PLATINUM FINAL EXAM EMTP 3 3 FINAL
COMPREHENSIVE ASSESSMENT TEST
PAPER QUESTIONS AND SOLUTIONS
⩥ Most important info to evaluate ventilatory status.
Answer: - Respiratory rate (12-20)
- Clear bilateral lung sounds
- Auditory confirmation of breath sounds
⩥ Most important info for oxygenation status.
Answer: - Mental status
- Skin signs
- Pulse ox
⩥ Most important assessment when evaluating pt O2 to the brain.
Answer: - Airway patency
- RR
- SpO2
- Lung sounds
⩥ Next step if NRB don't work.
,Answer: BVM
⩥ Next step for opening unresponsive pt with slow and shallow
respirations.
Answer: - Check mouth for secretions
- Foreign body
⩥ Ventilation rates.
Answer: - Adult 12-20•
- Children 15-30 •
- Infant 25-50
⩥ Flow rates.
Answer: NC 2-6 LpM•
Neb 6-8 LpM
• NRB 10-15 LpM
- BVM 15 LpM
- ET tube 15 LpM
- Supraglottic 15 LpM
- CPAP 25 LpM
⩥ When to use ET tube.
,Answer: • Cardiac arrest X 2
• Go to supraglottic
⩥ When to use supraglottic.
Answer: When ET tube is unsuccessful
⩥ When to use LMA / IGEL.
Answer: Secured to the throat via inflation cuff (LMA) or non inflatable
cuff (IGEL)
⩥ When to use CPAP.
Answer: CHF or drowning patients• BP > 100•
able to follow commands• Can have neb inlined if needed
⩥ When to use NRB.
Answer: Used for pt who need more than 6LpM
Can have neb inlined
⩥ When to use BVM.
Answer: Used for unconscious or conscious patients •
BLS before ALS
, ⩥ Anaphylaxis TX.
Answer: Epi 1:1000 0.3mg IM•
If deteriorates give 1mg of epi 1;10,000 IV
⩥ Advantages and disadvantages of surgical and needle crico.
Answer: Surgical
• Provides definitive airway • Less frequent
Needle
• Provides effective ventilation in presence of airway obstruction •
Failure results from inadequate exhalation via narrow tube• Leads to
pneumothorax, bleeding, subcutaneous emphysema • Most frequent type
of crico
⩥ Findings in a spontaneous pneumothorax.
Answer: SOB
Sudden onset of sharp CP Pallor
Tachypenia
Diaphoretic
⩥ Best method to use for vomiting pt and need to tube.
Answer: Reduce gastric volume Supraglottic airway
Cricoid pressure
COMPREHENSIVE ASSESSMENT TEST
PAPER QUESTIONS AND SOLUTIONS
⩥ Most important info to evaluate ventilatory status.
Answer: - Respiratory rate (12-20)
- Clear bilateral lung sounds
- Auditory confirmation of breath sounds
⩥ Most important info for oxygenation status.
Answer: - Mental status
- Skin signs
- Pulse ox
⩥ Most important assessment when evaluating pt O2 to the brain.
Answer: - Airway patency
- RR
- SpO2
- Lung sounds
⩥ Next step if NRB don't work.
,Answer: BVM
⩥ Next step for opening unresponsive pt with slow and shallow
respirations.
Answer: - Check mouth for secretions
- Foreign body
⩥ Ventilation rates.
Answer: - Adult 12-20•
- Children 15-30 •
- Infant 25-50
⩥ Flow rates.
Answer: NC 2-6 LpM•
Neb 6-8 LpM
• NRB 10-15 LpM
- BVM 15 LpM
- ET tube 15 LpM
- Supraglottic 15 LpM
- CPAP 25 LpM
⩥ When to use ET tube.
,Answer: • Cardiac arrest X 2
• Go to supraglottic
⩥ When to use supraglottic.
Answer: When ET tube is unsuccessful
⩥ When to use LMA / IGEL.
Answer: Secured to the throat via inflation cuff (LMA) or non inflatable
cuff (IGEL)
⩥ When to use CPAP.
Answer: CHF or drowning patients• BP > 100•
able to follow commands• Can have neb inlined if needed
⩥ When to use NRB.
Answer: Used for pt who need more than 6LpM
Can have neb inlined
⩥ When to use BVM.
Answer: Used for unconscious or conscious patients •
BLS before ALS
, ⩥ Anaphylaxis TX.
Answer: Epi 1:1000 0.3mg IM•
If deteriorates give 1mg of epi 1;10,000 IV
⩥ Advantages and disadvantages of surgical and needle crico.
Answer: Surgical
• Provides definitive airway • Less frequent
Needle
• Provides effective ventilation in presence of airway obstruction •
Failure results from inadequate exhalation via narrow tube• Leads to
pneumothorax, bleeding, subcutaneous emphysema • Most frequent type
of crico
⩥ Findings in a spontaneous pneumothorax.
Answer: SOB
Sudden onset of sharp CP Pallor
Tachypenia
Diaphoretic
⩥ Best method to use for vomiting pt and need to tube.
Answer: Reduce gastric volume Supraglottic airway
Cricoid pressure
