Lindsey Jones Exam 1 Questions & Answer Correct 100%

Romazicon (flumazenil) - Answer A patient receiving mechanical ventilation has received Halcion in the last 20 minutes. The physician orders the institution of SBT's to commence immediately. What medication would be most helpful to the patient? Atropine Sulfate - Answer A pt w/ a history of myasthenia gravis receives Endrophonium for the purpose of diagnosis of a suspected myasthenic crisis. Moments after administration, the patient's ventilatory drive becomes markedly diminished. What medication would be most helpful to the patient at this time? Diamox (Acetazolamide) - Answer A patient who suffers from head trauma has an ICP of 25 mmHg and is receiving mechanical ventilatory support in control mode. The patient is sedated and paralyzed. To best manage his ICP, what medication would be most helpful? Manual dexterity and language skills - Answer The respiratory therapist should evaluate what, to develop a teaching plan for a patient who will be using an MDI at home? Disease history - Answer What should be excluded in an evaluation of a patient's ability to learn to self-administer medication by MDI? Ipratropium bromide 0.5mg and a theophylline level check - Answer A 33 y/o femal with a history of asthma presents to the ER w/ inspiratory and expiratory wheezing. She take aminophylline routinely and has self-administered 8 puffs of albuterol via MDI over the past two hours. What should the RT recommend? Atrovent MDI 2 puffs - Answer A pt in the ED w/ asthma has been on continuous albuterol treatments for 1 hour at 10mg/hr. Aeration has improved slightly upon auscultation. Peak flow is currently less than 50% of normal baseline. The RT is asked to recommend additional bronchodilator therapy to be combined w/ Albuterol. What should the RT recommend? Bronchoscopy - Answer What would be most beneficial in resolving microatelectasis? A wasted appearance - Answer A RT notes the word cachetic used in the medical documentation to describe a patient. This is most consistent with what? Cachexia - Answer What would most closely describe the physical attribute of being wasted in appearance? Fail to cycle into exhalation - Answer A long-term care patient who experienced a stroke has left-sided paralysis about the face and mouth. The patient is unable to produce a seal w/ her lips while performing IPPB treatments. How would a RT expected the IPPB machine to respond in this situation? Increase sensitivity - Answer A post-operative patient is receiving positive-pressure ventilation w/ an IPPB while recovering from anesthesia. The mandatory rate is 10/min. Inspiratory pressure is set to 18 cmH2O. Gradually the rate increases to 16/min while the monometer needle is showing a significant negative deflection before inhalation begins. The pressure manometer no longer rises smoothly during inhalation. What should the RT do? Run 1 - Answer Quality control material has published values for pH of 7.50, PO2 of 110 mmHg. Documentation indicates the range of pH is 0.5% and is 3% for PO2. Machine results are as follows: Run 1: pH- 7.39 PO2- 101 Run 2: pH- 7.48 PO2 107 Run 3: pH- 7.52 PO2 112 Which quality control run(s) indicates the machine is out of control? Monitor this machine closely - Answer Quality control data for an ABG analyzer is plotted ona graph that has a range of 4 standard deviations (2 SD up and 2 SD down). Points on the graph show a gradual rise from below the mean to above the mean. All points are within 2 SD of the mean. The respiratory supervisor should do...?