Tutorial Systems RRT decision making
(clin sims)
SpO2 and PaO2 - ANSWERS4,5,6 - 7,8,9
mild hypoxemia (PaO2 : 75) - ANSWERS2L Nasal cannula, recheck SpO2
atelectasis - ANSWERSincentive spirometry
SOB - ANSWERSbronchodilator treatments
CHF - ANSWERSdigitalis, diuretics
impending hypercapnic respiratory failure - ANSWERSinitiate NPPV
Acute Hypercapnic Respiratory Failure - ANSWERSpH: 7.30, PaCO2: >50 - intubate and initiate
MV
COPD - ANSWERSavoid high FiO2
"marked" - ANSWERSsevere/emergency condition, requires immediate and maximal response
(usually 100% FiO2)
significant Q wave, elevated ST segment - ANSWERSacute MI
, ventricular tachycardia - ANSWERSdefibrillation
steps for defibrillation - ANSWERS-CPR until available
turn the defibrillator on
-select energy level (200 joules)
-check if synchronizer of turned off
-apply conductive materials to the chest (right sternum just below the clavicle and the other to
the left on the apex)
progressive cyanosis and asymmetrical chest movement - ANSWERSright mainstem intubation
rapid evaluation of newborns - ANSWERStone, breathing/crying, gestational age
The Golden Minute - ANSWERSinitial minute after birth. if baby has not shown improvement at
this point, begin PPV
-radiant warmer, open and clear airway heart rate and respirations
HR < 100 bpm (neonate) - ANSWERSinitiate PPV
bag valve mask resuscitation - ANSWERSgestational age < 35 weeks, RR: 40-60 bpm,
FiO2 : .24-.30, ventilating pressure of 20-25 cmH2O, PEEP: 5 cmH2O, flowmeter : 10 lpm
HR < 60 (neonate) - ANSWERSbegin resuscitation (3:1 ratio of chest compressions to
ventilations)
drug overdose - ANSWERSintubation is a priority, initiate MV if in resp. failure
(clin sims)
SpO2 and PaO2 - ANSWERS4,5,6 - 7,8,9
mild hypoxemia (PaO2 : 75) - ANSWERS2L Nasal cannula, recheck SpO2
atelectasis - ANSWERSincentive spirometry
SOB - ANSWERSbronchodilator treatments
CHF - ANSWERSdigitalis, diuretics
impending hypercapnic respiratory failure - ANSWERSinitiate NPPV
Acute Hypercapnic Respiratory Failure - ANSWERSpH: 7.30, PaCO2: >50 - intubate and initiate
MV
COPD - ANSWERSavoid high FiO2
"marked" - ANSWERSsevere/emergency condition, requires immediate and maximal response
(usually 100% FiO2)
significant Q wave, elevated ST segment - ANSWERSacute MI
, ventricular tachycardia - ANSWERSdefibrillation
steps for defibrillation - ANSWERS-CPR until available
turn the defibrillator on
-select energy level (200 joules)
-check if synchronizer of turned off
-apply conductive materials to the chest (right sternum just below the clavicle and the other to
the left on the apex)
progressive cyanosis and asymmetrical chest movement - ANSWERSright mainstem intubation
rapid evaluation of newborns - ANSWERStone, breathing/crying, gestational age
The Golden Minute - ANSWERSinitial minute after birth. if baby has not shown improvement at
this point, begin PPV
-radiant warmer, open and clear airway heart rate and respirations
HR < 100 bpm (neonate) - ANSWERSinitiate PPV
bag valve mask resuscitation - ANSWERSgestational age < 35 weeks, RR: 40-60 bpm,
FiO2 : .24-.30, ventilating pressure of 20-25 cmH2O, PEEP: 5 cmH2O, flowmeter : 10 lpm
HR < 60 (neonate) - ANSWERSbegin resuscitation (3:1 ratio of chest compressions to
ventilations)
drug overdose - ANSWERSintubation is a priority, initiate MV if in resp. failure
