List 4 critical life functions - ANSWER Ventilation ,Oxygenation ,Circulation, Perfusion
What life function is first priority? - ANSWER Ventilation
What assessments would determine how well a patient is ventilating? - ANSWER -RR
-Vt
-Chest Movement
-Breath Sounds
-PaCo2
-EtCO2
How would the therapist determine if a patient has a problem with oxygenation? - AN-
SWER -HR
-Color
-Sensorium
-PaO2/SpO2
What information would help the therapist determine if a patient's circulation is adequate? -
ANSWER -HR and Strength
-CO
What changes may indicate if a patient doesn't have adequate perfusion? - ANSWER -
HR
1
,-BP
-Sensorium
-Temperature
-Urine Output
-Hemodynamics
Signs are - ANSWER objective information - things you can see and measure
-color
-pulse
-edema
-vital signs
symptoms are - ANSWER subjective information - things patient tells you
-dyspnea
-pain level
-nausea
-muscle weakness
5 items that are important to review in a patients medical record - ANSWER 1. Aller-
gies
2. Signs/Symptoms
3. History
4. Advanced directives
5. HPI
advanced directive - ANSWER set of instructions documenting what Tx a patient wants
if they were unable to make medical decisions
2
,what are 4 types of advanced directives - ANSWER 1. living will - Tx patient wants if
became terminally ill; doesn't appoint someone else to make medical decisions
2. DNI order - do not intubate (can ventilate)
3. DNR order - do not resuscitate
4. durable power of attorney - health care proxy; only in affect when patient can't make
healthcare decisions
A properly written order for respiratory care should include what 4 factors? - AN-
SWER 1. type of treatment
2. frequency
3. medication/dosage
4. physician signature
The respiratory therapist has just finished administering an aerosol treatment with albuterol
to a child with asthma. What should be included in documentation of the treatment? - AN-
SWER date, time, reactions, etc.
respiratory notes
What is the normal value for urine output - ANSWER 40mL/hour (approx. 1 liter/day)
What findings might indicate a patients fluid intake has exceeded his urine output? - AN-
SWER weight gain
electrolyte imbalance
increased hemodynamic pressures
decreased lung compliance
Changes in what value can indicate hypovolemia? - ANSWER CVP - less than 2
need fluid (IV) therapy
3
, Describe medication reconciliation - ANSWER ensuring patients medication list is ac-
curate and up to date as possible. Must be done within first 24 hours of admission
Semicomatose - ANSWER responds to only painful stimuli
lethargic/somnolent - ANSWER sleepy
consider sleep apnea, excessive O2 therapy with COPD patients
Obtunded - ANSWER drowsy
decreased cough/gag reflex
risk of aspiration
when assessing a patients orientation to time place and person, what are some of the fac-
tors that could affect the patients ability to cooperate? - ANSWER language difficulties
influence of medication
hearing loss
fear/apprehension depression
define activities of daily living - ANSWER basic tasks of everyday life
6 criteria for ADL are based on - ANSWER bathing
eating
dressing
toileting
transferring
urine/bowel continence
ADL are evaluated using the - system - ANSWER katz
4
What life function is first priority? - ANSWER Ventilation
What assessments would determine how well a patient is ventilating? - ANSWER -RR
-Vt
-Chest Movement
-Breath Sounds
-PaCo2
-EtCO2
How would the therapist determine if a patient has a problem with oxygenation? - AN-
SWER -HR
-Color
-Sensorium
-PaO2/SpO2
What information would help the therapist determine if a patient's circulation is adequate? -
ANSWER -HR and Strength
-CO
What changes may indicate if a patient doesn't have adequate perfusion? - ANSWER -
HR
1
,-BP
-Sensorium
-Temperature
-Urine Output
-Hemodynamics
Signs are - ANSWER objective information - things you can see and measure
-color
-pulse
-edema
-vital signs
symptoms are - ANSWER subjective information - things patient tells you
-dyspnea
-pain level
-nausea
-muscle weakness
5 items that are important to review in a patients medical record - ANSWER 1. Aller-
gies
2. Signs/Symptoms
3. History
4. Advanced directives
5. HPI
advanced directive - ANSWER set of instructions documenting what Tx a patient wants
if they were unable to make medical decisions
2
,what are 4 types of advanced directives - ANSWER 1. living will - Tx patient wants if
became terminally ill; doesn't appoint someone else to make medical decisions
2. DNI order - do not intubate (can ventilate)
3. DNR order - do not resuscitate
4. durable power of attorney - health care proxy; only in affect when patient can't make
healthcare decisions
A properly written order for respiratory care should include what 4 factors? - AN-
SWER 1. type of treatment
2. frequency
3. medication/dosage
4. physician signature
The respiratory therapist has just finished administering an aerosol treatment with albuterol
to a child with asthma. What should be included in documentation of the treatment? - AN-
SWER date, time, reactions, etc.
respiratory notes
What is the normal value for urine output - ANSWER 40mL/hour (approx. 1 liter/day)
What findings might indicate a patients fluid intake has exceeded his urine output? - AN-
SWER weight gain
electrolyte imbalance
increased hemodynamic pressures
decreased lung compliance
Changes in what value can indicate hypovolemia? - ANSWER CVP - less than 2
need fluid (IV) therapy
3
, Describe medication reconciliation - ANSWER ensuring patients medication list is ac-
curate and up to date as possible. Must be done within first 24 hours of admission
Semicomatose - ANSWER responds to only painful stimuli
lethargic/somnolent - ANSWER sleepy
consider sleep apnea, excessive O2 therapy with COPD patients
Obtunded - ANSWER drowsy
decreased cough/gag reflex
risk of aspiration
when assessing a patients orientation to time place and person, what are some of the fac-
tors that could affect the patients ability to cooperate? - ANSWER language difficulties
influence of medication
hearing loss
fear/apprehension depression
define activities of daily living - ANSWER basic tasks of everyday life
6 criteria for ADL are based on - ANSWER bathing
eating
dressing
toileting
transferring
urine/bowel continence
ADL are evaluated using the - system - ANSWER katz
4
