Clinical Simulation Exam 285 Questions with Verified Answers,100% CORRECT

Clinical Simulation Exam 285 Questions with Verified Answers If you decrease the frequency while using HFOV, what will increase, leading to what? - CORRECT ANSWER If frequency decrease, the amplitude will increase, leading to a decrease in PaCO2. If amplitude increases, what will increase while on HFOV? - CORRECT ANSWER Alveolar Ventilation If you decrease the frequency, what will happen to the Respiratory Rate? - CORRECT ANSWER It will decrease Neonate Desired PaO2? - CORRECT ANSWER 60 Neonate Desired PaCO2? - CORRECT ANSWER 50 What will increasing the MAP during HFOV do? - CORRECT ANSWER Increase the PaO2 Normal RR for Neo? - CORRECT ANSWER 30 - 60 Normal BP for Neo? - CORRECT ANSWER 60/40 Normal HR for Neo? - CORRECT ANSWER 110 - 160 Why is HBO (Hyperbaric Chamber) Used for? - CORRECT ANSWER 1. CO Poisoning 2. Decompression Sickness 3. Tissue Transplants 4. Anaerobic Infections What is the initial HBO pressure? - CORRECT ANSWER 2 - 3 atm Babinski Reflex - CORRECT ANSWER Used to test neurological functions of the brainstem and spinal cord function. Helium Oxygen Therapy is indicated for what type of patient? - CORRECT ANSWER Increased Airway Resistance Oxygen Carbon Dioxide is used to treat conditions of? - CORRECT ANSWER Reduce cerebral blood flow What is the primary treatment for air embolism? - CORRECT ANSWER Hyperbaric Treatment What is the primary setting for the HBO, with a patient with air embolism? - CORRECT ANSWER 6 atm HBO for CO poisoning initial setting is? - CORRECT ANSWER 3 atm What is an adequate administration time for HBO? - CORRECT ANSWER 90 min. at a time TID first day and BID for three consecutive days Silverman Score - CORRECT ANSWER Evaluates the level of respiratory distress in neonates, with the score being 0 - 10, 10 being the worst Dubowitz or Ballard Score - CORRECT ANSWER Used to determine gestational age L:S Ratio closer to 0, can represent what disease? - CORRECT ANSWER Hyaline Membrane Disease or Respiratory Distress Syndrome L:S Ratio normal? - CORRECT ANSWER 2:1 Normal Blood Glucose in Neonates? - CORRECT ANSWER 30 Brand Names for Surfactant - CORRECT ANSWER 1. Survanta 2.Exosurf Recommended dosage for Survanta? - CORRECT ANSWER 100 ml/kg given in 4 equal dosages with 30 sec. apart w/ patient in different positions. Recommended dosage for Exosurf? - CORRECT ANSWER 5 ml/kg of birth weight given in 2 equal doses, instilled directly to the trachea and baby is ventilated for 30 sec. What type of patient is most likely to have bronchopulmonary dysplasia? - CORRECT ANSWER Infants with low birth weight and those who receive prolonged mechanical ventilation to treat respiratory distress syndrome Treatment for BDP (Bronchopulmonary dysplasia? - CORRECT ANSWER Oxygen (CPAP) Lasix SABA Steroids Chest Physiotherapy Normal WBC - CORRECT ANSWER 5,000 - 10,000 Normal RBC - CORRECT ANSWER 4 - 6 Normal CVP, Deals? - CORRECT ANSWER 2 - 6, Right Heart Normal CPWP and Deals? - CORRECT ANSWER 4 - 12, Left Heart Normal BP - CORRECT ANSWER 120/80 Normal PAP, Deals? - CORRECT ANSWER 25/8, Lungs Normal MPAP - CORRECT ANSWER 14 Normal Hb - CORRECT ANSWER 12 - 16 Normal HCT - CORRECT ANSWER 40 - 50% Normal K - CORRECT ANSWER 3.5 - 4.5 Normal Na - CORRECT ANSWER 135 - 145 Normal Cl - CORRECT ANSWER 80 - 100 Normal Creatine, For? - CORRECT ANSWER 0.7 - 1.3, Kidney Normal BUN, For? - CORRECT ANSWER 8 - 25, Kidney Normal ICP - CORRECT ANSWER 5 - 10 Normal BNP, For? - CORRECT ANSWER 100, Cardiac Normal Troponin, For? - CORRECT ANSWER 0.1, Cardiac ETT tube placement - CORRECT ANSWER 21 - 25 cm at lips Normal CaO2 - CORRECT ANSWER 17 - 20 Normal CvO2 - CORRECT ANSWER 12 - 16 Normal C(a-v)O2 - CORRECT ANSWER 4 - 5 Normal Shunt - CORRECT ANSWER 3 - 5 % Initial EPAP Settings - CORRECT ANSWER 3 - 4 Initial IPAP Settings - CORRECT ANSWER 6 - 8 above the EPAP Emphysema Patient Characteristics - CORRECT ANSWER Thin, under weight Barrel Chest Clubbing late stage Hyperresonant Percussion Diminished breath sounds w/ prolonged expiration Dyspnea, Pursed lip breathing Respiratory Pattern Emphysema - CORRECT ANSWER Dyspnea, Pursed lip breathing, Accessory muscle use Chronic Bronchitis Patient Characteristics - CORRECT ANSWER Overweight Productive cough Cyanotic Rhonchi, Crackles, Wheezes CXR for COPD - CORRECT ANSWER Hyperlucent, w/ flattened diaphragm Emphysema DLCO - CORRECT ANSWER Decreased Pulmonary Function Test for COPD - CORRECT ANSWER Decreased flow rates COPD CBC will show? - CORRECT ANSWER Increased RBC, HB, HCT on the late stages Treatment for COPD - CORRECT ANSWER Low Oxygen 1 - 2 L or 24 - 28% Bronchodilators (SABA, LABA, Anticholinergic) Antibiotics (Sputum Culture) NPPV for Acute exacerbations COPD Rehabilitation program suggestions - CORRECT ANSWER 1. Nutritional management 2. Avoiding infections (Anual flu vaccines) 3. Exercise Program 4. Secretion clearing techniques 5. Home oxygen 6. Appropriate medication administration What are the 2 conditions and what else that may lead to Bronchiectasis? - CORRECT ANSWER Cystic Fibrosis and Kartagener Syndrome Reoccurring Infections Bronchiectasis Patient Characteristics? - CORRECT ANSWER Barrel Chest Cyanotic Clubbing Hyperresonant Wheezing and Diminished Breath sounds Bronchiectasis Diagnostic Test - CORRECT ANSWER CT Scan = Increased bronchial wall opacity Sputum = Infection Pulmonary Function Test = Decreased flow rates CXR = Hyperlucent, Depressed Diaphragm Treatment for Bronchiectasis - CORRECT ANSWER Bronchial Pulmonary Hygiene Lung Expansion Therapy Antibiotics for Infection Expectorants Aerosolized medications Surgical Resections of involved segments Bronchiectasis Triggers - CORRECT ANSWER Upper respiratory infections Smoking Polluted environments Patient Sleep Disorders Characteristics - CORRECT ANSWER Overweight, Short Stocky Neck, enlarged Tonsils, adenoids and tongue Central sleep apnea caused by and poly results? - CORRECT ANSWER Respiratory Cente, Nasal flow decreased w/ decreased respiratory efforts Obstructive sleep apnea caused by and poly results? - CORRECT ANSWER anatomic obstruction, Nasal flow decreased w/ increased respiratory efforts Diagnostic Test for Sleep Apnea - CORRECT ANSWER Polysomnography CXR = right and left heart enlargement Pulmonary Function = Decreased volumes Treatment for Central Sleep Apnea - CORRECT ANSWER NPPV Treatment for Obstructive Sleep Apnea - CORRECT ANSWER Nasal CPAP Weight loss Sleep posture Oxygen Surgery Oral Appliances Chest Trauma Characteristics - CORRECT ANSWER Respiratory Pattern = paradoxical movement Color = Cyanotic Breath sounds = Diminished Vital Signs = Elevated Cough = Possible hemoptysis Chest Trauma Diagnostic Tests - CORRECT ANSWER CXR = Increased opacity PFT = Decreased vol. and capacities Vital Signs of Large Pnuemothorax - CORRECT ANSWER Bradycardia, Hypotension, Pulsus Paradoxus Treatment for Pneumothorax - CORRECT ANSWER Needle decompression Chest Tube Hyperinflation Therapy Hemothorax CBC results? - CORRECT ANSWER Decreased RBC, HCT, and Hb Treatment for Hemothorax - CORRECT ANSWER Thoracentesis or Chest Tube Oxygen Hyperinflation therapy Treatment for Burning Patient or CO poisoning - CORRECT ANSWER 100% Oxygen Hyperbaric Chamber Isolation Room Monitor ABG, Electrolytes, Fluids Monitor Infection Pulmonary Hygiene Bronchodilators ARDS Past Medical Hx - CORRECT ANSWER Aspiration, Trauma, Drug Overdose, Fluid Overload, Inhalation Toxins, and Irritants ARDS CXR - CORRECT ANSWER Honeycomb or Ground glass ARDS Hemodynamics - CORRECT ANSWER Increased PAP with normal PCWP Treatment for ARDS - CORRECT ANSWER Underlying cause CPAP/PEEP after 60% Monitor Hemodynamics Prone Positioning ARDSNet Protocol - CORRECT ANSWER VT 6ml/kg Maintain plateau pressure 30 cm H2O Recruitment Manuvers Alternative modes for ARDS - CORRECT ANSWER Inverse Ration APRV PRVC HFV Permissive Hypercapnia Pulmonary Vasodilators (INO) Monitoring for Neuromuscular Disorders - CORRECT ANSWER VT VC MIP Myasthenia Gravis Patient Characteristics - CORRECT ANSWER Mind to ground Dysphagia, General Weakness Shallow Breathing Diminished Breath sounds Special Tests for Myasthenia Gravis - CORRECT ANSWER Edrophonium (Tensolin) Medications for Myasthenia Gravis - CORRECT ANSWER Neostigmine (Prostigmin) Pyridostigmine (Mestinon, Regonol) Treatment for Myasthenia Gravis - CORRECT ANSWER Pulmonary Hygiene Mechanical Ventilation Hyperinflation What is the proper dosage for treating tuberculosis? - CORRECT ANSWER A six-month treatment regime consisting of daily doses of isoniazid (INH), rifampicin, ethambutol and pyrazinamide for the first two months followed by a twice-weekly administration of INH and rifampin for four months. pneumocystis jirovecii pneumonia is treated with what? - CORRECT ANSWER Pentamidine (Nebupent) Pentamidine delivery system? - CORRECT ANSWER Respigard II Dosage for pentamidine? - CORRECT ANSWER 300 mg, Treatment given once every four weeks for six months is the proper delivery frequency. Ribavirin treats what? - CORRECT ANSWER RSV (Respiratory Synthetical Virus) Treatment For Smoking - CORRECT ANSWER Nicotine Normal Glucose for Infants - CORRECT ANSWER 30 Increase Eosinophils indicate? - CORRECT ANSWER Allergy, Asthma Increased Monocytes indicate? - CORRECT ANSWER Tuberculosis Normal HCT - CORRECT ANSWER 40 - 50% Normal exhaled Carbon Monoxide - CORRECT ANSWER 7 FeNO Test used to? - CORRECT ANSWER Effectiveness of airway inflammation therapy Normal ICP - CORRECT ANSWER 5 - 10 Echocardiogram used for? - CORRECT ANSWER Abnormal heart sounds Cardiac Abnormalities Normal Neo Heart Rate - CORRECT ANSWER 110 - 160 Normal Neo PaCO2 - CORRECT ANSWER 50 Pulmonary Angiogram used to identify? - CORRECT ANSWER Pulmonary Embolism Normal Neo pH - CORRECT ANSWER 7.30 Barium Swallow - CORRECT ANSWER Indicated for difficulty in swallowing MRI used to identify? - CORRECT ANSWER Tumors, and soft tissue abnormalities CT with contrast used to diagnose? - CORRECT ANSWER Pulmonary Embolism Normal Neo PaO2 - CORRECT ANSWER 60 CXR Increased vascular markings - CORRECT ANSWER CHF, Left Heart Failure CXR decreased vascular markings - CORRECT ANSWER Pneumothorax Croup X-ray - CORRECT ANSWER Steeple Sign Epiglottis X-ray - CORRECT ANSWER Thumb Sign Mantoux Test - CORRECT ANSWER Tuberculosis Transcutaneous Monitor Temp. - CORRECT ANSWER 43 - 45 Cerebral Perfusion Range - CORRECT ANSWER 70 - 90 Therapeutic FiO2 Range - CORRECT ANSWER 30 - 60% Initial Vt - CORRECT ANSWER 5 - 10 ml/kg Initial Vt for ARDS - CORRECT ANSWER 6 ml/kg SVR Formula & Normal - CORRECT ANSWER (MAP - CVP / QT) x 80 Normal 1600 dynes/sec Normal QT - CORRECT ANSWER 4 - 8 (6) VD/VT Acceptable - CORRECT ANSWER 60% VD/VT Normal - CORRECT ANSWER 20 - 40% PVR Formula & Normal - CORRECT ANSWER (MPAP - PCWP / QT ) x 80 Normal: 200 dynes PAO2 - CORRECT ANSWER (Pb - 47) FiO2 - PaCO2 x 1.25 Suction Catheter Formula - CORRECT ANSWER (ID/2) x 3 RSBI Formula & Normal - CORRECT ANSWER RR / VT Normal: 100 Weaning RR - CORRECT ANSWER 8 - 20 Initial NPPV - CORRECT ANSWER IPAP: 8 - 12 EPAP: 4 - 6 Moderate AHI - CORRECT ANSWER 16 - 30 What measures Sleep Apnea? - CORRECT ANSWER AHI (Apnea Hypopnea Index) Drug Dilution Formula - CORRECT ANSWER 1. Drug % x 10 = mg/ml 2. # mg/ml x dosage ordered Ways to measure? - CORRECT ANSWER Stroke Volume Thermaldilution Fick Equation FVC maneuver provides and identifies? - CORRECT ANSWER Flow rates and identifies Obstructive Disease Initial Pressure for PC - CORRECT ANSWER 35 or Plateau pressure during AC Initial Respiratory Rate - CORRECT ANSWER 10 - 20 Initial FiO2 - CORRECT ANSWER 40 - 60% or current FiO2 Initial PEEP - CORRECT ANSWER 2 - 6 or current CPAP IBW Formula - CORRECT ANSWER 50 + (2 x in over 5 ft) Initial VT for Asthma - CORRECT ANSWER 4 ml/kg Neo Initial PEEP - CORRECT ANSWER 2 - 4 or Current CPAP Neo Initial VT - CORRECT ANSWER 4 - 6 ml/kg VE Normal & Formula - CORRECT ANSWER 10 L/min Formula: VT x RR Static Compliance Formula - CORRECT ANSWER Vt / (Plateau - PEEP) MAP Formula - CORRECT ANSWER (Diastolic x 2) - Systolic / 3 What is the effect of Increase PAP and cause? - CORRECT ANSWER Pulmonary Hypoxemia, due to pulmonary vasoconstriction RAW Formula - CORRECT ANSWER PIP - Plateau Cheyne Stokes & Cause - CORRECT ANSWER Increase RR and Decreased with periods of apnea. Cause:Drug OD, Trauma, Strokes Normal Heart Rate - CORRECT ANSWER 60 - 100 Fine Crackles Indicate & Treatment - CORRECT ANSWER Fluid, Diuretics Diuretics - CORRECT ANSWER Furosemide (Lasix) Mannitol (Osmol) Effects of fluid retention? - CORRECT ANSWER Electrolyte Imbalance Hemodynamic Instability Decrease compliance Anti-tubercular - CORRECT ANSWER Isoniazid (INH) Rifampin Ethambutol Proper Oxygen Flow for Oxyhood - CORRECT ANSWER 7 - 14 L/min Simple Mask Flow and FiO2 - CORRECT ANSWER Flow : 6 - 10 L/min FiO2: 40 - 55% Ultrasonic Nebulizer used to induce? - CORRECT ANSWER Sputum MVV used for? - CORRECT ANSWER Measures the muscular mechanics of breathing Alarm on a blender indicates? - CORRECT ANSWER Low inlet pressure 40 Treatment for Increased Troponin? - CORRECT ANSWER Oxygen Aspirin Morphine Nitroglycerin APGAR - CORRECT ANSWER Appearance Pulse Grimace Activity Respiratory Effort CO normal value? - CORRECT ANSWER 1% Vasodilators - CORRECT ANSWER Nitroglycerine (Nipride) Milrinone (Primacor) Obstructie Disease - CORRECT ANSWER Cystic fibrosis Bronchiectasis Asthma Bronchitis Emphysema Bradypnea Causes - CORRECT ANSWER Sleeping, Drug Overdose Biots and Cause - CORRECT ANSWER Increased respiratory rate and periods of apnea Causes: CNS Problem Muscle Hypertrophy - CORRECT ANSWER COPD Muscle Atrophy - CORRECT ANSWER Neuromuscular Disease Pulsus Paradoxus Cause - CORRECT ANSWER Hyperinflation, Air trapping Rhoncial Fremitus indicative of? - CORRECT ANSWER Secretions in the airway Positive Inotropic Agents - CORRECT ANSWER Digoxin Digitalis Stridor Treatment - CORRECT ANSWER Racemic Epinephrine Bronchoscopy Hyperluncency over soft tissue indicates? - CORRECT ANSWER Subcutaneous Emphysema Proper ETT Placement? - CORRECT ANSWER 2 - 6 cm Carina Pleural Friction and Treatment - CORRECT ANSWER Pleurisy, TB, Pneumonia Treatment: Steroids, Antibiotics Lower Inflection Point Treatment - CORRECT ANSWER Increasing PEEP, Adjusting Breath Acid Fast Stain Test - CORRECT ANSWER Tuberculosis Depressed T Wave indicates - CORRECT ANSWER Ischemia Elevated ST Segment Indicates - CORRECT ANSWER Injury Elevated Q Wave Indicate - CORRECT ANSWER Infarction Term Infant Age - CORRECT ANSWER 38 - 42 Infant Temp - CORRECT ANSWER 36.5 Term Infant BP - CORRECT ANSWER 60/40 Infant RR - CORRECT ANSWER 30 - 60 Preterm Infant BP - CORRECT ANSWER 50/30 Dubowitz/Ballard Method - CORRECT ANSWER Gestational Age Infant Echocardiogram indicated? - CORRECT ANSWER Infant with Shunt Vasoconstrictions increase? - CORRECT ANSWER BP and QT Vasodilators decrease? - CORRECT ANSWER BP and QT Cyanosis cause - CORRECT ANSWER Hypoxia Erythema cause - CORRECT ANSWER Inflammation, Swelling Clubbing caused by? - CORRECT ANSWER Chronic Hypoxemia, COPD, Cystic Fibrosis Peripheral Edema caused by? - CORRECT ANSWER CHF, Renal Failure General Malaise caused by? - CORRECT ANSWER Electrolyte imbalance Orthopnea caused by? - CORRECT ANSWER CHF Obtunded Patient, should be? - CORRECT ANSWER Intubated to protect airway Sedatives - CORRECT ANSWER Diazepam (Valium) Midazalam (Versed) Laresipam (Ativan) Alprazolam (Xanax) Anesthetics - CORRECT ANSWER Propofol (Diprivan) Ketamine (Ketalar) Low Volume Alarm - CORRECT ANSWER Leak Low Spontaneous Tidal Volume High Pressure Alarm - CORRECT ANSWER Increase Airway Resistance Decreased Compliance Acceptable VC - CORRECT ANSWER 10 ml/kg Acceptable MIP - CORRECT ANSWER 20 cmH2O Acceptable RR - CORRECT ANSWER 8 - 20 Acceptable VT - CORRECT ANSWER 5 ml/kg Acceptable MEP - CORRECT ANSWER 40 Acceptable VE - CORRECT ANSWER 10ml/kg Acceptable Compliance - CORRECT ANSWER 25 How to use MDI? - CORRECT ANSWER Hold Breath for 10 sec. MIP Indicates - CORRECT ANSWER Inspiratory Muscle Weakness MEP Indicates - CORRECT ANSWER Poor ability to clear secretions Normal Peak Flow - CORRECT ANSWER 10L/sec or 600 L/min Spirometers Measure - CORRECT ANSWER Flow and volume Pneumotachometers - CORRECT ANSWER Flow Unilateral Lung Disease Position - CORRECT ANSWER Good lung down Obese Position - CORRECT ANSWER Lateral Normal Airway Resistance - CORRECT ANSWER 0.6 - 2.4 Normal Compliance - CORRECT ANSWER 60 - 100 Baby with OI index 40 use? - CORRECT ANSWER ECMO If CvO2 decreased what is the cause and what else decreases? - CORRECT ANSWER Increased PEEP, QT decreases as well ABG with Air bubble what happens to values? - CORRECT ANSWER PaCO2: Decreases, PaO2: Increases, pH: Increases DLCO Normal - CORRECT ANSWER 25 Decreased DLCO caused? - CORRECT ANSWER Restrictive Disease Air entrainment mask indicative for? - CORRECT ANSWER Patients with irregular Vt, RR, Ve Bronchography indicative for? - CORRECT ANSWER Bronchiectasis Obstructive lessions Bronchial sounds over the lung parenchyma indicate? - CORRECT ANSWER Consolidation Crepitus indicates? - CORRECT ANSWER Subcutaneous Emphysema What is the placement Central Venous Catheters? - CORRECT ANSWER Superior Vena Cava Right Atrium Where is the Pulmonary Catheter located? - CORRECT ANSWER Right lower lung field SPAG is used to deliver and treat what? - CORRECT ANSWER Ribivarin Treat: Respiratory Synsethical Virus (RSV) Insufflation/Exufflation Devices used? - CORRECT ANSWER To clear secretions for muscle weakness Vasoconstrictors - CORRECT ANSWER Epinephrine Dopamine Dobutamine Norepinephrine Treatment for IRDS/Hyaline Membrane - CORRECT ANSWER Surfactant Treatment for ICP 20 - CORRECT ANSWER Hyperventilation (25 - 30) Analgesic and Sedatives Low PEEP Diuretics (Osmotics) Katz used to evaluate? - CORRECT ANSWER Activities of Daily Living Cause of JVD? - CORRECT ANSWER CHF APRV used? - CORRECT ANSWER To maintain low MAP Treatment for Decrease Compliance - CORRECT ANSWER Increase PEEP Treatment for Increase Airway resistance - CORRECT ANSWER Suction Treatment for Auto PEEP - CORRECT ANSWER Increasing Exp. Time Treatment for Flow starvation - CORRECT ANSWER Increase Flow, Decrease IT, Increase Exp. time Initial dosage for INO - CORRECT ANSWER 20 - 40 ppm Correct Chest Tube Placement - CORRECT ANSWER Between 2 - 3 intercostal space mid-clavicular line If collection bottle continues bubbling what does it indicate? - CORRECT ANSWER Air leaking, Pneumothorax Anticoagulants - CORRECT ANSWER Nitroglyceride Initial PSV - CORRECT ANSWER PIP - Plateau Indication HFOV - CORRECT ANSWER Bronchial Pleural Fistula Pneumothorax Pulmonary interstitial emphysema High PIP 50 Increased C(a-v)O2 indicative of ? - CORRECT ANSWER High PIP Overdistension Treatment - CORRECT ANSWER Decreasing VT or PIP Kussmals and caused by? - CORRECT ANSWER Increased RR and irregular rate Metabolic Acidosis Ashen or Pallor Skin Caused by? - CORRECT ANSWER Anemia or Blood loss Crowding of Ribs indicate? - CORRECT ANSWER Atelectasis Straight or horizontal ribs indicate? - CORRECT ANSWER Pneumothorax Frequency for Vest - CORRECT ANSWER 5 - 25 hz and 1 - 6 times/day for 30 mins Benefits PEP - CORRECT ANSWER Clearing Secretions Reduce hyperinflation Expiratory PEP - CORRECT ANSWER 10 - 20 pressure, 3 - 4 times a day for 15 - 20 min. Bronchial Hygiene Therapy for? - CORRECT ANSWER Bronchiectasis Cystic Fibrosis IPPB Problems - CORRECT ANSWER Loss of pressure Excessive pressure Fail to cycle inspiration Fail to cycle expiration Contraindication for Pneumothorax - CORRECT ANSWER Pneumothorax Hypotension Elevated ICP Nasal Tube Distance - CORRECT ANSWER 26 - 29 cm Analgesics - CORRECT ANSWER Morphine Codeine Mependine Fentanyl Oxycodone Neuromuscular Blocking Agents (Paralytics) - CORRECT ANSWER Pancoronium Vancoronium Ronconorium Use of accessory muscles indicate? - CORRECT ANSWER Decreased Compliance Increased Airway Resistance Night Sweats Indicates - CORRECT ANSWER Tuberculosis Vancomycin used to treat? - CORRECT ANSWER MRSA EGG Shape X-ray - CORRECT ANSWER Transposition of the great vessel Boot Shape X-ray - CORRECT ANSWER Tetralogy of the Fallout Infant Initial Pressure - CORRECT ANSWER 20 - 30 Infant Initial RR - CORRECT ANSWER 20 - 30 SIMV used for? - CORRECT ANSWER Patients with tachypnea To decrease Paw IRV patient should be? - CORRECT ANSWER Paralyzed and Sedated IRV used for patients? - CORRECT ANSWER High FiO2 PEEP 15 PIP 50 Low PaO2 with decrease Compliance Indications Positive Inotropic Agents - CORRECT ANSWER CHF Atrial Tachycardia Ventricular Fibrillation Indications for Pulmonary Vasodilators - CORRECT ANSWER Pulmonary Hypertension ARDS Right Ventricular Failure Pulmonary Vasodilators - CORRECT ANSWER Flovan Illoprest Slidenafil Chest tube placement for Pleural Effusions - CORRECT ANSWER 5 -7 intercostal space in the mid axillary line Thoracentesis Placement - CORRECT ANSWER Between 7 - 8 intercostal space above the rib Purpose for Helium therapy? - CORRECT ANSWER Decrease WOB Treatment for infants with apnea prematurity? - CORRECT ANSWER Theophylline (5 - 10) Caffeine Treatments for Bradycardia - CORRECT ANSWER Atropine Epinephrine Medication for Ventricular fibrillation and pulseless ventricular tachycardia? - CORRECT ANSWER Amiodarone Guillain Barre Syndrome Characteristics - CORRECT ANSWER Ground to Brain Diminished breath sounds with crackles and rhonchi Diagnostic tool for Guillain Barre - CORRECT ANSWER Lumbar Puncture = High Protein level in CSF Cheyne Stokes is characteristic of what condition? - CORRECT ANSWER Stroke/CVA/ITA