Clin sim RRT 100% correct answers already graded A+

list of 1st inspection stuff general appearance appearance of chest RR rate & pattern pulse sensorium posture patient color level 2 bedside assessment ( 5 categories) interview/History palpation/percussion auscultation Non-invasive monitoring other assessments... level 2: interview symptoms history of present illness medical history family history advance directives DNR level 2: palpation/percussion pulse tracheal position diagnostic chest percussion temperature level 2: auscultation breath sounds blood pressure bowel sounds heart sounds level 2: Non-invasive monitoring capnography oximetry ECG monitor transcutaneous monitor level 2: other assessments... reflexes (pupil, gag, transtracheal, Babinski) range of motion cap refill hemodynamic monitoring Capnography measures what? Level of carbon dioxide expired in each breath ECG monitor measures? electric activity of the heart (work) gag reflex used for what patients? Dont try when? surgery pts on anesthesia My grav pts drug OD DONT try if there is not artificial AW, pt may aspirate Babinski reflex if positive? good/bad use when? if toes fan out - postive (bad) may be useful in stable unconscious pts 5 Basic Lab Tests ABG CBC EKG x ray electrolytes special test: D-Dimer if up means? PE special test: Troponin used for who? for MI pt if elevated pt has MI special test: BNP used for? CHF patient special test: hemoximetry used for? CO2 detector ELISE test used to test for? AIDS / HIV Edrophonium chloride test aka? used to diagnose? Tensilon test My grav acid fast staining used for? taken how long? used to detect TB 1-2 weeks what do you use to measure airway resistance? body box "Angiograms" are used for ________? What areas does it cover? (5) Define shape size and patency of veins and arteries. (Brain / heart / lungs / kidneys or liver) Anion Gap use to ID what? Normal levels? Identify cause of metabolic acidosis, gap gets larger with acidosis. Normal level 8-18 APGAR measures what? Heart rate & resp Respiratory rate Muscle tone Reflex irritability Color APGAR of 0-3 means? Bag the baby NO compressions basic metabolic panel (BMP) measures? Glucose / electrolytes/ fluid levels / kidney function BCG vaccine? Used for TB, however, Anyone who has had this will have a positive skin test and must be evaluated by a chest radiograph Blood Alcohol Level (BAL) measures? Level #? Amount of alcohol in pts blood 50-150 = lack of coordination 140-200 = intoxication (delirium) 300-400 = unconsciousness 400 + fetal Blood digoxin level measures? Normal level? Toxic? Signs of toxicity? Measures Toxic level of digoxin 0.9-2.0 3.0 Diarrhea / nausea / arrhythmias (PVC) / changes in T wave Blood glucose normal Premi? Infant? Adult? 20 30 80-120 BNP (brain natriuretic peptide) year for? Normal? CHF Lower than 100 blood urea nitrogen (BUN) measures for? Normal levels? Renal disease 8-25 Bowel sounds can help detect what in newborns? Adults? diaphragmatic hernia NG tube placement Bronchogram used to diagnose? Bronchiectasis caloric stimulation test? Puts color water into ear to check for brain death, eyes should look to side ice water went into Capillary blood gas measures? PH & PCO2 cap refill time? less than 3 seconds Cardiac enzymes / CPK isoenzymes detects? Heart damage after pt has a heart attack Carotid massage does what? Used to treat? Decrease HR Atrial tachycardia CPP formula? Normal range? How can you fix CPP = MAP-ICP; normal 70 - less than 70 causes injury to brain Rise MAP or lower ICP colloid osmotic pressure determines cause of? Pulmonary edema CT scan (computed tomography) used to diagnose? PE & bronchiestasis