RRT Questions: Simulations Flashcards
Treatment for emphysema & chronic bronchitis should include these two things:
Antibiotics
Flu shot
An ABG done on an asthma patient will show ___.
Status asthmaticus will show ___.
Hyperventilation with hypoxemia, hypercarbia will occur in status asthmaticus.
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.
Volume control ventilation (5-10 days) PEEP After extubation: Routine bronchial hygiene Hyperinflation therapy (IS, IPPB, cough & deep breathe)
What is pleurodesis?
Fusing parietal and visceral pleurae to prevent pleural effusion.
When treating head trauma, PaO2 must be kept near ___.
100 torr
When treating head trauma patients, you should keep ___ low by using low PEEP and PIP.
Airway Pressure
In head trauma patients, use ___ for sedation. Use ___ to decrease ICP. Use ___ to treat seizures.
Barbituates for sedation, Mannitol for ICP, and Dilantin for seizures.
What kind of pre-operative therapy should be done on thoracic and abdominal surgery patients?
Hyperinflation therapy. (IS, IPPB)
What kind of post-operative therapy should be done on thoracic and abdominal surgery patients? (x2)
Hyperinflation therapy (IS, IPPB), monitor chest drainage systems.
What test is used to diagnose and monitor therapy for Myasthenia Gravis? What PFT’s should you watch for?
Tensilon test.
Watch Tv, VC, and MIP.
If you give the tensilon test to a patient and their symptoms improve, what should you do?
Referred to as Myasthenic Crisis. Give Prostigmine (Neostigmine) Give Pyridostigmine (Mestinon, Regonol)
If you give the tensilon test to a patient and their symptoms get worse, what should you do?
Referred to as Cholinergic Crisis. (You gave too much Tensilon)
Give atropine to reverse tensilon
Myasthenia Gravis patients should get bedrest and a soft diet. O2 therapy also. Give ___ hormone and ___ hygiene. If severe, give ___.
Adrenocorticotropic Hormone
Pulmonary Hygiene
Steroids if severe
What test is used for Guillain Barre Syndrome?
When giving this test, look for high ___ levels in CSF and an abnormal ___.
Lumbar puncture. Look for high protein level in CSF and abnormal electromyography.
Guillain Barre patients should be monitored in the ___. Do ___ in severe cases only. Consider ___ therapy, ___ therapy, and give ___.
ICU
Plasmapheresis
anti-coagulant, physical, corticosteroids
Stroke patients should have a ___ or a ___ of the brain to determine the nature of the CVA. Also be sure to monitor ___.
CT or MRI
ICP
Pulmonary edema treatment: give ___ FiO2. Place patient in ___ position. Give IPPB.
100%
Fowler’s
Pulmonary edema pharmacological treatment: Give inotropic agents, such as ___, ___, or ___. Use ___ as a sedative.
Digoxin
Digitalis
Dopamine
Morphine
Pulmonary edema pharmacological treatment: Give ___, ___, ___, or ___ to reduce afterload. Check these two electrolytes: ___ and ___.
Morphine Nitroglycerin Nitroprusside ACE inhibitors Sodium and potassium.
Croup patients are severe enough to be intubated if these symptoms are acting ___, if you notice extreme ___, hear ___, or if there is SEVERE ___.
Lethargy
Extreme accessory muscle usage
Diminished breath sounds
SEVERE stridor at rest
In patients who have been poisoned, you should not consider giving ___ or ___. Instead give a slurry of ___ and do ___.
No syrup of ipecac or gastric lavage.
Give activated charcoal and whole-bowel irrigation.
What drug is given for acetaminophen overdose?
Acetylcystine
What anti-inflammatory drugs are given to CF patients? x3
What antibiotics are given to CF patients? x3
Anti-inflammatory: Advair, Flovent, and Pulmacort
Antibiotics: Tobramycin, Colistin, Amikacin
Bronchiolitis or RSV should get a ___ test to isolate the virus or antigens.
Sputum
What two drugs should be given to treat RSV?
In severe cases, give ___ via ___.
IV RespiGam
IM Synagis
Ribavirin via SPAG
If an RSV patient has to be intubated, use a ___ respiratory rate with ___ expiratory times.
Low
Long
