QUESTIONS AND CORRECT ANSWERS
ALREADY GRADED A+ 2026-2027.
LATE ARDS - ANSWER-after 2 weeks, prolifereation of fibroblasts, collagen deposition and
lung fibrosis with emphysematous areas
pts have restrictive pattern of lung disease with an increase in alveolar dead space
cardiac dysfunction in SIRS - ANSWER-hypovolemia occurs due to capillary leaks, poor oral
intake, fluid loss from sweating, tachypnea, vomiting or bleeding
hypotension occurs from vasodilation, venous pooling, relative hypovolemia and an
inability to mount a sufficient increase in CO
there is also increasing
why is norepi preferred in sepsis - ANSWER-potent vasoconstrictor without adverse side
effects of tachycardia and other dysrythmias
,What is procalcitonin used for? - ANSWER-used to detect sepsis and severe sepsis causd by
a bacterial organism
what happens in ARDS - ANSWER-diffuse, inflammatory lung injury leads to increased
pulmonary vascular permeability and as a result, fluid leaks from the capillaries into the
alveoli which interferes with gas exchange
functions of the kidneys - ANSWER-1. maintenance of body composition
2. excretion of metabolic end products and foreign substances (urea, drugs)
3. production and secretion of enzymes and hormone
Red flags for airway - ANSWER-- unable to complete sentences
- audible wheezing
- needs to sit in high fowlers or tripod
Red flags for breathing - ANSWER-- Pale
- increased RR
, - increased WOB
- decreased O2 sat
- wheezes and lung sounds
Red flags for circulation - ANSWER-- irregular, fast pulse
- skin colour and temp
peripheral cyanosis - ANSWER-results from peripheral vasoconstriction, reduced cardiac
output or vascular occlusion
central cyanosis - ANSWER-occurs when there is an increased amount of hemoglobin not
bound to oxygen and is best assessed by observed the oral mucosa, lips, and tongue
vesicular breath sounds - ANSWER-soft, fine, breezy, low-pitched sounds when air flows in
alveoli and small bronchioles; heard on inspiration and continue without pause through to
1/3 of expiration