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Critical Care concepts/Respiratory/Cards for ACNPC-AG board review questions with accurate answers
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a patient with a Hx of Tetralogy of Fallot, what is the most common arrhythmia associated with this condition? correct answer VT- this is most commonly found in patients with previous ventriculostomies ABG findings in PE correct answer Respiratory alkalosis Hypoxia Elevated A-a gradient AC ventilator mode correct answer assist control -each breath guarantees tidal volume or pressure -pt can trigger higher breaths assisted breaths on vent correct answer breaths are initiated by the patient, but the vent performs at least some of the work of inspiration for those patient initiated breaths Chyliform effusion color correct answer creamy yellow Chyliform effusions are high and low in what? correct answer Low Triglycerides & High Cholesterol CMV (ventilator mode) correct answer Controlled Mandatory Ventilation
Ventilator does all the work. Set rate and tidal volume that is delivered with each breath. No accommodation for patient-initiated breaths. Administered to patient who are paralyzed or heavily sedated. Combo ICS/LABA (long acting beta2 agonist) correct answer budesonide + formoterol (Symbicort) fluticasone + salmeterol (Advair) compensated correct answer pH is normal contraindications for an intra-aortic balloon pump correct answer -uncontrolled sepsis -uncontrolled bleeding -mod to severe aortic regurg -an aortic aneurysm or aortic dissection -severe PAD unless pretreated with stenting. Criteria for extubation correct answer -reason for intubation is solved -GCS > -cuff leak -hemodynamically stability -maintaining MV spontaneously with minimal support emergency treatment of tension pneumothorax correct answer Large bore IV needle (#14) inserted at 2nd intercostal, mid-clavicular line on affected side empyema correct answer pus in the pleural cavity Exudative pleural effusion lab findings correct answer only needs 1 of the following -pleural protein/serum protein ratio >0. -pleural LDH/serum LDH ration >0. -pleural fluid LDH >2/3 the upper limit of the labs normal serum LDH
transudative will have none of the light criteria features present lights criteria looks what _________ to evaluate if it is an exudative or transudative effusion? correct answer compares serum to pleural protein and LDH Mallampati Score correct answer Used to predict the ease of intubation. Score ranges from I-IV. Classes I and II are associated with relatively easy intubation while classes III and IV are associated with increased difficulty. Mallampati Score I correct answer complete visualization of the soft palate Mallampati Score II correct answer complete visualization of the uvula Mallampati Score III correct answer *difficult intubation visualization of the uvula Mallampati Score IV correct answer *difficult intubation no visualization of any part of the soft palate mandatory breaths on vent correct answer breaths and initiated by the vent and the vent does all the work of inspiration during those breaths Normal HCO3 correct answer 22- Normal PCO2 correct answer 35- normal PEEP correct answer 5-10 (max is 20) Normal pH correct answer 7.35-7.
Normal tidal volume correct answer 6-8 ml/kg of ideal body weight -lower in ARDS Partially compensated correct answer All 3 values will be abnormal. PEEP correct answer positive end-expiratory pressure - common mechanical ventilator setting in which airway pressure is maintained above atmospheric pressure increases alveolar recruitment Pericarditis S/S correct answer chest pain worse when lying down -often relieved when sitting up or leaning forward, cough, fever, anxiety, FRICTION RUB, ST elevation in all leads PFT finding in obstructive disease correct answer reduced airflow rates FEV1: decreased FVC: normal or decreased FEV1/FVC: decreased PFT findings in restrictive disease correct answer reduced volumes FEV1: decreased FVC: decreased: TLC: decreased FEV1/FVC: normal PIP correct answer peak inspiratory pressure highest proximal airway pressure reached during inspiration. PIP target range correct answer <35 cm H2O. -high PIP may cause lung damage.
what does an IABP do to oxygen consumption of a patient? correct answer decreases what does an IABP do to the afterload? correct answer decreased what indicates bronchodilator responsiveness in obstructive lung disease correct answer an increase in FEV1 by 12% after bronchodilator use is suggestive of asthma.