CCRN Exam
what is Inborn Error of Metabolism? - Answer-a genetic disorder where the body cannot properly
metabolize certain substances
symptoms that indicate Inborn Error of Metabolism - Answer-FTT, frequent vomiting & irritability,
ketonuria (musty urine odor)
What do you see in bronchopulmonary dysplasia? (BPD) - Answer-increased airway resistance
decreased compliance
rapid, shallow respirations
bronchspasm
atelectasis
Symptoms of Bronchopulmonary Dysplasia (BPD) - Answer-barrel chest
hypoxemia
resp. acidosis
Which vent settings would be weaned first in a pt. with BPD? - Answer-FiO2 and PIP
what is a long term complication for a child with BPD? - Answer-barotrauma
(chronic hypoxemia causes increased PVR and Pulm. HTN)
what intervention would you expect for a patient with BPD admitted in heart failure? - Answer-decrease
preload
, improve R sided heart failure r/t lung disease
what is the main benefit to oscillator ventilation? - Answer-improves oxygenation through alveolar
recruitment while minimizing the complications associated with high PEEP
what factors affect the oxyhemoglobin dissociation curve & how? - Answer-temperature
- hyperthermia - shifts to the right allowing for release of oxygen
-hypothermia - shifts to the left impairing release of oxygen to the tissues
pH & CO2
-higher pH - more hydrogen - higher affinity for oxygen
- lower pH - acidosis - lower affinity for oxygen
carbon monoxide
- shifts curve left - impairs oxygen delivery
what is Baclofen used for? - Answer-acts on CNS for muscle relaxation
used with spinal cord injuries/cerebral palsy or other disorders with muscle spasticity
what is an important educational piece to note about Baclofen? - Answer-dose is adjusted every 3-6
months using a telemetry wand
What is Munchausen Syndrome by Proxy? - Answer-parents make up illnesses in their child when they
don't actually have one
what is Inborn Error of Metabolism? - Answer-a genetic disorder where the body cannot properly
metabolize certain substances
symptoms that indicate Inborn Error of Metabolism - Answer-FTT, frequent vomiting & irritability,
ketonuria (musty urine odor)
What do you see in bronchopulmonary dysplasia? (BPD) - Answer-increased airway resistance
decreased compliance
rapid, shallow respirations
bronchspasm
atelectasis
Symptoms of Bronchopulmonary Dysplasia (BPD) - Answer-barrel chest
hypoxemia
resp. acidosis
Which vent settings would be weaned first in a pt. with BPD? - Answer-FiO2 and PIP
what is a long term complication for a child with BPD? - Answer-barotrauma
(chronic hypoxemia causes increased PVR and Pulm. HTN)
what intervention would you expect for a patient with BPD admitted in heart failure? - Answer-decrease
preload
, improve R sided heart failure r/t lung disease
what is the main benefit to oscillator ventilation? - Answer-improves oxygenation through alveolar
recruitment while minimizing the complications associated with high PEEP
what factors affect the oxyhemoglobin dissociation curve & how? - Answer-temperature
- hyperthermia - shifts to the right allowing for release of oxygen
-hypothermia - shifts to the left impairing release of oxygen to the tissues
pH & CO2
-higher pH - more hydrogen - higher affinity for oxygen
- lower pH - acidosis - lower affinity for oxygen
carbon monoxide
- shifts curve left - impairs oxygen delivery
what is Baclofen used for? - Answer-acts on CNS for muscle relaxation
used with spinal cord injuries/cerebral palsy or other disorders with muscle spasticity
what is an important educational piece to note about Baclofen? - Answer-dose is adjusted every 3-6
months using a telemetry wand
What is Munchausen Syndrome by Proxy? - Answer-parents make up illnesses in their child when they
don't actually have one
