Kettering ACCS Review - Patient Assessment Questions And Answers Rated A+ New Update Assured Satisfaction

What are the Four critical life functions? - Ventilation Oxygenation Circulation Perfusion Which of the life functions is the first priority? - Ventilation What assessments would determine how well a patient is ventilating? - Chest movement Respiratory rate Tidal volume Breath sounds EtCO2 PaCO2 How would the adult critical care specialist determine if a patient has a problem with oxygenation? - Heart rate Color Sensorium SaO2 PaO2 What information would help the adult critical care specialist determine if a patient's circulation is adequate? - Pulse/Heart rate and strength Cardiac outputWhat changes would indicate that a patient may not have adequate perfusion? - Blood pressure Sensorium Temperature Urine output Hemodynamics The most common problems are associated with this critical life function... - Oxygenation Acute Respiratory Failure - The inability of the respiratory system to meet the oxygenation, ventilation, or metabolic requirements of the patient Three Types of Acute Respiratory Failure (ARF) - Hypoxemic Hypercapnic Mixed Hypoxemic Respiratory Failure may be identified by... - PaO2 = 50 - 60 torr on room air SpO2 93% on room air PaO2/FiO2 or (P/F) Ratio 300 A-aDO2 200 torr Most common cause - (V/Q) Mismatching Hypercapnic Respiratory Failure may be identified by... - PaCO2 = 50 Torr Forced Vital Capacity (FVC) 10 mL/kgMaximal Inspiratory Pressure (MIP) -20 cmH2O Clinical Course for Acute Respiratory Failure (ARF) -Hypoxemic respiratory failure (low PaO2, low PaCO2) followed by hypercapnic respiratory failure (low PaO2, high PaCo2) as patient becomes fatigued