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ANSWERS) v
1. What is the most important sign in a critically ill pt? Why?answer>>>: Tachypnea
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Indicates vmetabolic vacidosis vw/ vrespiratory valkalosis vcompensation
2. A pt misses dialysis for a few days and comes in with fluid overload.
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He's vtachycardic vand vtachypneic. vOn vphysical vexam, vyou vfind vJVD, vpulsus vparadoxus v(20 vmmHg vdrop vduring vinspiration
and vHoTN v(80/40) vwith vdistant, vmuffled vheart vsounds.vLungs vare vclear vto vauscultation.vWhat vis vthe vdx? answer>>>:: vCardiac
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vtamponade; vobstructive vshock
3. If a pt has a thyromental distance of 2 cm, what can you expect about their airway? answer>>>:: Difficult airway w/
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v an vanteriorly vdisplaced vlarynx
4. A COPD pt comes in with difficulty breathing. He then becomes apneic and unresponsive. How would you ventilate
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v this vpt?: answer>>>: vBVM
5. A pt arrives after falling from a ladder and has a frontal laceration. On ex- amination, you find papilledema and
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labored vbreathing vw/o vbeing vable vto vclear vsecretions.vWhat vis vyour vbiggest vconcern vwhen vintubating vthis vpt?: v
v
answer>>>: Cerebral vedema/increasing vICP
Intubationvtendsvtovcausevan vincreasevinvICP.vAdministervlidocaine vpriorvtovintubation vto vinhibit vvagal vstimulation.
, 6. An ESRD pt w/ hyperkalemia develops dyspnea and requires intubation. Which paralytic agent/NMB should you
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v avoid vand vwhy?: answer>>>: vSuccinylcholine
Worsens vhyperkalemia
7. A pt is admitted after an OD. He starts to have apneic episodes and his SpO2
v v v v v v v v v v v v v v v is vdropping.You vplace vhim von va vnon-
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rebreather vmask vw/ v100% vO2,vyet vhis vSpO2 vremains vat v80%.vWhy vis vit vnot vbeing vcorrected?
Then, vif vyou vtry va vBVM vand vit valso vfails, vand vvideo vlaryngoscopy vis vunavailable, vwhat vis vyour vnext vbest vchoice vfor van
v airway? answer>>>:: vThe vpt vis vhaving vapneic vepisodes, vwhich vmeans vthat vadministering vhigh-flow vO2 vwill vbe vineffective.
Choose van vLMA vif vthe vBVM vfails.
8. What intervention improves outcomes with ROSC after cardiac arrest?:
v v v v v v v v v answer>>>: Tar- vgeted vtemperature vmanagement.
32-36 vC
9. A shunt means there is perfusion without ventilation. What disease process
v v v v v v v v v v is van vexample vof va vshunt? answer>>>::
v
v Pneumonia