Part 5

Question 1

What is the key finding in a patient with ARDS

Answer 1

Refractory Hypoxemia

Question 2

A patient with ARDS will have what kind of ABG result

Answer 2

Metabolic acidosis

Question 3

A patient with ARDS does not respond to an increase of the FIO2. Instead the patient will need high levels of

Answer 3

PEEP

Question 4

For a forced vital capacity maneuver on an adult patient the normal percentage for the first second of the exhale should be what

Answer 4

70-83% of the FVC

Question 5

To correct acute respiratory acidosis you need to blow off some of the CO2 you can do that by

Answer 5

increasing the minute ventilation (rate) or tidal volume

Question 6

What is the preferred puncture site of a capillary sample from a neonate

Answer 6

The lateral area of the heel

Question 7

What kind of airway is indicated for short term ventilation when normal ET tube intubation attempts are unsuccessful

Answer 7

A laryngeal mask airway (LMA)

Question 8

Increasing the pressure on a ventilator of a neonate can cause barotrauma which can cause

Answer 8

A pneumothorax

Question 9

What is an adverse effect of PEEP involving the heart

Answer 9

Decreased cardiac output

Question 10

If there is an adverse response to any type of therapy your first reaction should be

Answer 10

to stop therapy and restore patient to their prior state

Question 11

If a patient has a normal FEV1/FVC ratio but a decreased FEV1, FVC, AND TLC what type of disease does the patient have

Answer 11

Restrictive disease

Question 12

The heart and mediastinum on an xray are pulled toward areas of

Answer 12

collapse (atelectasis)

Question 13

The heart and mediastinum on an xray are pushed away from areas containing…

Answer 13

abnormal air or fluid (tension pneumothorax, pleural effusion)

Question 14

Increased accessory muscle usage is a common observation in patients with..

Answer 14

Emphysema COPD

Question 15

If a patient takes to long on an FVC test to reach peak expiratory flow what can you instruct the patient to do?

Answer 15

To blast the air out faster

Question 16

Most infants and small children should receive aerosolized drugs via what method

Answer 16

An MDI with a valved holding chamber and a mask

Question 17

What two diseases cause increased tactile fremitus

Answer 17

Pneumonia and pulmonary edema

Question 18

If a patient is unconscious with acute respiratory acidosis its indicated to

Answer 18

intubate and apply assist/control (A/C) ventilation with full ventilatory support

Question 19

If a endotracheal tube is a size 7 what size Fr catheter should be used

Answer 19

Size 12 (take endo tube size and double it and do next size down from that - 7x2=14 next size down is 12)

Question 20

What kind of medication is Nimbex

Answer 20

neuromuscular blocking agent

Question 21

What kind of medication is dexdrine

Answer 21

A stimulant

Question 22

What kind of medication is Prozac

Answer 22

An antidepressant

Question 23

What kind of medication is Versed used for sedation in mechanical ventilation

Answer 23

benzodiazepine

Question 24

What are 3 medications besides Versed that can be used to sedate mechanically ventilated patients

Answer 24

Diprivan, Precedex, and Fentanyl

Question 25

How do you find the patients total lung capacity

Answer 25

Take the patients Vital Capacity (VC) + function residual capacity (FRC) and minus the expiratory reserve volume (ERV)