Terminology/ special procedures

Question 1

ethylene oxide

Answer 1

sterilizes (Bird Mark , flowmeter, or non-disposable resuscitation bag)

Question 2

Alkaline glutaraldehyde

Cidex

Answer 2

disinfection or sterilization of reusable plastics (mouthpiece, tubing ,nebs, humidifiers)

Question 3

Fiberoptic Bronchoscope is sterilized with …

Answer 3

Alkaline gluteraldehyde

Question 4

6 or 12 min walk test can determin

Answer 4

if patient develops cardia arrhytmias, angine, or excessive hypoximia

Question 5

Pseudomonas aeruginosa
&
Serratia

Answer 5

infectious agents transmitted by aerosol devices

Question 6

def

gamma rays are used to sterilize pre-packaged equipment

Answer 6

irradiation

Question 7

Dosage of Inhaled nitric oxide

Answer 7

20-40 ppm

should not exceed 80 ppm

Question 8

Thoracentesis

This type of fluid would be associated with CHF

Answer 8

Transudate fluid

Question 9

Thoracentesis

As more cells are added to the fluid, the fluid tends to get cloudy or opaque and is referred to as an

Answer 9

exudate

Question 10

Analysis of Pleiural fluid

yellow or milky exudate fluid

what does it mean?

Answer 10

infection

Question 11

Analysis of Pleiural fluid

bloody effusions

what does it mean

Answer 11

malignancy or cancer

Question 12

Analysis of Pleiural fluid

containing lymphatic exudative fluid

Answer 12

chyle

Question 13

To drain Air from the pleural space, the chest tube is placed in …

Answer 13

the second intercostal space in the midclavicular line

Question 14

To drain Fluid from the pleural space, the chest tube is placed….

Answer 14

in the 5th to 7th intercostal space in the midaxillary line

Question 15

Thoracentesis

needle is inserted in the….

Answer 15

7th or 8th intercostal space just above the rib at the site of maximal dullness

Question 16

flat or dull percussion note, diminished breath sounds, tracheal shift away from the site

it’s a ?

Answer 16

pleural effusion

Question 17

Hyperbaric Oxygen Therapy

purpose

Answer 17

means of increasing the PO2 by increaseing the barometric pressure

Question 18

Helium/ Oxygen therapy

purpose

Answer 18

decreases wob by delivering low density gas that can easily maneuver around obstructions

Question 19

Indications for He/O therapy

Answer 19

*severe asthma
*obstructive tumos
post extubation stridor
foreing object aspiration
partial voval cord paralysis

Question 20

Analysis of pleural fluid

Purulent

Answer 20

pus filled exudate

Question 21

Respiratory quotient (RQ)

Answer 21

the ratio of Co2 to O2 consumption

vco2/vo2

Question 22

RQ for carbohydrates…Fats… Proteins

Answer 22

1.00…0.71…0.82

Question 23

Normal RQ

Answer 23

0.67-1.3

Question 24

RQ >1.1 indicates?

Answer 24

overfeeding

Question 25

RQ <0.7 indicates?

Answer 25

underfeeding

Question 26

troubleshooting

Low pressure alarm

consider:

Answer 26

1. patient disconnect
2. leak in the circuit
3. insufficient flow
4. endotracheal/ trach cuff leak

Question 27

troubleshooting

High pressure alarm

consider:

Answer 27

1. patient obstruction
2. equipment obstruction

Question 28

occurs with metabolic alkalosis, excessive excretion, vomiting, FLATTENED T WAVES ON ECG

Answer 28

Hypokalemia

Question 29

kidney failure, SPIKED T WAVE, (metabolic acidosis)

Answer 29

Hyperkalemia

Question 30

fluid loss from diuretics, vomitting, diarrhea, fluid gain from CHF, IV therapy

Answer 30

Hyponatremia

Question 31

dehydration occurs with

Answer 31

hypernatremia

Question 32

metabolic alkalosis happens with

Answer 32

hypochloremia

Question 33

metabolic acidosis occurs with

Answer 33

HYPERCHLOREMIA

Question 34

refers to low K+

Answer 34

hypokalemia

Question 35

referst to high k+

Answer 35

Hyperkalemia

Question 36

refers to low Na+

Answer 36

Hyponatremia

Question 37

refers to high Na+

Answer 37

Hypernatremia

Question 38

excreted by the kidneys

Answer 38

creatinine

Question 39

apnea due to a loss of ventilation effort

Answer 39

central sleep apnea

Question 40

apnea due to blockage of upper airway

Answer 40

obstructive sleep apnea

Question 41

nasal apnea index

Mild
Moderate
Severe

calculated by #apneas/ #hours of sleep

Answer 41

5-15 mild
16-30 moderate
>30 severe

Question 42

Mini-BAL procedure

Answer 42

performed to obtain a distal lung speciment for diagnosis of ventilator asspcoate pneumonia VAP

Question 43

Factors for Helium/oxygen therapy
80/20
70/30

Answer 43

1.8
1.6

Question 44

indications for defibrillation

Answer 44

pulseless ventriculat tachy
ventricular fibrillation

Question 45

indications for He/O

Answer 45

post extubation
severe asthma
obstructive tumos
foreign onbject aspiration

Question 46

He/O

actual factor

Answer 46

indicated flow x factor

Question 47

iNO standard initial dose

Answer 47

20-40 ppm

Question 48

Thoracentesis: needle insertion

Answer 48

7th or 8th intercoscal space just above the rib at the site of maximal dullnes

Question 49

Chest tube placement for AIR

Answer 49

second intercostal spce in the midclavicular line

Question 50

Chest tube placement for Fluid

Answer 50

5th to 7th intercostal space in the midaxillary line

Question 51

sterilize IPPB with

Answer 51

ethylene oxide

Question 52

Nosocomial infections

Answer 52

an infection aquired at least 72 hours after admission to a hospital or other health care facility

Question 53

home oxygen delivery systems

non-eloectrical, portable units are easily filled for trips. Not used as a backup system

Answer 53

Liquid bulk oxygen systems

Question 54

oxygen concervation device:device senses th start of inspiration and delivers oxygen only during inspiration

Answer 54

Pulse-dose oxygen delivery systems

Question 55

home oxygen delivery systems

utilize a molecular seive that removes nitrogen and other gases from room air to concentrate the oxygen

Answer 55

oxygen concentrators
(o2 can be provides at 1-2 l/min)