RCP 230 CLINICAL FINAL

PT ASSESSMENT correct answer: LOOK AT PT WOB, RR, HR, ETCO2, WAVEFORMS AND AUSCULTATE 6 PLACES FRONT AND BACK INTUBATION INDICATIONS correct answer: 1. AIRWAY PROTECTION DRUG OVERDOSE, EDEMA, EPIGLOTTITIS, MARKED STRIDOR 2. INABILITY TO MAINTAIN PATENT AIRWAY 3. IMPENDING OR ACTUAL RESPIRATORY FAILURE 4. EMERGENCY MEDICATION ADMINISTRATION ETT SIZE correct answer: WOMEN 6.5-7.5 MEN 7.5-8.5 SUCTION CATHETER= (ETT SIZE X 3) / 2 MECHANICAL VENTILATION INDICATIONS correct answer: 1) Apnea or impending inability to breathe 2) Acute respiratory failure pH 7.25 (or heading that way) pCO2 50 (or heading that way_ 3) Severe hypoxia pO2 50 4) Respiratory muscle fatigue: RR 12 DEFINE: REFRACTORY HYPOXEMIA correct answer: Hypoxemia that doesn't respond to O2 therapy ABG: RESP ACIDOSIS WITH SEVERE HYPOXEMIA DEFINE: TYPE I RESPIRATORY FAILURE correct answer: AKA HYPOXEMIC RF PRIMARY PROBLEM IS INADEQUATE OXYGENATION BETWEEN ALVEOLI AND PULMONARY CAPILLARY SYSTEM ABG: pH- Normal/ High, CO2: Normal/ Low, O2 Low, HCO3 Low DEFINE TYPE II RESPIRATORY FAILURE correct answer: AKA HYPERCAPNIC RF PRIMARY PROBLEM IS ALVEOLAR HYPOVENTILATION, RESULTING IN HIGH PACO2 AND LOW PAO2 ABG: pH Normal/ Low, CO2 HIGH, O2 LOW, HCO3 Normal/ High IBW FORMULA correct answer: MEN: 106 + 6 (HT IN INCHES - 60) / 2.2 WOMEN 105 + 5 (HT IN INCHES - 60) / 2.2 VMIN FORMULA correct answer: MEN BSA x 4