Egan's Chapter 49 Initiating and Adjusting Invasive Ventilation | Questions and Answers Study Guide
A 5 foot 5 inch, 60 kg (132-lb) young woman attempts D. 1, 2, and 4
suicide by drug overdose. She is unconscious and
breathing slowly and shallowly. The emergency
physician elects to intubate this patient
In the emergency setting, how will you assess proper
tube placement?
1. Auscultate the chest
2. Auscultate the epigastrium
3. Attach an exhaled O2 monitor
4. Observe chest wall motion.
A.1 and 2 only
B. 1 and 3 only
C 2,3, and 4 only
D. 1, 2, and 4 only
A 5 foot 5 inch, 60 kg (132-lb) young woman attempts C. Maintain current placement.
suicide by drug overdose. She is unconscious and
breathing slowly and shallowly. The emergency
physician elects to intubate this patient
After intubation is completed, a small amount of white
secretions are suctioned from the airway. The physician
requests a room air ABG at this point. Results show:
pH 7.25
PaCO2 60 mmHg
PaO2 55 mmmHg
HCO3 26 mEq/L
Vital signs are:
HR 115
BP 125/75
RR 26
Temp 37
A chest film is taken, which reveals the tip of the
endotracheal tube to be 4cm above the carina with no
sign of a pneumothorax.
What action would you recommend in regard to the ET
tube placement?
A. Advance the tube 2 to 3 cm
B. Withdraw the tube 2 to 3 cm
C.Maintain current placement
D. Remove the tube and insert a laryngeal mask airway.
, Egan's Chapter 49 Initiating and Adjusting Invasive Ventilation | Questions and Answers Study Guide
A 5 foot 5 inch, 60 kg (132-lb) young woman attempts B. Respiratory acidosis with moderate hypoxemia
suicide by drug overdose. She is unconscious and
breathing slowly and shallowly. The emergency
physician elects to intubate this patient
After intubation is completed, a small amount of white
secretions are suctioned from the airway. The physician
requests a room air ABG at this point. Results show:
pH 7.25
PaCO2 60 mmHg
PaO2 55 mmmHg
HCO3 26 mEq/L
Vital signs are:
HR 115
BP 125/75
RR 26
Temp 37
A chest film is taken, which reveals the tip of the
endotracheal tube to be 4cm above the carina with no
sign of a pneumothorax.
The ABG results are interpreted as (blank)
A. metabolic acidosis with severe hypoxemia
B Respiratory acidosis with moderate hypoxemia
C. partially compensated respiratory alkalosis with mild
hypoxemia
D. Partially compensated metabolic alkalosis with
moderate hypoxemia.
, Egan's Chapter 49 Initiating and Adjusting Invasive Ventilation | Questions and Answers Study Guide
A 5 foot 5 inch, 60 kg (132-lb) young woman attempts . B. 59 kg
suicide by drug overdose. She is unconscious and
breathing slowly and shallowly. The emergency
physician elects to intubate this patient
After intubation is completed, a small amount of white
secretions are suctioned from the airway. The physician
requests a room air ABG at this point. Results show:
pH 7.25
PaCO2 60 mmHg
PaO2 55 mmmHg
HCO3 26 mEq/L
Vital signs are:
HR 115
BP 125/75
RR 26
Temp 37
A chest film is taken, which reveals the tip of the
endotracheal tube to be 4cm above the carina with no
sign of a pneumothorax.
The patient is transported to the ICU. The physician
requests that you initiate mechanical ventilation
Calculate ideal body weight.
, Egan's Chapter 49 Initiating and Adjusting Invasive Ventilation | Questions and Answers Study Guide
A 5 foot 5 inch, 60 kg (132-lb) young woman attempts A. 410 ml
suicide by drug overdose. She is unconscious and
breathing slowly and shallowly. The emergency
physician elects to intubate this patient
After intubation is completed, a small amount of white
secretions are suctioned from the airway. The physician
requests a room air ABG at this point. Results show:
pH 7.25
PaCO2 60 mmHg
PaO2 55 mmmHg
HCO3 26 mEq/L
Vital signs are:
HR 115
BP 125/75
RR 26
Temp 37
A chest film is taken, which reveals the tip of the
endotracheal tube to be 4cm above the carina with no
sign of a pneumothorax.
The patient is transported to the ICU. The physician
requests that you initiate mechanical ventilation
Which of the following volumes would you
recommend?
A.410 ml
B. 610 ml
C. 710 ml
D. 810 ml
A 5 foot 5 inch, 60 kg (132-lb) young woman attempts D. 1, 2, and 4
suicide by drug overdose. She is unconscious and
breathing slowly and shallowly. The emergency
physician elects to intubate this patient
In the emergency setting, how will you assess proper
tube placement?
1. Auscultate the chest
2. Auscultate the epigastrium
3. Attach an exhaled O2 monitor
4. Observe chest wall motion.
A.1 and 2 only
B. 1 and 3 only
C 2,3, and 4 only
D. 1, 2, and 4 only
A 5 foot 5 inch, 60 kg (132-lb) young woman attempts C. Maintain current placement.
suicide by drug overdose. She is unconscious and
breathing slowly and shallowly. The emergency
physician elects to intubate this patient
After intubation is completed, a small amount of white
secretions are suctioned from the airway. The physician
requests a room air ABG at this point. Results show:
pH 7.25
PaCO2 60 mmHg
PaO2 55 mmmHg
HCO3 26 mEq/L
Vital signs are:
HR 115
BP 125/75
RR 26
Temp 37
A chest film is taken, which reveals the tip of the
endotracheal tube to be 4cm above the carina with no
sign of a pneumothorax.
What action would you recommend in regard to the ET
tube placement?
A. Advance the tube 2 to 3 cm
B. Withdraw the tube 2 to 3 cm
C.Maintain current placement
D. Remove the tube and insert a laryngeal mask airway.
, Egan's Chapter 49 Initiating and Adjusting Invasive Ventilation | Questions and Answers Study Guide
A 5 foot 5 inch, 60 kg (132-lb) young woman attempts B. Respiratory acidosis with moderate hypoxemia
suicide by drug overdose. She is unconscious and
breathing slowly and shallowly. The emergency
physician elects to intubate this patient
After intubation is completed, a small amount of white
secretions are suctioned from the airway. The physician
requests a room air ABG at this point. Results show:
pH 7.25
PaCO2 60 mmHg
PaO2 55 mmmHg
HCO3 26 mEq/L
Vital signs are:
HR 115
BP 125/75
RR 26
Temp 37
A chest film is taken, which reveals the tip of the
endotracheal tube to be 4cm above the carina with no
sign of a pneumothorax.
The ABG results are interpreted as (blank)
A. metabolic acidosis with severe hypoxemia
B Respiratory acidosis with moderate hypoxemia
C. partially compensated respiratory alkalosis with mild
hypoxemia
D. Partially compensated metabolic alkalosis with
moderate hypoxemia.
, Egan's Chapter 49 Initiating and Adjusting Invasive Ventilation | Questions and Answers Study Guide
A 5 foot 5 inch, 60 kg (132-lb) young woman attempts . B. 59 kg
suicide by drug overdose. She is unconscious and
breathing slowly and shallowly. The emergency
physician elects to intubate this patient
After intubation is completed, a small amount of white
secretions are suctioned from the airway. The physician
requests a room air ABG at this point. Results show:
pH 7.25
PaCO2 60 mmHg
PaO2 55 mmmHg
HCO3 26 mEq/L
Vital signs are:
HR 115
BP 125/75
RR 26
Temp 37
A chest film is taken, which reveals the tip of the
endotracheal tube to be 4cm above the carina with no
sign of a pneumothorax.
The patient is transported to the ICU. The physician
requests that you initiate mechanical ventilation
Calculate ideal body weight.
, Egan's Chapter 49 Initiating and Adjusting Invasive Ventilation | Questions and Answers Study Guide
A 5 foot 5 inch, 60 kg (132-lb) young woman attempts A. 410 ml
suicide by drug overdose. She is unconscious and
breathing slowly and shallowly. The emergency
physician elects to intubate this patient
After intubation is completed, a small amount of white
secretions are suctioned from the airway. The physician
requests a room air ABG at this point. Results show:
pH 7.25
PaCO2 60 mmHg
PaO2 55 mmmHg
HCO3 26 mEq/L
Vital signs are:
HR 115
BP 125/75
RR 26
Temp 37
A chest film is taken, which reveals the tip of the
endotracheal tube to be 4cm above the carina with no
sign of a pneumothorax.
The patient is transported to the ICU. The physician
requests that you initiate mechanical ventilation
Which of the following volumes would you
recommend?
A.410 ml
B. 610 ml
C. 710 ml
D. 810 ml
