Patient Assessment

Question 1

If the Glascow is less than 8, you must ….

Answer 1

intubate

Question 2

What is the Glascow Coma Scale

Answer 2

EYE	
        Spontaneous Opening	4
	To Verbal Stimuli     	3
	To Pain	                        2
	None	                        1

Verbal Response	
         Oriented	                5
	Confused 	                4
	Inappropriate words	3
	Incoherent	                2
	None	                        1

Motor (arm)	
        Obeys commands	        6
	Localizes pain	        5
	Withdraws from pain	4
	Flexion to pain	        3
	Extension to pain	        2
	None	                        1

Question 3

GCS of pt with spontaneous opening of eyes, oriented and obeying commands?

Answer 3

15

Question 4

GCS of pt with opening eyes to verbal stimuli, confused and localizing pain?

Answer 4

12

Question 5

GCS of pt that opens eyes to pain, using inappropriate words to communicate, and only withdraws from pain?

Answer 5

9

Question 6

What is miosis?

Answer 6

Pinpoint pupils

Question 7

What is Ptosis?

Answer 7

Droopy upper lids

Question 8

JVD is measured on _____

Answer 8

End exhalation

Question 9

Capillary refill is ______ seconds

Answer 9

1-3

Question 10

Erythema (red skin) is a sign of

Answer 10

CO poisoning, capillary congestion, inflammation or infection.

Question 11

What is ecchymosis?

Answer 11

Subcutaneous purpura (spot that doesn’t blanch), hematoma or bruise

Question 12

Apneustic can be described as

Answer 12

“Guppy breathing”

Question 13

Percussion

Answer 13

Resonant:normal
Flat:sternum, muscle or atelectasis
Dull:fluid
Tympanic:air-filled
Hyperresonant:Pneumo or emphysema (booming sound)

Question 14

What is the treatment for stridor?

Answer 14

Humidified O2
Topical decongestant (Rac. Epi.)
Sx’ing
Intubation for marked/Sv stridor

Question 15

Heart Sounds

Answer 15

S1 - M/T valve closure
S2 - P/A valve closure
S3 - Suggestive of CHF
S4 - Suggestive of MI or Cardiomegaly

Question 16

Work of Breathing

Answer 16

Change in Pressure x Change in Volume
Normal: 0.5-0.7 J/L or 0.05-0.07 kg-ml/L
5-7 day WORK week

Question 17

PETCO2 is

Answer 17

5-10 less than PaCO2

Question 18

An INCREASE in PETCO2 would indicate a ___________ in ventilation

Answer 18

DECREASE

Question 19

A DECREASE in PETCO2 would indicate an _____ in ventilation or decreased perfusion.

Answer 19

INCREASE (deadspace disease:PE, hypovolemia)

Question 20

If the PETCO2 is zero, __________

Answer 20

reconnect the ventilator

Question 21

If the PETCO2 is low following intubation,

Answer 21

ETT in the esophagus

Question 22

What is Anatomic Deadspace?

Answer 22

Amount of volume that doesn’t enter alveoli (1mL/lb of IBW)

Question 23

What is Mechanical Deadspace?

Answer 23

10 mL/inch of flex tubing

Question 24

Alveolar Minute Ventilation

Answer 24

VA=(Vt-VD) x f