RRT Questions: General patient care

Question 1

Smoking cessation programs include (x3, must be in order)

Answer 1

1. Instruction
2. Group counseling
3. Nicotine replacement therapy (Nicoderm)

Question 2

Smoking cessation compliance can be checked by checking ___.

Answer 2

Levels of carboxyhemoglobin.

Question 3

How hot does steam have to be to sterilize?
What PSI?
How long?

Answer 3

121 degrees centigrade at 15 PSI for 15 minutes

Question 4

How do you clean up blood?

Answer 4

Spray with 1:10 solution of bleach and water and wipe it up.

Then spray again and air dry.

Question 5

How often should you change a nebulizer and aerosol tubing?

Answer 5

Every 24 hours.

Question 6

Prior to gas sterilization, what should you do with non-disposable equipment from HIV and HEP-C patients?

Answer 6

Double bag them.

Question 7

To prevent VAP, use ___ suction systems. Do not routinely ___ ___. Consider using a ___ instead of a SVN. Intubated patients may benefit from a ___.

Answer 7

Closed.
Changing ventilator circuits.
MDI
CASS: Continuous aspiration of subglottic secretions.

Question 8

What is huff coughing?

Who should do it?

Answer 8

Coughing with an open glottis.

More effective in COPD patients and head trauma patients to prevent increased ICP.

Question 9

How long is a timed walk test?

Answer 9

6-12 minutes

Question 10

How do you clean home care equipment?

Answer 10

1. Wash with mild detergent
2. Remove all soap by rinsing with water
3. Soak in white distilled vinegar for 20 minutes
4. Rinse, drain, and dry without wiping
5. Air dry on a clean towel.

Question 11

What kind of patient gets a liquid bulk oxygen system?

If they have one, they must have a ___.

Answer 11

Someone who is mobile. They must have a back-up tank.

Question 12

A patient with an oxygen concentrator must have a ___ in case of power failure.

Answer 12

An oxygen cylinder.

Question 13

Moderate persistent asthma is characterized by an FEV1 of ___.

Answer 13

60-80%

Question 14

Moderate persistent asthma is characterized by FEV1/FVC of ___.

Answer 14

75-80%

Question 15

Moderate persistent asthma is characterized by ___ exacerbations per week and ___ exacerbations per year.

Answer 15

2 nights per week or 3 per year

Question 16

A patient with moderate, step 4 asthma should receive these treatments x2:

Answer 16

Inhaled corticosteroids and LABA.

Question 17

What is the A-a gradient shortcut?

Answer 17

(7 x FiO2) - (PaCO2 + 10) = PAO2

Question 18

If CavO2 is going up, then Qt is going ___.

Answer 18

Down

Question 19

If C (a-v) O2 is going up, then Qt is going ___.

Answer 19

Down

Question 20

What is the shunt shortcut?

Answer 20

If for every 100 mmHg, add 5%. (or 2.5 for every 50).

Add 5%.

Question 21

When do you put someone on a ventilator?

Answer 21

If CO2 is high AND O2 is low.

If CO2 is high but O2 is ok, use BIPAP.

Question 22

Any time there is a metabolic problem, you should look at ___.

Answer 22

Electrolytes.

Question 23

What should you do if a patient has a high temperature?

Answer 23

Give O2.

Question 24

PFT’s: If vital capacity is normal then respiratory disease cannot be ___.

Answer 24

Restrictive.

Question 25

PFT’s: If vital capacity is less than 80% of predicted, patient is ___.

Answer 25

Restricted.

Question 26

If FEV1 is normal, then the respiratory disease cannot be ___.

Answer 26

Obstructive.

Question 27

PFT’s: If FEV/FCV ration is less than ___, then the disease is ___.

Answer 27

70%, obstructive.

Question 28

Do not use ___ on restrictive patients. Instead, use ___.

Answer 28

Incentive spirometry.

Use IPPB.

Question 29

What are the GOLD FEV1 Percentages?

Answer 29

80%,
50%,
30%,
less than 30% or 50% with chronic resp failure.