FCCN 2 COMPREHENSIVE QUESTIONS AND
ANSWERS SURE A+
✔✔pH - ✔✔7.35-7.45
✔✔reading ABGs - ✔✔1. evaluate pH to identify acidosis or alkalosis
2. match CO2 or HCO3 with pH state using ROME to determine respiratory or metabolic
3. assess whether CO2 or HCO3 state is opposite of pH to determine if it is
uncompensated, partially compensated, fully compensated, or corrected
✔✔non-invasive ventilation - ✔✔CPAP/BiPAP
✔✔CPAP - ✔✔continuous positive airway pressure; provides inspiratory pressure
✔✔BiPAP - ✔✔bilevel positive airway pressure; provides inspiratory and expiratory
pressure
✔✔intubation - ✔✔insertion of ETT into trachea
✔✔RSI - ✔✔administration of induction agent and neuromuscular blockade agent
simultaneously
✔✔intubation kit medications - ✔✔premeds - versed and fentanyl
sedatives - propofol, etomidate, ketamine
paralytics - succinylcholine, rocuronium
pressor - phenylephrine
✔✔intubation preparation - ✔✔-notify RT and pharmacist
-discuss need for intubation and obtain consent, ensure pt does not have DNI order.
, -evaluate whether pt has difficult airway
-verify equipment and PPE
-assure functioning IV access
-position pt
-ensure verbalization of procedural pause
-preoxygenate
✔✔RN role during intubation - ✔✔monitor pt vital signs especially O2 sats, administer
medications, monitor time of intubation attempts, suctioning as needed
✔✔intubation process - ✔✔-following sedation, bag mask ventilate the pt
-physician visualize ETT passing through cords
-anesthesia backup will be notified after 10 minutes or 2 attempts to secure the airway
✔✔post intubation care - ✔✔-portable chest x-ray, ABGs
-obtain sedation and analgesia orders
-hourly RASS observation
-monitor for hemodynamic changes
✔✔ventilator settings - ✔✔FiO2
Tidal Volume
Respiratory Rate
PEEP
Mode
✔✔FiO2 - ✔✔fraction of inspired oxygen; the concentration of oxygen in the air we
breathe
RA is 21%, maximum is 100%
lung protection FiO2 goal: maintain SpO2 target with FiO2 <60%
✔✔PEEP - ✔✔positive end-expiratory pressure, provides positive pressure to airways
during expiration and helps keep alveoli open
common mechanical ventilator setting in which airway pressure is maintained above
atmospheric pressure
disadvantages: increased thoracic pressure decreases venous return to the heart. high
levels can cause barotrauma, tension pneumo
✔✔respiratory rate - ✔✔minimum number of breaths per minute the vent will ensure
your pt takes
increase the rate to blow off CO2, decrease rate to retain
ANSWERS SURE A+
✔✔pH - ✔✔7.35-7.45
✔✔reading ABGs - ✔✔1. evaluate pH to identify acidosis or alkalosis
2. match CO2 or HCO3 with pH state using ROME to determine respiratory or metabolic
3. assess whether CO2 or HCO3 state is opposite of pH to determine if it is
uncompensated, partially compensated, fully compensated, or corrected
✔✔non-invasive ventilation - ✔✔CPAP/BiPAP
✔✔CPAP - ✔✔continuous positive airway pressure; provides inspiratory pressure
✔✔BiPAP - ✔✔bilevel positive airway pressure; provides inspiratory and expiratory
pressure
✔✔intubation - ✔✔insertion of ETT into trachea
✔✔RSI - ✔✔administration of induction agent and neuromuscular blockade agent
simultaneously
✔✔intubation kit medications - ✔✔premeds - versed and fentanyl
sedatives - propofol, etomidate, ketamine
paralytics - succinylcholine, rocuronium
pressor - phenylephrine
✔✔intubation preparation - ✔✔-notify RT and pharmacist
-discuss need for intubation and obtain consent, ensure pt does not have DNI order.
, -evaluate whether pt has difficult airway
-verify equipment and PPE
-assure functioning IV access
-position pt
-ensure verbalization of procedural pause
-preoxygenate
✔✔RN role during intubation - ✔✔monitor pt vital signs especially O2 sats, administer
medications, monitor time of intubation attempts, suctioning as needed
✔✔intubation process - ✔✔-following sedation, bag mask ventilate the pt
-physician visualize ETT passing through cords
-anesthesia backup will be notified after 10 minutes or 2 attempts to secure the airway
✔✔post intubation care - ✔✔-portable chest x-ray, ABGs
-obtain sedation and analgesia orders
-hourly RASS observation
-monitor for hemodynamic changes
✔✔ventilator settings - ✔✔FiO2
Tidal Volume
Respiratory Rate
PEEP
Mode
✔✔FiO2 - ✔✔fraction of inspired oxygen; the concentration of oxygen in the air we
breathe
RA is 21%, maximum is 100%
lung protection FiO2 goal: maintain SpO2 target with FiO2 <60%
✔✔PEEP - ✔✔positive end-expiratory pressure, provides positive pressure to airways
during expiration and helps keep alveoli open
common mechanical ventilator setting in which airway pressure is maintained above
atmospheric pressure
disadvantages: increased thoracic pressure decreases venous return to the heart. high
levels can cause barotrauma, tension pneumo
✔✔respiratory rate - ✔✔minimum number of breaths per minute the vent will ensure
your pt takes
increase the rate to blow off CO2, decrease rate to retain
