RRT TMC EXAM 6 QUESTIONS WITH 100%
CORRECT ANSWERS!!
Signs
Objective information those things that you can see or measure (color, pulse, edema, blood
pressure)
Symptoms
Subjective information that the patient must tell you (dyspnea, pain, nausea, muscle weakness)
Tobacco use equation
# of packs per day x # of years smoked
Recommend nicotine replacement
Living will
Describes treatment patient would want if he becomes terminally ill
Does not allow patient to appointment someone else to make medical decisions
durable power of attorney for health care
Legal document that names a health care proxy (agent, person) responsible for making health
care decisions for patient
Takes effect only when the patient is unable to make decisions for his/her self
Normal urine output
40 mL/hr (approximately 1 Liter/day)
Less than 30= kidney or heart problems
Sensible water loss
Urine, vomiting
Insensible water loss
,Lungs and skin
If urine intake exceeds outtake this could result in
Weight gain
Electrolyte imbalance
Increased hemodynamic pressures
Decreased lung compliance
Changes in CVP can indicate what
Changes in fluid balance
Normal CVP is 2-6
Decreased CVP= hypovolemia so recommend fluid therapy
Increased CVP= hypervolemia so recommend diuretics
Lethargic, somnolent, sleepy
consider sleep apnea or excessive O2 therapy in patient with COPD
Obtunded
Drowsy state, may have decreased cough or gag reflex, risk of aspiration
Orthopnea
Difficulty breathing except in the upright position (CHF)
Muscle weakness on TMC
Think electrolyte imbalance
Dysphagia
difficulty swallowing
Diaphoresis in heart failure you should recommended what?
Diuretics and positive inotropic agents
Kyphosis
, hunchback
Convex curvature of spine
Scoliosis
abnormal lateral curvature of the spine (lean side to side)
Barrel chest is
Result of air trapping in the lungs for a long period of time
Increase in AP diameter = think COPD
Flail chest
fracture of two or more adjacent ribs in two or more places that allows for free movement of the
fractured segment
Paradoxical chest movement!!!!
Put patient on VENT on VC
Cheyenne-Stokes
Gradually increasing then decreased rate and depth in a cycle lasting from 30-180 seconds, with
periods of apnea lashing up to 60 seconds
What causes this? Increased ICP, brain stem injury, drug OD
Biot's respirations
Increased respiratory rate and depth with irregular periods of apnea. Each breath has the same
depth
What causes this? CNS problem
Kussmaul's breathing pattern
Increased respiratory rate over 20 breaths/min, increase depth, irregular rhythm, breathing
sounds labored
What causes this? Metabolic acidosis, diabetic ketoacidosis, hypoxemia
CORRECT ANSWERS!!
Signs
Objective information those things that you can see or measure (color, pulse, edema, blood
pressure)
Symptoms
Subjective information that the patient must tell you (dyspnea, pain, nausea, muscle weakness)
Tobacco use equation
# of packs per day x # of years smoked
Recommend nicotine replacement
Living will
Describes treatment patient would want if he becomes terminally ill
Does not allow patient to appointment someone else to make medical decisions
durable power of attorney for health care
Legal document that names a health care proxy (agent, person) responsible for making health
care decisions for patient
Takes effect only when the patient is unable to make decisions for his/her self
Normal urine output
40 mL/hr (approximately 1 Liter/day)
Less than 30= kidney or heart problems
Sensible water loss
Urine, vomiting
Insensible water loss
,Lungs and skin
If urine intake exceeds outtake this could result in
Weight gain
Electrolyte imbalance
Increased hemodynamic pressures
Decreased lung compliance
Changes in CVP can indicate what
Changes in fluid balance
Normal CVP is 2-6
Decreased CVP= hypovolemia so recommend fluid therapy
Increased CVP= hypervolemia so recommend diuretics
Lethargic, somnolent, sleepy
consider sleep apnea or excessive O2 therapy in patient with COPD
Obtunded
Drowsy state, may have decreased cough or gag reflex, risk of aspiration
Orthopnea
Difficulty breathing except in the upright position (CHF)
Muscle weakness on TMC
Think electrolyte imbalance
Dysphagia
difficulty swallowing
Diaphoresis in heart failure you should recommended what?
Diuretics and positive inotropic agents
Kyphosis
, hunchback
Convex curvature of spine
Scoliosis
abnormal lateral curvature of the spine (lean side to side)
Barrel chest is
Result of air trapping in the lungs for a long period of time
Increase in AP diameter = think COPD
Flail chest
fracture of two or more adjacent ribs in two or more places that allows for free movement of the
fractured segment
Paradoxical chest movement!!!!
Put patient on VENT on VC
Cheyenne-Stokes
Gradually increasing then decreased rate and depth in a cycle lasting from 30-180 seconds, with
periods of apnea lashing up to 60 seconds
What causes this? Increased ICP, brain stem injury, drug OD
Biot's respirations
Increased respiratory rate and depth with irregular periods of apnea. Each breath has the same
depth
What causes this? CNS problem
Kussmaul's breathing pattern
Increased respiratory rate over 20 breaths/min, increase depth, irregular rhythm, breathing
sounds labored
What causes this? Metabolic acidosis, diabetic ketoacidosis, hypoxemia
