2025-2026. Questions & Correct
Verified Answers. Graded A
AC/CMV - ANSAssist control or continuous mandatory ventilation
pt initiated or ventilator control breaths have set tidal volume
disadvantages: hyperventilation which may cause respiratory alkalosis or
hyperinflation, less comfortable for pt
Addison's disease - ANSoccurs when the adrenal glands do not produce
enough of the hormones cortisol or aldosterone
poor stress response, treat with low dose hydrocortisone. will need low
dose pressors for refractory hypotension
adrenal glands - ANSglands that help the body recover from stress and
respond to emergencies
afterload - ANSthe amount of resistance to ejection of blood from the
ventricle, how dilated or clamped down the pt is
amioadarone - ANSantiarrhythmic
,v fib, vtach, a-fib, a-flutter
monitor for hypotension
in stable pt with pulse, give 150mg bolus over 10 minutes, then 1mg/min for
6 hours, then 0.5mg/min for 18 hours or until tolerating PO
in unstable pulseless pts, give 300mg IV push, if unsuccessful then 150mg
IV push
antimicrobial therapy - ANSfrom onset of hypotension due to sepsis, every
hour counts. antibiotics during first hour = 80% survival
ARDS - ANS-hypoxemia within 7 days of pulmonary insult
-alveoli fill with fluid and may collapse
-bilateral opacities that isn't explained by pleural effusions, pneumothorax,
or pulmonary nodules
-respiratory failure not attributed to volume overload
-mild, moderate or severe P/F ratios in presence of PEEP
ARDS management strategies - ANS-low tidal volume ventilation
-recruit PEEP
-monitor plateau pressure
-pulmonary vasodilatos
-neuromuscular blockers
-proning
,-ECMO
ARDS s/s - ANS-hypoxemia after pulmonary insult
-bilateral opacities
-crackly lungs
-diaphoresis
-chest pain
-cough
-accessory muscle use
-rapid deterioration
-increasing demand for supplemental oxygen
ARDS severity - ANSlook at P/F ratio
mild: 200-300
moderate: 100-200
severe: <100
ARDS treatment - ANS-treat underlying cause
-prevent progression of lung injury
-promote gas exchange
-high pressure ventilation (PEEP)
-high level O2 therapy to keep PaO2 >60
-support tissue oxygenation
-prevent complications
assessments for effectiveness of NMB - ANS-TOF
, -spontaneous breathing or movement
-resistance to turning
-diaphoresis
-vitals
-ETCO2
ASV - ANSAdaptive support ventilation, adjusts ventilation breath by breath
depending on pts lung mechanics. If pt does not initiate breath, vent will
deliver pressure control breath. if pt does take a breath, ASV will give
however much pressure support is needed to meet VT
bedside handoff - ANS-introduce yourself, update white board
-safety check, look at room equipment, verify settings and orders, fall
hazards, turn on bed alarm, make sure pt has call light
-review vital sign trends, evaluate pain and last med given
-review abnormal areas of assessment
-review care goals for next shift with patient and family members
-provide time when you will be back to see patient
BiPAP - ANSbilevel positive airway pressure; provides inspiratory and
expiratory pressure
brain death - ANSirreversible loss of all brain function
CALF - ANSCultures
Antibiotics
Lactate