smith review ques

Question 1

DDx of High Airway Pressure

Answer 1

Start from Machine and go to patient:

• kinking of circuit
• kinking of tube
• secretions
• main stem
• bronchospasm (wheezing)
• pneumothorax
• pulmonary edema (cardiogenic, noncardiogenic)
• ARDS
• Pneumoperitoneum
• Reverse t-berg position

Question 2

What are the S/Sx of fat embolism syndrome?

Answer 2

• petechial rash
• diffuse alveolar infiltrates
• hypoxemia (Pao2<70 mm Hg with an Fio2 100%)
• increase A-a gradient
• confusion, fever, tachycardia, tachypnea

Under general Anes

• Clinical signs may include hypoxia/increased A-a gradient, tachycardia, and a petechial rash on the upper portions of the body
• PA pressures increase, decrease CO