CRT/RRT (NBRC) LATEST
EXAM
Weaning Methods - ANSWERS--T-Piece Trial
-SIMV
-PSV
-no sedatives
Summary of adverse conditions (STOP&NOTIFY) - ANSWERS--
increased HR >20 bpm
-Change in BP by 10 - 20 mmHg
-Increased PaCO2 by >10 torr
-RR increases by >10 or >30 bpm
Head-tilt/Chin-lift - ANSWERS--preferred method for establishing
airway during CPR
-not for trauma (Neck fracture)
Jaw Thrust - ANSWERS--establishing airway for patients with
suspected neck fractures
END OF
PAGE
1
, CRT/RRT (NBRC) LATEST
EXAM
Effectiveness of CPR - ANSWERS--Carotid pulse should be present
during compressions
-Return of Spontaneous Circulation (ROSC) = abrupt increase in
PETCO2
-Do not remove cervical collar - check femoral pulse
-ECG shows sinus rhythm with no pulse = Continue CPR
Hypotension - ANSWERS--Fluid Challenge (1-2L Normal Saline or
lactated Ringer's
-Vasporessor (Dopamine, Dobutamine)
Bardycardia - ANSWERS--Atropine, dopamine, and epinephrine for
adult
-Epinephrine and Atropine for children
-trancutaneous or transvenous pacing if no response
Ventricular Arrhythmias - ANSWERS-PVC: O2 and Lidocaine
PVT: Defibrillate - Epinephrine - Amiodarone
V-Fib: Defibrillate - Epinephrine - Amiodarone
END OF
PAGE
2
, CRT/RRT (NBRC) LATEST
EXAM
Cardioversion - ANSWERS--Midazolam(Versed) given prior
-synchronizing: ON
-delivered on R wave
-Monophasic: initial is 200 joules
-Biphasic
-Unstable A-Fib: 120-200 joules
-Unstable SVT or A-Flutter: 50-100 joules
Defibrillation - ANSWERS--PVT
-V-Fib
-Biphasic: 120-200 joules
-Monophasic: 360 joules
-Synchronizing: OFF
Self-Inflating Resusciation bag - ANSWERS--Adult: 800 mL
-Infant: 200 mL
END OF
PAGE
3
, CRT/RRT (NBRC) LATEST
EXAM
-has Universal connector with a 22 mm OD and 15 mm ID
-pressure relief (25cmH2O) for pediatric
Troubleshooting Ambu-bag - ANSWERS--if bag fills rapidly and
collapses easily on minimal pressure, check inlet valve
-if bag becomes difficult to compress and patient compliance is normal,
patient valve may be stuck open or closed
-Excessively high flow may causes valves to jam. Use 15L/min or low
range of flush
-do not attempt to fix, REPLACE
Transport - ANSWERS--0 to 80 miles: Ambulance
-81 to 150 miles: Helicopter
->150 miles: Fixed wing Aircraft
-use HME
-If RR or VT deceases on pneumatic transport vent, check tank pressure
-PaO2 will decrease as altitude increases during air transport, whether
pressurized or not
END OF
PAGE
4
EXAM
Weaning Methods - ANSWERS--T-Piece Trial
-SIMV
-PSV
-no sedatives
Summary of adverse conditions (STOP&NOTIFY) - ANSWERS--
increased HR >20 bpm
-Change in BP by 10 - 20 mmHg
-Increased PaCO2 by >10 torr
-RR increases by >10 or >30 bpm
Head-tilt/Chin-lift - ANSWERS--preferred method for establishing
airway during CPR
-not for trauma (Neck fracture)
Jaw Thrust - ANSWERS--establishing airway for patients with
suspected neck fractures
END OF
PAGE
1
, CRT/RRT (NBRC) LATEST
EXAM
Effectiveness of CPR - ANSWERS--Carotid pulse should be present
during compressions
-Return of Spontaneous Circulation (ROSC) = abrupt increase in
PETCO2
-Do not remove cervical collar - check femoral pulse
-ECG shows sinus rhythm with no pulse = Continue CPR
Hypotension - ANSWERS--Fluid Challenge (1-2L Normal Saline or
lactated Ringer's
-Vasporessor (Dopamine, Dobutamine)
Bardycardia - ANSWERS--Atropine, dopamine, and epinephrine for
adult
-Epinephrine and Atropine for children
-trancutaneous or transvenous pacing if no response
Ventricular Arrhythmias - ANSWERS-PVC: O2 and Lidocaine
PVT: Defibrillate - Epinephrine - Amiodarone
V-Fib: Defibrillate - Epinephrine - Amiodarone
END OF
PAGE
2
, CRT/RRT (NBRC) LATEST
EXAM
Cardioversion - ANSWERS--Midazolam(Versed) given prior
-synchronizing: ON
-delivered on R wave
-Monophasic: initial is 200 joules
-Biphasic
-Unstable A-Fib: 120-200 joules
-Unstable SVT or A-Flutter: 50-100 joules
Defibrillation - ANSWERS--PVT
-V-Fib
-Biphasic: 120-200 joules
-Monophasic: 360 joules
-Synchronizing: OFF
Self-Inflating Resusciation bag - ANSWERS--Adult: 800 mL
-Infant: 200 mL
END OF
PAGE
3
, CRT/RRT (NBRC) LATEST
EXAM
-has Universal connector with a 22 mm OD and 15 mm ID
-pressure relief (25cmH2O) for pediatric
Troubleshooting Ambu-bag - ANSWERS--if bag fills rapidly and
collapses easily on minimal pressure, check inlet valve
-if bag becomes difficult to compress and patient compliance is normal,
patient valve may be stuck open or closed
-Excessively high flow may causes valves to jam. Use 15L/min or low
range of flush
-do not attempt to fix, REPLACE
Transport - ANSWERS--0 to 80 miles: Ambulance
-81 to 150 miles: Helicopter
->150 miles: Fixed wing Aircraft
-use HME
-If RR or VT deceases on pneumatic transport vent, check tank pressure
-PaO2 will decrease as altitude increases during air transport, whether
pressurized or not
END OF
PAGE
4
