IA MED FPC
How long does it take for the Bicarb/Carbonic Acid buffer system to react? - ANS-Seconds
What is the normal range of pH? - ANS-7.35 - 7.45
If you are retaining Hydrogen ions does that mean you are acidotic or alkalotic? - ANS-Acidotic
What is the normal value of PaCO2? - ANS-35 to 45
What is the normal value of HCO3? - ANS-22 to 26
What is thermal value of base excess? - ANS--2 to 2
What is the formula for calculating replacement of HCO3? - ANS-0.1 x (-BE) x kg = Bicarb
needed
What is the normal value for PaO2? - ANS-80 to 100 mmHg
A PaO2 of 60% is roughly equal to an SaO2 of what? - ANS-90%
What are the critical ABGs for intubation? - ANS-PaO2 < 60
CO2 > 55
pH < 7.2
For every change of 10 in pH the K will change by _______ in the ______ direction. - ANS-0.6 /
opposite
Metabolic acidosis is evident by what ABG findings? - ANS-pH < 7.35
Bicarb < 22
#1 cause is lactic acidosis (lactate > 4)
Often caused by: keto acidosis, hyperthermia/fever, seizures, rhabdomyolysis
Name this ABG...
pH - 7.490
PCO2 - 42.3 mmHg
PO2 - 88 mmHg
HCO3 - 32 mmol/L
BEecf - 9 mmol/L
sO2* - 97%
,*calculated
FIO2 - 100
Sample Type: ART - ANS-Uncompensated Metabolic Alkalosis
What makes up the 3 sides of the pediatric assessment triangle? - ANS-Appearance
Work of breathing
Circulation
Describe the LEMON difficulty intubation assessment. - ANS-L - look externally
E - Evaluate 3-3-2
M - Mallampati
O - Obstructions
N - Neck mobility
Optimal intubation is to be performed with the patient's eat at the level of their _______? -
ANS-Sternal notch
What airway adjunct provides maximal protection against aspiration? - ANS-Endotracheal Tube
True or False: High flow nasal cannulas may be used on the ventilator on both CPAP and
Bi-level methods of delivery. - ANS-True
What should you target the ETT cuff pressure to? - ANS-20 - 30 mmHg. Gold standard is 25.
What is the gold standard for confirmation of ET placement? - ANS-Chest X-ray
The distal tip of the ETT should be placed _______cm above the carina at the level of which
vertebrae? - ANS-2 to 3 cm / T2 to T3
RSI: What are 2 important therapies to consider with a hypotensive patient prior to
induction/paralyzation? - ANS-Fluid bolus
Push dose pressors
True or False: OG/NG tubes are only to be used in conjunction with an ETT if they are within 4
hours. - ANS-False.
OG/NG tubes shall be used with all intubations given there aren't any contraindications.
Which induction agent provides both analgesia and sedation? What is the proper dose in RSI? -
ANS-Ketamine
2mg/kg
State 3 contraindications for administration of Succinylcholine. - ANS-Hyperkalemia
Eye injuries
Nervous system disorder
, What is the treatment for malignant hyperthermia? - ANS-Dantrolene
Hemodynamically unstable patients: Consider _________ the dose of an induction agent, and
________ the dose of paralytic. - ANS-Half / Doubling
In the post intubation critical care patient is it better to provide push dose sedation or IV infusion
sedation? - ANS-IV infusion
You have had 2 failed attempts at intubation and have preoxygenated you patient to 95% SpO2
prior to you next step. Should you...
(A) Have the most experienced provider perform the intubation
(B) Perform a cricothyrotomy - ANS-A
One last attempt should be made. 3 are permitted given the SpO2 maintains above 90%.
Where are the central chemoreceptors located? - ANS-Medulla and pons
What is the gold standard diagnostic tool for monitoring ventilation? - ANS-Capnography
What 2 factors are used to influence oxygenation? - ANS-PEEP
FiO2
What 2 factors are used to influence ventilation? - ANS-Respiratory Rate
Tidal Volume
Plateau Pressure (Pplat) should be maintained less than _____? - ANS-30
Peak Inspiratory Pressure (PIP) should be maintained less than ____? - ANS-35
What is the Ideal Body Weight calculation for both males and females? - ANS-Males : 50 kg +
2.3 kg for each inch over 5 ft
Females : 45.5 kg + 2.3 kg for each inch over 5 ft
When making changes to the ventilator how many minutes should you wait for serial ABGs? -
ANS-15 minutes
What does the ventilator alarm "DOPE" stand for? - ANS-D - Dislodged
O - Obstruction
P- Pneumothorax
E - Equipment
Patient/ventilator dysynchrony often develops due to what causes? - ANS-Respiratory demands
not being met
Inadequate pain control
How long does it take for the Bicarb/Carbonic Acid buffer system to react? - ANS-Seconds
What is the normal range of pH? - ANS-7.35 - 7.45
If you are retaining Hydrogen ions does that mean you are acidotic or alkalotic? - ANS-Acidotic
What is the normal value of PaCO2? - ANS-35 to 45
What is the normal value of HCO3? - ANS-22 to 26
What is thermal value of base excess? - ANS--2 to 2
What is the formula for calculating replacement of HCO3? - ANS-0.1 x (-BE) x kg = Bicarb
needed
What is the normal value for PaO2? - ANS-80 to 100 mmHg
A PaO2 of 60% is roughly equal to an SaO2 of what? - ANS-90%
What are the critical ABGs for intubation? - ANS-PaO2 < 60
CO2 > 55
pH < 7.2
For every change of 10 in pH the K will change by _______ in the ______ direction. - ANS-0.6 /
opposite
Metabolic acidosis is evident by what ABG findings? - ANS-pH < 7.35
Bicarb < 22
#1 cause is lactic acidosis (lactate > 4)
Often caused by: keto acidosis, hyperthermia/fever, seizures, rhabdomyolysis
Name this ABG...
pH - 7.490
PCO2 - 42.3 mmHg
PO2 - 88 mmHg
HCO3 - 32 mmol/L
BEecf - 9 mmol/L
sO2* - 97%
,*calculated
FIO2 - 100
Sample Type: ART - ANS-Uncompensated Metabolic Alkalosis
What makes up the 3 sides of the pediatric assessment triangle? - ANS-Appearance
Work of breathing
Circulation
Describe the LEMON difficulty intubation assessment. - ANS-L - look externally
E - Evaluate 3-3-2
M - Mallampati
O - Obstructions
N - Neck mobility
Optimal intubation is to be performed with the patient's eat at the level of their _______? -
ANS-Sternal notch
What airway adjunct provides maximal protection against aspiration? - ANS-Endotracheal Tube
True or False: High flow nasal cannulas may be used on the ventilator on both CPAP and
Bi-level methods of delivery. - ANS-True
What should you target the ETT cuff pressure to? - ANS-20 - 30 mmHg. Gold standard is 25.
What is the gold standard for confirmation of ET placement? - ANS-Chest X-ray
The distal tip of the ETT should be placed _______cm above the carina at the level of which
vertebrae? - ANS-2 to 3 cm / T2 to T3
RSI: What are 2 important therapies to consider with a hypotensive patient prior to
induction/paralyzation? - ANS-Fluid bolus
Push dose pressors
True or False: OG/NG tubes are only to be used in conjunction with an ETT if they are within 4
hours. - ANS-False.
OG/NG tubes shall be used with all intubations given there aren't any contraindications.
Which induction agent provides both analgesia and sedation? What is the proper dose in RSI? -
ANS-Ketamine
2mg/kg
State 3 contraindications for administration of Succinylcholine. - ANS-Hyperkalemia
Eye injuries
Nervous system disorder
, What is the treatment for malignant hyperthermia? - ANS-Dantrolene
Hemodynamically unstable patients: Consider _________ the dose of an induction agent, and
________ the dose of paralytic. - ANS-Half / Doubling
In the post intubation critical care patient is it better to provide push dose sedation or IV infusion
sedation? - ANS-IV infusion
You have had 2 failed attempts at intubation and have preoxygenated you patient to 95% SpO2
prior to you next step. Should you...
(A) Have the most experienced provider perform the intubation
(B) Perform a cricothyrotomy - ANS-A
One last attempt should be made. 3 are permitted given the SpO2 maintains above 90%.
Where are the central chemoreceptors located? - ANS-Medulla and pons
What is the gold standard diagnostic tool for monitoring ventilation? - ANS-Capnography
What 2 factors are used to influence oxygenation? - ANS-PEEP
FiO2
What 2 factors are used to influence ventilation? - ANS-Respiratory Rate
Tidal Volume
Plateau Pressure (Pplat) should be maintained less than _____? - ANS-30
Peak Inspiratory Pressure (PIP) should be maintained less than ____? - ANS-35
What is the Ideal Body Weight calculation for both males and females? - ANS-Males : 50 kg +
2.3 kg for each inch over 5 ft
Females : 45.5 kg + 2.3 kg for each inch over 5 ft
When making changes to the ventilator how many minutes should you wait for serial ABGs? -
ANS-15 minutes
What does the ventilator alarm "DOPE" stand for? - ANS-D - Dislodged
O - Obstruction
P- Pneumothorax
E - Equipment
Patient/ventilator dysynchrony often develops due to what causes? - ANS-Respiratory demands
not being met
Inadequate pain control
