RRT Questions: Simulations

Question 1

Treatment for emphysema & chronic bronchitis should include these two things:

Answer 1

Antibiotics

Flu shot

Question 2

An ABG done on an asthma patient will show ___.

Status asthmaticus will show ___.

Answer 2

Hyperventilation with hypoxemia, hypercarbia will occur in status asthmaticus.

Question 3

Treatment for an acute patient with rib fractures will include ___ control ventilation for ___ to ___ days. Use increased PEEP. After extubation, treatment will include routine ___ and ___ therapy.

Answer 3

Volume control ventilation (5-10 days)
PEEP
After extubation:
Routine bronchial hygiene
Hyperinflation therapy (IS, IPPB, cough & deep breathe)

Question 4

What is pleurodesis?

Answer 4

Fusing parietal and visceral pleurae to prevent pleural effusion.

Question 5

When treating head trauma, PaO2 must be kept near ___.

Answer 5

100 torr

Question 6

When treating head trauma patients, you should keep ___ low by using low PEEP and PIP.

Answer 6

Airway Pressure

Question 7

In head trauma patients, use ___ for sedation. Use ___ to decrease ICP. Use ___ to treat seizures.

Answer 7

Barbituates for sedation, Mannitol for ICP, and Dilantin for seizures.

Question 8

What kind of pre-operative therapy should be done on thoracic and abdominal surgery patients?

Answer 8

Hyperinflation therapy. (IS, IPPB)

Question 9

What kind of post-operative therapy should be done on thoracic and abdominal surgery patients? (x2)

Answer 9

Hyperinflation therapy (IS, IPPB), monitor chest drainage systems.

Question 10

What test is used to diagnose and monitor therapy for Myasthenia Gravis? What PFT’s should you watch for?

Answer 10

Tensilon test.

Watch Tv, VC, and MIP.

Question 11

If you give the tensilon test to a patient and their symptoms improve, what should you do?

Answer 11

Referred to as Myasthenic Crisis.
Give Prostigmine (Neostigmine)
Give Pyridostigmine (Mestinon, Regonol)

Question 12

If you give the tensilon test to a patient and their symptoms get worse, what should you do?

Answer 12

Referred to as Cholinergic Crisis. (You gave too much Tensilon)
Give atropine to reverse tensilon

Question 13

Myasthenia Gravis patients should get bedrest and a soft diet. O2 therapy also. Give ___ hormone and ___ hygiene. If severe, give ___.

Answer 13

Adrenocorticotropic Hormone
Pulmonary Hygiene
Steroids if severe

Question 14

What test is used for Guillain Barre Syndrome?

When giving this test, look for high ___ levels in CSF and an abnormal ___.

Answer 14

Lumbar puncture. Look for high protein level in CSF and abnormal electromyography.

Question 15

Guillain Barre patients should be monitored in the ___. Do ___ in severe cases only. Consider ___ therapy, ___ therapy, and give ___.

Answer 15

ICU
Plasmapheresis
anti-coagulant, physical, corticosteroids

Question 16

Stroke patients should have a ___ or a ___ of the brain to determine the nature of the CVA. Also be sure to monitor ___.

Answer 16

CT or MRI

ICP

Question 17

Pulmonary edema treatment: give ___ FiO2. Place patient in ___ position. Give IPPB.

Answer 17

100%

Fowler’s

Question 18

Pulmonary edema pharmacological treatment: Give inotropic agents, such as ___, ___, or ___. Use ___ as a sedative.

Answer 18

Digoxin
Digitalis
Dopamine
Morphine

Question 19

Pulmonary edema pharmacological treatment: Give ___, ___, ___, or ___ to reduce afterload. Check these two electrolytes: ___ and ___.

Answer 19

Morphine
Nitroglycerin
Nitroprusside
ACE inhibitors
Sodium and potassium.

Question 20

Croup patients are severe enough to be intubated if these symptoms are acting ___, if you notice extreme ___, hear ___, or if there is SEVERE ___.

Answer 20

Lethargy
Extreme accessory muscle usage
Diminished breath sounds
SEVERE stridor at rest

Question 21

In patients who have been poisoned, you should not consider giving ___ or ___. Instead give a slurry of ___ and do ___.

Answer 21

No syrup of ipecac or gastric lavage.

Give activated charcoal and whole-bowel irrigation.

Question 22

What drug is given for acetaminophen overdose?

Answer 22

Acetylcystine

Question 23

What anti-inflammatory drugs are given to CF patients? x3

What antibiotics are given to CF patients? x3

Answer 23

Anti-inflammatory: Advair, Flovent, and Pulmacort

Antibiotics: Tobramycin, Colistin, Amikacin

Question 24

Bronchiolitis or RSV should get a ___ test to isolate the virus or antigens.

Answer 24

Sputum

Question 25

What two drugs should be given to treat RSV?

In severe cases, give ___ via ___.

Answer 25

IV RespiGam
IM Synagis
Ribavirin via SPAG

Question 26

If an RSV patient has to be intubated, use a ___ respiratory rate with ___ expiratory times.

Answer 26

Low

Long