special notes

Question 1

nebulizer affectiveness

Answer 1

*requires ability to DEEP breathe

Question 2

P/F ratio

Answer 2

use it to quantify degree of hypoxemia

PaO2/FiO2

Question 3

initial vent settings

Answer 3

• start eliminating by VT

- verify for adequate MV (RR x vt)

Question 4

IBW vt

Answer 4

never exceed IBW vt, may cause ALI/barotrauma

Question 5

during cardioversion

Answer 5

1. bag-mask on standby

2. midazolam(versed) prior to cardioversion

Question 6

RR for pediatrics age2-12

Answer 6

18-25 breaths

Question 7

tube placement

Answer 7

females 19-21

males 21-23

Question 8

right stem intubation

Answer 8

breath sounds absent on left lung

Question 9

normal temp

Answer 9

97 - 99.5 deg F

Question 10

tension pneumo

Answer 10

1. needle decompression

2. chest tube

Question 11

high PIP alarm

Answer 11

1. tube patency

2. breath sounds

Question 12

mech vent settings for ARDS

Answer 12

1.low Vt

may use PC, HFV, or ECMO if refractory hypoxemia

Question 13

neonatal initial vent settings

Answer 13

PIP 20-25
rate 30-40
IT 0.4-0.5sec
PEEP 4-7

premature, PIP 15-25 PEEP 3-6

Question 14

severe oxygenation issue

Answer 14

suspect CYANOTIC disease caused by congenital heart defect

diagnosis done by echocardiogram

Question 15

CO poisoning

Answer 15

1. SaO2 rather than spO2

2. pupil examination-tells of brain O2

Question 16

unconscious

Answer 16

response to painful stimuli to determine level of unconsciousness

Question 17

serum glucose level

Answer 17

measured in infants

Question 18

babinski reflex

Answer 18

rubbing pt’s foot to determine cerebral trauma. positive test indicated by fan out toes

Question 19

control mode

Answer 19

only if pt is sedated and paralyzed

Question 20

improvement after vent change

Answer 20

if something other than what has improved persists, take care of that.