CSE RRT REVIEW EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
CHF/Pulmonary Edema will increase or decrease PCWP and PAP - ANSWER-Increase
What special testing should be performed wit CHF patients - ANSWER-Cardiac
Enzymes - check BNP levels to determine severity
How does a HFNC help CHF/pulmonary edema patient? - ANSWER-High-flow nasal
cannula (HFNC) has been demonstrated to benefit patients with heart failure by
reducing cardiac preload.
IPPB will help as well
Drugs to tx Tachycardia - ANSWER-Oxygen, procainamide and metoprolol
Name the 3 pre-load reducing agents - ANSWER-(1) nitroglycerin
(2) nitroprusside
(3) morphine
What does the distal and proximal ports of Swans Ganz catheter measure - ANSWER-
Distal - lungs
Proximal- CVP
T or F: Pulmonary Hypertension increase jugular vein pressure - ANSWER-True
The blood accumulation in the lungs caused by left ventricle failure means the right
ventricle has to work harder and becomes weakened until it cannot pump effectively
anymore. This failure causes the veins to bulge as blood accumulates. Pulmonary
hypertension.
What cause Pulmonary Hypertension - ANSWER-Pulmonary hypertension is a unique
form of hypertension (high blood pressure) in which the blood vessel that carries blood
from the heart to the lungs thickens, reducing the amount of blood that can move
through it in a given amount of time. In order to counter this resistance, your heart must
pump harder and faster. When the heart fails to keep up, the rest of the body suffers by
receiving less and less oxygen (a condition called hypoxia)
Name some blood thinner to get pulmonary hypertention pts? - ANSWER-Apixaban
(Eliequis)
Fondaparinux (Atrixia)
Heparin (Lovenox)
Rivaroxaban (Xarleto)
Warfran (Coumadin)
, What electrolytes should be checked when determining MI or Ischema? - ANSWER-
Potassium
Both hypokalemia and hyperkalemia can cause lethal arrhythmias
ST ELEVATION
With MI or Ischemia what drug should be used to maintain BP - ANSWER-Dopamine
(Lopressors)
Pulmonary Embolism Patients - ANSWER-Sudden Onset of symptoms (ventilation w/o
perfusion)
PECO2 will decrease and PaCO2 would be normal. Hypocarbia because gas exchange
is unable to happen with the PE. Clampy skin and hemoptysis (bloody) cough
3 examples of Peripheral Vascular Diseases (PVD) - ANSWER-Arteriosclerosis
(hardening of arteries), atherosclerosis (plaque build up) and deep vein thrombosis
Caused by Diabetes, hypertension and cigarettes smoke
What thrombolytics are used in the treatment of PVD - ANSWER-Urokinase
streptokinase
tPA
What disease would produce "wedge-shaped" infiltrates - ANSWER-Pulmonary
Embolism
Col pulmonale diagnosed with - ANSWER-exercise testing and hemodynamic
monitoring (increased CVP and decreased Cardiac Output)
MG special testing - ANSWER-Ice test, Tensilon Test eyelid drooping will improve if
positive. Along w/ electromyography
PFT is necessary to monitor VC or VT
Drugs to treat overdose - ANSWER-- Naloxone (Narcan) for narcotics
-Ace for Ace
-Flumazenil (Romazicon) for benzodiazepine sedative overdose
What breathing pattern correlates with Stroke/Acute Brain Attack/Cerebral
Infarction/Cerebrovascular Accident - ANSWER-Cheyene Stroke
WITH COMPLETE SOLUTIONS
CHF/Pulmonary Edema will increase or decrease PCWP and PAP - ANSWER-Increase
What special testing should be performed wit CHF patients - ANSWER-Cardiac
Enzymes - check BNP levels to determine severity
How does a HFNC help CHF/pulmonary edema patient? - ANSWER-High-flow nasal
cannula (HFNC) has been demonstrated to benefit patients with heart failure by
reducing cardiac preload.
IPPB will help as well
Drugs to tx Tachycardia - ANSWER-Oxygen, procainamide and metoprolol
Name the 3 pre-load reducing agents - ANSWER-(1) nitroglycerin
(2) nitroprusside
(3) morphine
What does the distal and proximal ports of Swans Ganz catheter measure - ANSWER-
Distal - lungs
Proximal- CVP
T or F: Pulmonary Hypertension increase jugular vein pressure - ANSWER-True
The blood accumulation in the lungs caused by left ventricle failure means the right
ventricle has to work harder and becomes weakened until it cannot pump effectively
anymore. This failure causes the veins to bulge as blood accumulates. Pulmonary
hypertension.
What cause Pulmonary Hypertension - ANSWER-Pulmonary hypertension is a unique
form of hypertension (high blood pressure) in which the blood vessel that carries blood
from the heart to the lungs thickens, reducing the amount of blood that can move
through it in a given amount of time. In order to counter this resistance, your heart must
pump harder and faster. When the heart fails to keep up, the rest of the body suffers by
receiving less and less oxygen (a condition called hypoxia)
Name some blood thinner to get pulmonary hypertention pts? - ANSWER-Apixaban
(Eliequis)
Fondaparinux (Atrixia)
Heparin (Lovenox)
Rivaroxaban (Xarleto)
Warfran (Coumadin)
, What electrolytes should be checked when determining MI or Ischema? - ANSWER-
Potassium
Both hypokalemia and hyperkalemia can cause lethal arrhythmias
ST ELEVATION
With MI or Ischemia what drug should be used to maintain BP - ANSWER-Dopamine
(Lopressors)
Pulmonary Embolism Patients - ANSWER-Sudden Onset of symptoms (ventilation w/o
perfusion)
PECO2 will decrease and PaCO2 would be normal. Hypocarbia because gas exchange
is unable to happen with the PE. Clampy skin and hemoptysis (bloody) cough
3 examples of Peripheral Vascular Diseases (PVD) - ANSWER-Arteriosclerosis
(hardening of arteries), atherosclerosis (plaque build up) and deep vein thrombosis
Caused by Diabetes, hypertension and cigarettes smoke
What thrombolytics are used in the treatment of PVD - ANSWER-Urokinase
streptokinase
tPA
What disease would produce "wedge-shaped" infiltrates - ANSWER-Pulmonary
Embolism
Col pulmonale diagnosed with - ANSWER-exercise testing and hemodynamic
monitoring (increased CVP and decreased Cardiac Output)
MG special testing - ANSWER-Ice test, Tensilon Test eyelid drooping will improve if
positive. Along w/ electromyography
PFT is necessary to monitor VC or VT
Drugs to treat overdose - ANSWER-- Naloxone (Narcan) for narcotics
-Ace for Ace
-Flumazenil (Romazicon) for benzodiazepine sedative overdose
What breathing pattern correlates with Stroke/Acute Brain Attack/Cerebral
Infarction/Cerebrovascular Accident - ANSWER-Cheyene Stroke
