FCCS (FUNDAMENTALS OF CRITICAL CARE SUPPORT)
QUESTIONS WITH ALL CORRECT & VERIFIED ANSWERS
1. What is the
tachypnea
single most
important in-
dicator in critical
ill- ness?
2. Beck's Triad hypotension, JVD, muffled heart sounds
-a/w cardiac tamponade
3. What is the It is the distance in finger breadths between the anterior prominence o
thyro- mental the thyroid cartilage (adam's apple) and the tip of the mandible (chin
distance? It is an estimate of the length of the mandible and the available space
anterior to the larynx
- approx 6 cm
4. What does it
mean
when the thyromen- - indicates the larynx might be more anterior and therefore diflcul
to visu-
tal space is < 3 alize during laryngoscopy
fin-
gerbreadths? ** a more acute angulation of the stylet at the distal end of the
endotracheal tube may be helpful.
Bag them.
5. Patient is apneic - One handed bag compressions should be delivered 10-20 times
w/ a pulse. What per min. Each compression should take place over 1 second.
do you do?
** If patient starts spontaneously breathing, try to be synchronous
with their respiratory ettorts.
** If/once the patient is breathing easily and adequate Vt are being
inhaled, enough to produce minute ventilation, stop bagging.
1/
155
, FCCS (FUNDAMENTALS OF CRITICAL CARE SUPPORT)
QUESTIONS WITH ALL CORRECT & VERIFIED ANSWERS
6. to provide adequate minute ventilation: the product of the tidal
volume delivered during each resuscitation bag compression
and the number of
2/
155
, FCCS (Fundamentals of Critical Care
Support)
What is the goal ofcompressions per min.
manual mask
venti- lation? The total gas volume within most adult resus bags is 1 to 1.5 LITERS
7. Bag mask 100% oxygen at a rate of 15L/min
should be
connected to
% oxygen and
flow at a rate of
8. HFNC - Uses up to 100% oxygen source
-Provides higher amounts of FIO2 (0.32-1.0) in patients with
high minute ventilation requirements by matching patient's
inspiratory demands and minimizing air dilution
-These devices also can generate PEEP (that is diflcult to measure; can
cause barotrauma in theory)
-Flow rates up to 60L/min
-heated and humidified oxygen
9. NRB - AKA Reservoir Face Mask
-Bag is filled with 100% oxygen from a supply source (tank)
-The flow rate must be adjusted so that the bag remains
completely or partially distended throughout the respiratory
cycle
-When the mask is properly applied, oxygen delivery can be
maximized but rarely exceeds a FIO2 of 0.6 to 0.9
-One way flap valves minimize entrapment of room air which dilutes
FiO2
-NRB is a high oxygen high, flow device.
-non humidified oxygen
3/
155
, FCCS (Fundamentals of Critical Care
Support)
** commonly used to improve oxygenation in patients with severe
hypoxemia until further eval and treatments are accomplished.
4/
155
QUESTIONS WITH ALL CORRECT & VERIFIED ANSWERS
1. What is the
tachypnea
single most
important in-
dicator in critical
ill- ness?
2. Beck's Triad hypotension, JVD, muffled heart sounds
-a/w cardiac tamponade
3. What is the It is the distance in finger breadths between the anterior prominence o
thyro- mental the thyroid cartilage (adam's apple) and the tip of the mandible (chin
distance? It is an estimate of the length of the mandible and the available space
anterior to the larynx
- approx 6 cm
4. What does it
mean
when the thyromen- - indicates the larynx might be more anterior and therefore diflcul
to visu-
tal space is < 3 alize during laryngoscopy
fin-
gerbreadths? ** a more acute angulation of the stylet at the distal end of the
endotracheal tube may be helpful.
Bag them.
5. Patient is apneic - One handed bag compressions should be delivered 10-20 times
w/ a pulse. What per min. Each compression should take place over 1 second.
do you do?
** If patient starts spontaneously breathing, try to be synchronous
with their respiratory ettorts.
** If/once the patient is breathing easily and adequate Vt are being
inhaled, enough to produce minute ventilation, stop bagging.
1/
155
, FCCS (FUNDAMENTALS OF CRITICAL CARE SUPPORT)
QUESTIONS WITH ALL CORRECT & VERIFIED ANSWERS
6. to provide adequate minute ventilation: the product of the tidal
volume delivered during each resuscitation bag compression
and the number of
2/
155
, FCCS (Fundamentals of Critical Care
Support)
What is the goal ofcompressions per min.
manual mask
venti- lation? The total gas volume within most adult resus bags is 1 to 1.5 LITERS
7. Bag mask 100% oxygen at a rate of 15L/min
should be
connected to
% oxygen and
flow at a rate of
8. HFNC - Uses up to 100% oxygen source
-Provides higher amounts of FIO2 (0.32-1.0) in patients with
high minute ventilation requirements by matching patient's
inspiratory demands and minimizing air dilution
-These devices also can generate PEEP (that is diflcult to measure; can
cause barotrauma in theory)
-Flow rates up to 60L/min
-heated and humidified oxygen
9. NRB - AKA Reservoir Face Mask
-Bag is filled with 100% oxygen from a supply source (tank)
-The flow rate must be adjusted so that the bag remains
completely or partially distended throughout the respiratory
cycle
-When the mask is properly applied, oxygen delivery can be
maximized but rarely exceeds a FIO2 of 0.6 to 0.9
-One way flap valves minimize entrapment of room air which dilutes
FiO2
-NRB is a high oxygen high, flow device.
-non humidified oxygen
3/
155
, FCCS (Fundamentals of Critical Care
Support)
** commonly used to improve oxygenation in patients with severe
hypoxemia until further eval and treatments are accomplished.
4/
155
