Progressive Care PCU Exam 2024
whatzareznormalzABGzvalues?z-zCORRECTzANSWER-pH:zacidicz7.35-7.45zbasic
CO2:zbasicz35-45zacidic
HCO3-:zacidicz22-26zbasic
normalzpaO2z-zCORRECTzANSWER-80-100zmmHg
whatzpHzlevelszarezlethal?z-zCORRECTzANSWER-outsidez6.8-7.8
wherezarezABGszdrawnzfrom?zwhatztestziszdoneztozensurezadequatezbloodzflow?z-zCORRECTzANSWER-
peripheralzartery;zallen'sztestzforzradialzartery
Howzdozthezkidneyszhelpzmaintainzacid-basezbalance?z-zCORRECTzANSWER-
retain/excretezbasiczHCO3zandzretain/excretezacidiczH+
treatmentszforzrespiratoryzacidosisz-zCORRECTzANSWER--oxygen
-intubation
-bronchodilators
-drugzreversalzagents
-incentivezspirometer
-suction
treatmentszforzrespiratoryzalkalosisz-zCORRECTzANSWER--breathingzintozpaperzbag
-anxiolytics
-analgesics
-reducezfever
, -reducezventilation
-returnztoznormalzaltitude
treatmentszforzmetaboliczacidosisz-zCORRECTzANSWER--IVzsodiumzbicarbonate
-managezbloodzsugar
-antibiotics
-reversalzforzOD
-anti-diarrhealzagents
-dialysis
-encouragezrespirations/ventilate
treatmentszforzmetaboliczalkalosisz-zCORRECTzANSWER--antiemetics
-stopzsuctioning
-d/czdrugszcausingzacidzlossz(diuretics,zantacids)
-hydrochloriczacidz(rare)
whatziszsystoliczvszdiastoliczheartzfailure?z-zCORRECTzANSWER-
systolic:ztypezofzLzsidedzHFzwithzreducedzEFzofz<z40%;zimpairedzcontraction
diastolic:ztypezofzLzsidedzHFzwithzpreservedzEFz>z50%;zimpairedzrelaxation
whatz3zthingszoccurzinzsystoliczHF?z-zCORRECTzANSWER-
1.zSNSzactivationz(increasedzHR,zcontractility,zperipheralzvasoconstriction)
2.zRAASzactivationz(sodiumz+zwaterzretention,zperipheralzvasoconstriction)
3.zLVzdilation
whatzareznormalzABGzvalues?z-zCORRECTzANSWER-pH:zacidicz7.35-7.45zbasic
CO2:zbasicz35-45zacidic
HCO3-:zacidicz22-26zbasic
normalzpaO2z-zCORRECTzANSWER-80-100zmmHg
whatzpHzlevelszarezlethal?z-zCORRECTzANSWER-outsidez6.8-7.8
wherezarezABGszdrawnzfrom?zwhatztestziszdoneztozensurezadequatezbloodzflow?z-zCORRECTzANSWER-
peripheralzartery;zallen'sztestzforzradialzartery
Howzdozthezkidneyszhelpzmaintainzacid-basezbalance?z-zCORRECTzANSWER-
retain/excretezbasiczHCO3zandzretain/excretezacidiczH+
treatmentszforzrespiratoryzacidosisz-zCORRECTzANSWER--oxygen
-intubation
-bronchodilators
-drugzreversalzagents
-incentivezspirometer
-suction
treatmentszforzrespiratoryzalkalosisz-zCORRECTzANSWER--breathingzintozpaperzbag
-anxiolytics
-analgesics
-reducezfever
, -reducezventilation
-returnztoznormalzaltitude
treatmentszforzmetaboliczacidosisz-zCORRECTzANSWER--IVzsodiumzbicarbonate
-managezbloodzsugar
-antibiotics
-reversalzforzOD
-anti-diarrhealzagents
-dialysis
-encouragezrespirations/ventilate
treatmentszforzmetaboliczalkalosisz-zCORRECTzANSWER--antiemetics
-stopzsuctioning
-d/czdrugszcausingzacidzlossz(diuretics,zantacids)
-hydrochloriczacidz(rare)
whatziszsystoliczvszdiastoliczheartzfailure?z-zCORRECTzANSWER-
systolic:ztypezofzLzsidedzHFzwithzreducedzEFzofz<z40%;zimpairedzcontraction
diastolic:ztypezofzLzsidedzHFzwithzpreservedzEFz>z50%;zimpairedzrelaxation
whatz3zthingszoccurzinzsystoliczHF?z-zCORRECTzANSWER-
1.zSNSzactivationz(increasedzHR,zcontractility,zperipheralzvasoconstriction)
2.zRAASzactivationz(sodiumz+zwaterzretention,zperipheralzvasoconstriction)
3.zLVzdilation