Actual Complete Real Exam Questions And Correct Answers
(Verified Answers) Already Graded A+ | Newest Exam | Just
Released!!
Capillary Blood gas - ANSWER-Normal: 7.35, 43, 40, 24 PaO2
is lower but
normal for
CBG.
1) obtain CXR to evaluate and establish
IV access
if baby is grunting = use
CPAP
pH below 7.20 =
intubate
Auto Peep - ANSWER-common with pt. on ventilator COPD,
high pressure alarm sounds frequently, RR increases, blood
pressure low, flow time graphic shows auto peep
Tx: decrease the inspiratory time
,Loss of volume (ventilator leak above 50mL) - ANSWER-Ex:
currently on 500Vt
Exhaled Vt: 400-
420mL
Loss of volume = check tube connections
for a leak
evaluate cuff pressure and seal
integrity
Venturi Mask - ANSWER-use when you need an exact FiO2
Ex: The patient requires FiO2 of 0.35 to maintain an SpO2 of
92%. Which of the following is MOST appropriate for O2
therapy?
-Venturi Mask at 0.35
obtunded - ANSWER-can't protect airway
aspiration of gastric contents (particulate matter, carbonus
material, bleeding) -
ANSWER-flexible
bronchoscopy
neonate normal values - ANSWER-HR 110-160
RR 30-60
BP 60/40 (preterm 55/35)
Pre & Post ductal should be the same, bigger then 4%
difference= heart problem PaO2 50-80
,Evaluate to wean - ANSWER-*if rate is 10 (lowest possible)
evaluate to wean/or on PSV already
*if sedation has recently been withdrawn
-level of consciousness
-Exhaled VE
-Sensorium
-Vasopressor use
-RSBI below 105
-MIP above -20, VT
-patient's mental status
-RR
if all values are normal initiate a SBT, add pressure support,
initiate pressure
support ventilation to
help wean
stridor in adult - ANSWER-IG: usually recently extubated,
moderate stridor
noted, worsening respiratory
distress
DM: administer racemic epi and admin
70/30 heliox
if pt. becomes difficult to
arouse=emergency intubation
Neonatal Resuscitation - ANSWER-IG: usually 40weeks or
above nasal flaring,
, low Apgar
scores
DM: if stable obtain CXR and establish
IV access
If grunting & pH above 7.20 =use
CPAP
DM:periods of apnea and transient
bradycardia=intubate and MV
Infant settings: 0.60, R30, I.T. 0.4,
PIP 25, +5
COPD-DNI - ANSWER-initial settings: 22/5 then decrease
to 17/4 mask irritating eyes---> adjust mask
mask breaking down nose skin---> apply face pads to protect
nose
neck injury - ANSWER-diving accident or MVA
intubate to protect airway ---> use flexible bronchoscope
HFJV - ANSWER-How to lower
CO2?
decrease
frequency
severe asthma - ANSWER-testing: methacholine challenge
test/bronchial