Kettering Study Guide for TMC Exam | Respiratory Therapy Board Exam Review

1. According./to./Kettering,./what./are./life./functions?:./Getting./Oxygen./from./the./air./to./all./of./the./
cells./of./the./body.


Patient. / Assessment. / pg.A-4
2. What./are./the./four./critical./life./functions?:./1../Ventilation:./The./patient./needs./to./be./breathing./and./
getting/moving./air./in./and./out./of./the./lungs../If./a./patient./stops./breathing./(ventilating)./are./you./going./to./come./bac
k./tomorrow./?./NO../You./are./going./to./treat./the./before./they./die.

2. Oxygenation:./This./getting./oxygen./to./the./blood../This./is./the./second./priority./bc./a./patient./can./be./ventilating./but./s
till./be./hypoxic../A./patient./will./not./oxygenate./if./they./aren't./ventilating./though./so./ventilation./is./first./priority.

3. Circulation:./This./is./moving./the./blood./through./the./body../It./doesn't./matter./how./good./someone./is./ventilating/o
xy-
genating./if./the./blood./is./not./moving./around./in./the./body../Imagine./if./someone./has./a./good./ventilation/oxygenation./b
ut./their./heart./stops?./The

4. Perfusion:./This./is./Getting./oxygen./into./the./tissue../Imagine./of./you./give./someone./a./drug./they./are./allergic./to./and./
they./go./into./shock?./This./will./keep./the./oxygen./from./getting./to./it's./final./destination./(the./tissues)./and./the./pt./can./die./fro
m./this.

NOTE:./These./are./the./four./steps./in./delivering./oxygen./from./the./air./to./every./cell./in./the./body../These./steps./are./listed./i
n./order./of./priority.

Patient. / Assessment. / pg.A-4
3. Of./the./four./critical./life./functions,./which./one./is./the./first./priority?:./VENTILATION./is. / t
he./first./priority../Without./ventilation,./you./cannot./oxygenate./or./anything./else./after./that.


Patient. / Assessment. / pg.A-4
4. According./to./Kettering./what./is./the./definition./of./an./emergency?:./An./emergency./is./
when./a./life./function./is./being./threatened.


./ ./

,NOTE:./If./someone./stops./breathing./it./is./an./emergency../If./someone./is./not./oxygenating./it./is./an./emergency./(CO




./ ./

, poisoning)../If./someone./is./not./circulating./that./is./an./emergency../If./someone./is./not./perfusing./that./is./an./emergency.

Patient. / Assessment. / pg.A-4
5. What. / assessments. / would. / determine. / how. / well. / a. / patient. / is. / ventilating?:. / -./RR
- Vt
- Chest./movement
- Breath./Sounds
- PaCO2
- ETCO2

Patient. / Assessment. / pg.A-4
6. How./would./the./therapist./determine./if./a./patient./has./a./problem./with./oxygena-
tion?:./-./HEART./RATE
- Color./(cyanosis./is./a./late./sign./of./hypoxemia)
- Sensorium./(due./to./lack./of./O2./to./the./brain)
- PaO2
- SpO2

Patient. / Assessment. / pg.A-4
7. What. / information. / would. / help. / the. / therapist. / determine. / if. / a. / patient's. / circ
ula-tion./is./adequate?:./-
./Heart./Rate./and./strength./(./what./is./the./characteristic./of./the./pulse?./It./is./Strong./and./bounding ./or./weak./and./thread


y).

- Cardiac./output

Patient. / Assessment. / pg.A-4
8. What. / changes. / might. / indicate. / that. / a. / patient. / may. / not. / have. / adequate. / perfu
-sion./(getting./the./blood./to./the./final./tissue./area)?:./-
./Blood./pressure./(primary./assessment./for./perfusion).




- Sensorium

./ ./