INFORMATION FOR RRT SIMS EXAM WITH COMPLETE SOLUTIONS
100% VERIFIED!!!! ALREADY GRADED A +
Initial Settings for NPPV - (answer)Spontaneous/timed IPAP 8-10 and EPAP 3-5
**If apnea or hypopnea occurs after IPAP was increased, then increase the EPAP
Treatment for Pulmonary Edema/CHF - (answer)100% O2 with non-rebreather mask, IPPB with 100%
PEEP or CPAP.
Digitalis and Lasix and pt. position is Fowlers
How to Identify Pulmonary Edema/CHF - (answer)Orthopnea, pitting edema, distended neck veins.
Pink/Froth/watery secretions. Fine crepitus audible rales or crackles X-ray will show Fluffy, butterfly or
batwing description
Lowest settings on ventilator prior to extubation - (answer)SIMV/IMV- 4-6 bpm
Fio2 40%
PEEP 5 cm H20
When you have a "beak" on your loop you should? - (answer)Decrease the Tidal volume or change to
PCV and limit PIP
Specific ventilator Protocols for ARDS - (answer)Reduce Vt to 6mL/kg and maintain plateau pressure
below 30
Specific ventilator Protocols for Asthma - (answer)reduce tidal volume to 4-6 mL/kg, mandatory rate
should be 10-12 bpm. consider permissive hypercapnea
Types of Ventilator modes and their usage - (answer)Assist not recommended for continuous ventilation
Control Mode- indicated for head trauma/surgery. Status Asthmaticus, and flail chest
PCV - used when PIP is greater than 50, pt's requirement for O2 is greater than 60% and PEEP is greater
than 15 (ARDS)
Static compliance normal level - (answer)60-100 mL/cm H20
, INFORMATION FOR RRT SIMS EXAM WITH COMPLETE SOLUTIONS
100% VERIFIED!!!! ALREADY GRADED A +
Measurements taken with spontaneous breathing patient - (answer)Vt, RR, Ve, VC, MIP, MEP
Initiate ventilation when: - (answer)Vt is less than 5mL/k, VC is less than 10mL/k, RR is greater than 20 or
less than 8. Ve is greater than 10L/min, MIP is less than -20 and MEP is less than 40
Hypothermia and ABG - (answer)ABG's are analyzed at 37 degrees and body temp is lower than 37
degrees, the PH will be increased and CO2 will be decreased and PaO2 will be decreased.
***Watch for actual and analyzed ABG
TX for Hypothermia - (answer)Heated aerosol with 40-100% O2, watch for ventilator failure and intubate
and ventilate. DO NOT stop CPR until body temp is normal
Hypothermia How to spot it - (answer)Patient History is most significant, (found shivering or lying in
street) Homeless. Level of consciousness is lethargic/unconscious
Hypothermia Vitals - (answer)Body temp will be below 36 degrees Celsius, Pulse with be bradycardia and
respirations will be low
Asthma Bedside Assessment - (answer)BS-wheezing, RR-Tachypnea, HR-tachycardia. Peak flow will be
reduced and sometimes unobtainable. HX of fever and purulent sputum
Asthma Secondary Assessment - (answer)chest x-ray will show flattened diaphragm, hyperinflation and
some infiltrates.
ABG may show hypoxemia with Alkalosis with hypoxemia. If Acidosis is present it means deterioration.
Pulmonary Functions, Decreased flows (FEV1) DLco normal and you should order a pre/post
bronchodilator study
Asthma Treatment - (answer)Low flow O2 if in distress to relieve hypoxemia
100% VERIFIED!!!! ALREADY GRADED A +
Initial Settings for NPPV - (answer)Spontaneous/timed IPAP 8-10 and EPAP 3-5
**If apnea or hypopnea occurs after IPAP was increased, then increase the EPAP
Treatment for Pulmonary Edema/CHF - (answer)100% O2 with non-rebreather mask, IPPB with 100%
PEEP or CPAP.
Digitalis and Lasix and pt. position is Fowlers
How to Identify Pulmonary Edema/CHF - (answer)Orthopnea, pitting edema, distended neck veins.
Pink/Froth/watery secretions. Fine crepitus audible rales or crackles X-ray will show Fluffy, butterfly or
batwing description
Lowest settings on ventilator prior to extubation - (answer)SIMV/IMV- 4-6 bpm
Fio2 40%
PEEP 5 cm H20
When you have a "beak" on your loop you should? - (answer)Decrease the Tidal volume or change to
PCV and limit PIP
Specific ventilator Protocols for ARDS - (answer)Reduce Vt to 6mL/kg and maintain plateau pressure
below 30
Specific ventilator Protocols for Asthma - (answer)reduce tidal volume to 4-6 mL/kg, mandatory rate
should be 10-12 bpm. consider permissive hypercapnea
Types of Ventilator modes and their usage - (answer)Assist not recommended for continuous ventilation
Control Mode- indicated for head trauma/surgery. Status Asthmaticus, and flail chest
PCV - used when PIP is greater than 50, pt's requirement for O2 is greater than 60% and PEEP is greater
than 15 (ARDS)
Static compliance normal level - (answer)60-100 mL/cm H20
, INFORMATION FOR RRT SIMS EXAM WITH COMPLETE SOLUTIONS
100% VERIFIED!!!! ALREADY GRADED A +
Measurements taken with spontaneous breathing patient - (answer)Vt, RR, Ve, VC, MIP, MEP
Initiate ventilation when: - (answer)Vt is less than 5mL/k, VC is less than 10mL/k, RR is greater than 20 or
less than 8. Ve is greater than 10L/min, MIP is less than -20 and MEP is less than 40
Hypothermia and ABG - (answer)ABG's are analyzed at 37 degrees and body temp is lower than 37
degrees, the PH will be increased and CO2 will be decreased and PaO2 will be decreased.
***Watch for actual and analyzed ABG
TX for Hypothermia - (answer)Heated aerosol with 40-100% O2, watch for ventilator failure and intubate
and ventilate. DO NOT stop CPR until body temp is normal
Hypothermia How to spot it - (answer)Patient History is most significant, (found shivering or lying in
street) Homeless. Level of consciousness is lethargic/unconscious
Hypothermia Vitals - (answer)Body temp will be below 36 degrees Celsius, Pulse with be bradycardia and
respirations will be low
Asthma Bedside Assessment - (answer)BS-wheezing, RR-Tachypnea, HR-tachycardia. Peak flow will be
reduced and sometimes unobtainable. HX of fever and purulent sputum
Asthma Secondary Assessment - (answer)chest x-ray will show flattened diaphragm, hyperinflation and
some infiltrates.
ABG may show hypoxemia with Alkalosis with hypoxemia. If Acidosis is present it means deterioration.
Pulmonary Functions, Decreased flows (FEV1) DLco normal and you should order a pre/post
bronchodilator study
Asthma Treatment - (answer)Low flow O2 if in distress to relieve hypoxemia
