CSE RRT REVIEW EXAM WITH CORRECT SOLUTIONS

CSE RRT REVIEW EXAM WITH CORRECT SOLUTIONS What is the difference in chronic and acute ventilators failure? -Correct Answer-In both cases, CO2 is 45 but with chronic pH is normal. When acute, pH is 7.35 acute alveolar hyperventilation -Correct Answer-pH normal and CO2 35 Normal VC (vital capacity) -Correct Answer-65-75 mL/Kg (10 x VT) Initial PIP for infants -Correct Answer-20-30 or 4-6 mL/Kg VC and VE extubation criteria -Correct Answer-VC 10 mL/Kg and VE 10 What other drugs besides SABA and corticosteroids can be used to tx acute asthma? -Correct Answer-Subcutaneous Epi and Magnesium Sulfate What 2 pathologies products purulent (pus-like) secretions, which also separated in 3 layers? -Correct Answer-Bronchiectasis & CF What special test is required for Bronchiectasis? -Correct Answer-Bronchogram or CT. Will confirm dilated bronchi and increased bronchial wall opacity What three bacteria are present in CF patients -Correct Answer-Staphylococcus Aureus (SA), haemophilus influenza (HI), and pseudomonas aeruginosa (PA) 3 diagnostic testing for CF -Correct Answer-Newborn Immunoreactive Trypsin Levels (IRT), Sweat Level test 60 and/or Genetic Testing What is Dornase Alfa? -Correct Answer-(brand name: Pulmozyme) A Proteolytic enzyme for management of cystic fibrosis by breaking down DNA material from neutrophils found in purulent secretions. 3 corticosteroids -Correct Answer-Advair, Flovent and Pulmicort Antibiotics for CF -Correct Answer-Tobramycin (TOBI) Colistin Amikacin 2 common bedside assessments with CSA/OSA -Correct Answer-Hypothyroidism and Morning headaches