New CSE Notes Exam 2023/2024

New CSE Notes Exam 2023/2024 Things to remember to always select on the CSE (4 things) - Answer--SIMV/VC or AC/VC if the settings are the same -always select "to titrate" -pedal edema -APGAR for neonates Trach patients _____________ PFTs - Answer-cannot do When __________________ are in place, you should select _________________ as an option to check out - Answer--hemodynamic lines -hemodynamic values A pt with laryngeal edema will need - Answer-immediate intubation If a baby is grunting or has retractions, then - Answer-give CPAP CT scan is not the first line of testing unless it is a - Answer-trauma or stroke pt A stable PTX pt just needs a - Answer-chest tube An unstable PTX needs - Answer-needle decompression When the vent alarms are sounding off, you should first - Answer-disconnect and manually ventilate the pt A MVA pt or a pt found down should always get - Answer-toxicology and glucose No SpO2 should be assessed for burn pts within - Answer-the 1st 24 hours If a pt has a PVC, then we should give - Answer-lidocaine and O2 -Do these 3 things in order for a vent pt on the exam - Answer--weaning then SBT then extubate If a pt's RSBI is < 105 and everything else is marginal, then - Answer-you can still extubate COPD and asthma exacerbation pts in the ER should be given - Answer-IV steroids Trach patients cannot take - Answer-spiriva If an EKG reads right axis deviation, then the pt has - Answer-a cor pulmonale HIV patients commonly get - Answer-pneumocystis pneumonia (PCP) Give nocturnal BiPAP to a pt if CO2 is (2 things) - Answer--over 55 mmHg -likely applies to sleep apnea pts If there is no resistance during bag compression, then - Answer-check the bag If the PaO2 is in the 40s, then increase - Answer-both the FiO2 and the PEEP or the FiO2 to 100% then increase PEEP Low blood pressure means to give - Answer-vasopressors -If a patient has a pulse, DO NOT - Answer-DEFIB Always pick a stat x-ray in an - Answer-emergency PTX Start COPD pts on ___________ for oxygen - Answer-2 LPM O2 or 28% FiO2 COPD BiPAP settings start at - Answer-10/5, FiO2 30-40% and PIPs < 15 Initial Vent Settings for a Neonate (5 things) - Answer--RR is 20-30 -FiO2 is 40-60% (unless coding) -i-time is 0.30-0.40 -PEEP is 3-5 -PIP is 20-30 How to fix air trapping for COPD patients (5 things) - Answer--decrease i-time -increase I:E ratio -increase flow if on VC mode -decrease RR, Vt -if the pt cannot trigger the vent, then you want to add PEEP When starting out on initial O2 for COPD pt, if given the choice between 2LPM NC and 28% Venturi, what should I choose between the two? - Answer-28% Venturi Mask CONTINUES...