TMC for May 2020 If a patient is on 8 -12L/min, what would be the fio2? - Answer - 50% If minute ventilation stays the same but dead -space is added, what will increases? - Answer - PaCO2 What is the static compliance equation? - Answer - Exhaled Vt/( Pplat - PEEP) Before chest physiotherapy is done, what should the respiratory therapy do FIRST? - Answer - Review patient chart history What should a therapist do when a family is asking to put the patient on the mechanical ventilator when they have a DN I order in place? - Answer - Start with NPPV What phrase would describe a patient having dyspnea? - Answer - "I have to stop and catch my breath" A patient who has a neck injury but needs their airway protected. What should you put in place? - Answer - Oropharyngeal airway A patient is unconscious, what should you do to establish a patent airway? - Answer - Head tilt chin A patient has accessory muscle and scalene usage, what does this indicate? - Answer - Increased work of breathing Unevenly spaced be ats decreased pulse strength during inspiration, is indicative of what? - Answer - Pulsus paradoxus What positions do you place a patient in for right lung secretions? - Answer - Left lateral decubitus What the correct endotracheal tube placement? - Answ er - 5cm above the carina or 4 -
6cm Chest x -ray looks normal but they have been sitting for an extended period of time and is experiencing dyspnea. What is likely the cause? - Answer - Pulmonary embolism Chest x -ray showing a deflated lung. What is a likely diagnosis? - Answer - Tension pneumothorax A patient has hemoptysis, what do you do? - Answer - Bronchoscopy Broncholavage should be done with what? - Answer - Mini ball -vap After intubation there is a lack of breath sounds on the left side, what could be the cause? - Answer - Right mainstem bronchi intubation There is a hyperresonance and tracheal shift with distant breath sounds, what is a likely diagnosis? - Answer - Pneumothorax What is a V/Q scan used to identify? - Answer - Pulmonary embol ism What is the name of the gestational age test? - Answer - Ballard score What is used to diagnose cancer? - Answer - PET scan Bronchogram is used to diagnose what? - Answer - Bronchiectasis A patient has left sided chest pain, what diagnostic test should be done? - Answer - Chest x -ray Midclavicular is the place for what lead? - Answer - V4 leads What percentage of PaCO2 is normal? - Answer - 5% What is the normal value of ejection fraction? - Answer - 60 How is VD/VT calculated? - Answer - PaCO 2-PeCO2/PaCO2 is 30 Patient was taken from a burning house, what diagnostic test should be done? - Answer - Co-oximeter/hemoximeter Low urine output can be caused by what? - Answer - Low PCWP What is the reversal agent of OPIODS? - Answer - Narcan What do you give for stridor? - Answer - Racemic epinephrine A patients endotracheal tube is 18cm at the lip, cuff pressure is 19cmH2O, and there is still gurgling, what should you do? - Answer - Advance the ET tube Unequal breath sounds - Answer - What sh ould be done after ABG sampling? - Answer - Change the gloves What type of heated humidifier should be placed for a patient with tracheostomy? - Answer - HME (Heat and moisture exchanger) The Semi fowler position is used for what? - Answer - Anterior api cal upper lung segmented lobes
6cm Chest x -ray looks normal but they have been sitting for an extended period of time and is experiencing dyspnea. What is likely the cause? - Answer - Pulmonary embolism Chest x -ray showing a deflated lung. What is a likely diagnosis? - Answer - Tension pneumothorax A patient has hemoptysis, what do you do? - Answer - Bronchoscopy Broncholavage should be done with what? - Answer - Mini ball -vap After intubation there is a lack of breath sounds on the left side, what could be the cause? - Answer - Right mainstem bronchi intubation There is a hyperresonance and tracheal shift with distant breath sounds, what is a likely diagnosis? - Answer - Pneumothorax What is a V/Q scan used to identify? - Answer - Pulmonary embol ism What is the name of the gestational age test? - Answer - Ballard score What is used to diagnose cancer? - Answer - PET scan Bronchogram is used to diagnose what? - Answer - Bronchiectasis A patient has left sided chest pain, what diagnostic test should be done? - Answer - Chest x -ray Midclavicular is the place for what lead? - Answer - V4 leads What percentage of PaCO2 is normal? - Answer - 5% What is the normal value of ejection fraction? - Answer - 60 How is VD/VT calculated? - Answer - PaCO 2-PeCO2/PaCO2 is 30 Patient was taken from a burning house, what diagnostic test should be done? - Answer - Co-oximeter/hemoximeter Low urine output can be caused by what? - Answer - Low PCWP What is the reversal agent of OPIODS? - Answer - Narcan What do you give for stridor? - Answer - Racemic epinephrine A patients endotracheal tube is 18cm at the lip, cuff pressure is 19cmH2O, and there is still gurgling, what should you do? - Answer - Advance the ET tube Unequal breath sounds - Answer - What sh ould be done after ABG sampling? - Answer - Change the gloves What type of heated humidifier should be placed for a patient with tracheostomy? - Answer - HME (Heat and moisture exchanger) The Semi fowler position is used for what? - Answer - Anterior api cal upper lung segmented lobes
