NBRC RRT/CSE, treating pathologies, Kettering questions with correct answers

Emphysema CORRECT ANSWER • O2 therapy via nasal cannula at 24-28%. Keep saturations at approx. 88%-93%. • Bronchodilators • Bronchial hygiene as indicated. • NIPPV for acute vent failure (PaCO2>45 torr) Chronic Bronchitis CORRECT ANSWER • O2 therapy via nasal cannula at 24-28%. Keep saturations at approx. 88%-93%. • Bronchodilators • Bronchial hygiene as indicated • Antibiotics as indicated • NIPPV for acute vent failure (PaCO2>45 torr) Chest Trauma/Flail Chest/Rib Fractures CORRECT ANSWER • Hyperinflation therapy (IS/SMI, IPPB. Prevent atelectasis and pneumonia) • Analgesics • Mech Vent w/ PEEP for severe case • Severe cases may require surgery. Pneumothorax CORRECT ANSWER • Small pneumo (<20% lung collapse): bed rest • Large pneumo (>20% lung collapse): chest tube • Needle thoracentesis if pt is unstable (bradycardia, hypotension, cyanosis, etc.) • Hyperinflation therapy post-c