NBRC RRT/CSE, treating pathologies, according to Kettering. Questions and Correct Answers

1 | Page




NBRC RRT/CSE, treating pathologies,
according to Kettering. Questions and
Correct Answers

Emphysema Ans: • O2 therapy via nasal cannula at 24-28%. Keep
saturations at approx. 88%-93%.


• Bronchodilators


• Bronchial hygiene as indicated.


• NIPPV for acute vent failure (PaCO2>45 torr)


Chronic Bronchitis Ans: • O2 therapy via nasal cannula at 24-
28%. Keep saturations at approx. 88%-93%.


• Bronchodilators




© 2025 All rights reserved

, 2 | Page




• Bronchial hygiene as indicated


• Antibiotics as indicated


• NIPPV for acute vent failure (PaCO2>45 torr)


Chest Trauma/Flail Chest/Rib Fractures Ans: • Hyperinflation
therapy (IS/SMI, IPPB. Prevent atelectasis and pneumonia)


• Analgesics


• Mech Vent w/ PEEP for severe case


• Severe cases may require surgery.


Pneumothorax Ans: • Small pneumo (<20% lung collapse): bed
rest


• Large pneumo (>20% lung collapse): chest tube




© 2025 All rights reserved

, 3 | Page




• Needle thoracentesis if pt is unstable (bradycardia, hypotension,
cyanosis, etc.)


• Hyperinflation therapy post-chest tube insertion


Hemothorax Ans: • Thoracentesis or chest tube


• Hyperinflation therapy post-chest tube insertion


Burns/Smoke Inhalation/CO Poisoning Ans: • Immediate
assessment of pt's airway: Intubation for marked/severe
distress/stridor.


• O2 therapy at 100%.


• Hyperbaric O2 therapy for CO poisoning.


• Monitor for signs of infections.


• Immediate insertion of IV line and monitor basic lab tests + fluid
levels


© 2025 All rights reserved