General ICU UPDATED ACTUAL Exam
Questions and CORRECT Answers
Anesthesia Alert - CORRECT ANSWER - One liner
Allergies
Previous intubations
Labs: K, Cr, Echo EF
Drips
Ht wt IDBW
Acidosis lactate
Intubation - CORRECT ANSWER - Suction
Oxygen- bag mask, opa
Airway- glidescope
Pharm/ position
Table
IV access
Monitors
Everybody
Ards net protocol - CORRECT ANSWER - Lung Protective ventilation:
TV 4-6cc/kg
Plateau Pressures <30
Permissive hypercapnia >7.2
PO2 >55
Key sign of resp failure - CORRECT ANSWER - Tachypnea
Loss of cough Gaga
, Ams
3 types of respiratory failure - CORRECT ANSWER - Hypoxemic- ARDS pneumonia
CHF interstitial lung disease
Room air PaO2 <=60, Abnormal PaO2/FiO2 Ratio
CXR- infiltrates
Hypercapnic- TBI, sedative drugs, neuro mask disease- MG GB, sleep apnea, metabolic disease
PaCO2 >=50 with ph <7.6
CXR- clear lung fields with hyperinflation
Mixed- COPD and CHF
VQ mixmatch - CORRECT ANSWER - ventilation of alveoli is less than perfusion of
capillary bed --> decreased O2 perfusion
COPD, Pulmonary Embolism, atelectasis
normal- ventilation and perfusion are matched
shunt- O2 ventilation to alveoli is blocked whereas perfusion continues, CHF atelectasis
dead space- O2 ventilation to alveoli continues whereas capillary bed cannot exchange gases,
Pulm emboli and high airway pressures
Hypercapnia - CORRECT ANSWER - Increased dead space
- hypovolemia, low CO, high airway pressure, hypovolemia
Pharm Resp Adjuncts for resp failure - CORRECT ANSWER - Inhaled B2 agonist-
metered dose inhaler, nebulzer
Inhaled ipratropium- metered dose inhaler neb
Questions and CORRECT Answers
Anesthesia Alert - CORRECT ANSWER - One liner
Allergies
Previous intubations
Labs: K, Cr, Echo EF
Drips
Ht wt IDBW
Acidosis lactate
Intubation - CORRECT ANSWER - Suction
Oxygen- bag mask, opa
Airway- glidescope
Pharm/ position
Table
IV access
Monitors
Everybody
Ards net protocol - CORRECT ANSWER - Lung Protective ventilation:
TV 4-6cc/kg
Plateau Pressures <30
Permissive hypercapnia >7.2
PO2 >55
Key sign of resp failure - CORRECT ANSWER - Tachypnea
Loss of cough Gaga
, Ams
3 types of respiratory failure - CORRECT ANSWER - Hypoxemic- ARDS pneumonia
CHF interstitial lung disease
Room air PaO2 <=60, Abnormal PaO2/FiO2 Ratio
CXR- infiltrates
Hypercapnic- TBI, sedative drugs, neuro mask disease- MG GB, sleep apnea, metabolic disease
PaCO2 >=50 with ph <7.6
CXR- clear lung fields with hyperinflation
Mixed- COPD and CHF
VQ mixmatch - CORRECT ANSWER - ventilation of alveoli is less than perfusion of
capillary bed --> decreased O2 perfusion
COPD, Pulmonary Embolism, atelectasis
normal- ventilation and perfusion are matched
shunt- O2 ventilation to alveoli is blocked whereas perfusion continues, CHF atelectasis
dead space- O2 ventilation to alveoli continues whereas capillary bed cannot exchange gases,
Pulm emboli and high airway pressures
Hypercapnia - CORRECT ANSWER - Increased dead space
- hypovolemia, low CO, high airway pressure, hypovolemia
Pharm Resp Adjuncts for resp failure - CORRECT ANSWER - Inhaled B2 agonist-
metered dose inhaler, nebulzer
Inhaled ipratropium- metered dose inhaler neb
