FCCN Level 2 /192 Questions (UPDATED) With Complete Solutions Assured A+.

FCCN Level 2 /192 Questions (UPDATED) With Complete Solutions Assured A+. Quiz :PaO2 - Answer :partial pressure of oxygen in arterial blood, obtained using an ABG 80-100mmHG PaO2 60=SpO2 90% Quiz :SpO2 - Answer :saturation of peripheral oxygen, obtained using pulse ox 90-100% SpO2 90%=PaO2 60 Quiz :PaCO2 - Answer :35-45 Quiz :respiratory acidosis - Answer :low pH, high CO2 causes: CNS depression from drugs such as sedation, injury, or disease breathe too slow, retaining CO2 Quiz :respiratory alkalosis - Answer :high pH, low CO2 causes: pain, fever, sepsis breathe too fast, not retaining enough CO2 Quiz :HCO3 - Answer :22-26 Quiz :metabolic acidosis - Answer :low pH, low HCO3 causes: diarrhea, DKA, hyperkalemia Quiz :metabolic alkalosis - Answer :high pH, high HCO3 FCCN Level 2 /192 Questions (UPDATED) With Complete Solutions Assured A+ causes: vomiting, suctioning, hypokalemia Quiz :pH - Answer :7.35-7.45 Quiz :reading ABGs - Answer :1. evaluate pH to identify acidosis or alkalosis 2. match CO2 or HCO3 with pH state using ROME to determine respiratory or metabolic 3. assess whether CO2 or HCO3 state is opposite of pH to determine if it is uncompensated, partially compensated, fully compensated, or corrected Quiz :non-invasive ventilation - Answer :CPAP/BiPAP Quiz :CPAP - Answer :continuous positive airway pressure; provides inspiratory pressure Quiz :BiPAP - Answer :bilevel positive airway pressure; provides inspiratory and expiratory pressure Quiz :intubation - Answer :insertion of ETT into trachea Quiz :RSI - Answer :administration of induction agent and neuromuscular blockade agent simultaneously Quiz :intubation kit medications - Answer :premeds - versed and fentanyl sedatives - propofol, etomidate, ketamine paralytics - succinylcholine, rocuronium pressor - phenylephrine Quiz :intubation preparation - Answer :-notify RT and pharmacist -discuss need for intubation and obtain consent, ensure pt does not have DNI order. -evaluate whether pt has difficult airway -verify equipment and PPE -assure functioning IV access -position pt -ensure verbalization of procedural pause -preoxygenate Quiz :RN role during intubation - Answer :monitor pt vital signs especially O2 sats, administer medications, monitor time of intubation attempts, suctioning as needed Quiz :intubation process - Answer :-following sedation, bag mask ventilate the pt -physician visualize ETT passing through cords -anesthesia backup will be notified after 10 minutes or 2 attempts to secure the airway Quiz :post intubation care - Answer :-portable chest x-ray, ABGs -obtain sedation and analgesia orders -hourly RASS observation -monitor for hemodynamic changes Quiz :ventilator settings - Answer :FiO2 Tidal Volume Respiratory Rate PEEP Mode Quiz :FiO2 - Answer :fraction of inspired oxygen; the concentration of oxygen in the air we breathe RA is 21%, maximum is 100% lung protection FiO2 goal: maintain SpO2 target with FiO2 <60% Quiz :PEEP - Answer :positive end-expiratory pressure, provides positive pressure to airways during expiration and helps keep alveoli open common mechanical ventilator setting in which airway pressure is maintained above atmospheric pressure disadvantages: increased thoracic pressure decreases venous return to the heart. high levels can cause barotrauma, tension pneumo Quiz :respiratory rate - Answer :minimum number of breaths per minute the vent will ensure your pt takes increase the rate to blow off CO2, decrease rate to retain Quiz :tidal volume - Answer :amount of air that moves in and out of the lungs during a breath. calculated based on predicted body weight (height and gender) 6mL/kg is ideal Quiz :minute ventilation - Answer :tidal volume x respiratory rate volume inspired during 1 minute normal is 5-8L/min.