Pulm 2

Question 1

Acute Pulmonary Edema Rx

Answer 1

Initial rx:
BiPAP
Nitroglycerin: ↓ preload, ↓ afterload
Furosemide

Second line rx:
Severe hypotension with signs of shock: norepinephrine

Question 2

Initial ventilator settings for most intubated patients should deliver a tidal volume of _________________

Answer 2

6–8 mL/kg of ideal body weight.

Question 3

Initial vent rate should be set at ______________ breaths per minute

Answer 3

12–14 breaths per minute

Question 4

What is PEEP and what should the initial settings be on the non-asthmatic patient?

Answer 4

PEEP is a way to maintain positive pressure in the lungs at the end of expiration.

It is generally set at 5 cm H₂O.

Question 5

What two pulmonary function test parameters are most useful in measuring respiratory muscle strength in a patient with myasthenia gravis?

Answer 5

FVC- levels less than 10 to 15 mL/kg

NIF- levels less than -20 cm H2O

–> prompts intubation.

Question 6

What medication (and dose) can be used to temporarily preserve patency of the ductus arteriosus?

Answer 6

Alprostadil (prostaglandin E1) 0.05–0.1 mcg/kg/min intravenously.