign of

Answer 15

post-extubation laryngeal edema

Question 16

After extubation if the patient has a sore throat you can recommend what?

Answer 16

cool mist aerosol and racemic epinephrine

Question 17

For a patient on the ventilator that is briefly removed for suctioning, whenever possible, you should always do what instead of removing them from the ventilator?

Answer 17

For a patient on the ventilator, whenever possible, you should
always try to use a closed-system or in-line suctioning catheter

Question 18

Acetylcystein (Mucomyst) is a drug typically given for

Answer 18

retained secretions

Question 19

The best way intervention for clearing secretions if patient cant is?

Answer 19

Nasotracheal suctioning

Question 20

Most common problem with assist control mechanical ventilation

Answer 20

Hyperventilation

Question 21

The high pressure alarm limit should be set how much above the PIP setting

Answer 21

10-15cmH20

Question 22

For a mild asthma attack you expect to see what kind of ABG result

Answer 22

respiratory alkalosis with hypoxemia

Question 23

If a patients FVC is low they have what kind of disease

Answer 23

Restrictive disease

Question 24

the tidal volume setting is based off of qhat formula

Answer 24

5-10ml/kg of IBW

Question 25

what 3 medications are all prophylactic agents that are used to help prevent asthma attacks

Answer 25

Cromolyn sodium
Zafirlukast
Zileuton

Question 26

The SIMV mode does what as an advantage

Answer 26

Maintains respiratory muscle strength