RRT CSE NOTES QUESTIONS WITH
CORRECT ANSWERS
The combination of anti-inflammatory + long acting bronchodilators are indicated for
_________________. They should be taken __________________. They are not
recommend for ________________ - ANSWER--pts with asthma (12 yrs +) and COPD
-twice a day
-tx of acute bronchospasm
Examples of a combo an anti-inflammatory + long acting bronchodilator (2 things) -
ANSWER-advair and salmeterol, symbicort
Mucolytics are recommended when - ANSWER-secretions are thick and tenacious
(inspissated) and cannot be easily removed
Pulmozyme is a mucolytic that is specifically indicated for - ANSWER-CF patients
Never pick this drug on the CSE - ANSWER-Mucomyst
Pulmonary vasodilators __________________________ and are indicated for
_____________________. Examples include ______________________ - ANSWER--
dilate the pulmonary blood vessels
-pulmonary HTN, ARDS, Right Ventricular Failure / Cor Pulmonale
-epoprostenol, Iloprost, sildenafil
0.45% saline AKA hypotonic saline is used for _____________________. Hypotonic
saline may be irritating and can cause __________________ - ANSWER--liquefying
secretions and humidifying the airway
-swelling of dried retained secretions or bronchospasm
1.8-1.5% saline AKA hypertonic saline is used to ______________________ -
ANSWER-induced sputum specimens, it can irritate the airway and cause
bronchospasm or secretion obstruction
Leukotriene modifiers are nonsteroid drugs that have been used for
_________________________. Leukotriene modifiers are not to be used as
__________________ - ANSWER--pts with mild to moderate persistent asthma
-tx for acute episodes
Leukotriene modifiers improves ____________________. They also reduce
________________________. Examples include ____________________ -
ANSWER--lung function
-symptoms and the need for beta agonist drugs
-montelukast and zileuton
,Mast Cell Stabilizers are recommended for - ANSWER-pts with exercised induced
asthma or exercise induced bronchospasm
Mast Cell Stabilizers are not effective once _________________________. Examples
include ___________________ - ANSWER--the asthma attack has begun as the pt will
continue to have wheezing
-cromolyn sodium and nedocromil sodium
Inotropic agents increase _________________. Indications include
____________________. Examples of inotropic agents include ________________ -
ANSWER--the strength of myocardial contractions
-CHF, atrial tachycardia and a-fib
-digitalis and digoxin
Furosemide is a diuretic agent indicated for _____________________. Important
adverse effects are ___________________ - ANSWER--pulmonary edema, liver &
kidney disease, and CHF
-hypokalemia, hypochloremia, and metabolic alkalosis
Mannitol is a diuretic used for (3 things) - ANSWER--cerebral edema
-drug toxicity
-drug OD
Acetazolamide is a diuretic used for (3 things) - ANSWER--cerebral edema
-peripheral edema
-altitude sickness
What are the 2 methods of administration for surfactant replacement therapy -
ANSWER--prophylactic
-rescue
Describe the prophylactic method of administration for surfactant replacement threapy -
ANSWER-it is administered to at risk infants immediately after birth
Describe the rescue method of administration for surfactant replacement therapy -
ANSWER-it is administered to infants after they demonstrate signs and symptoms of
RDS
What is the route of administration for surfactant replacement therapy - ANSWER-it is
instilled directly into the trachea, the infant is then positioned to allow gravity to aid in
distributing the surfactant throughout the lung
Things to remember to always select on the CSE (4 things) - ANSWER--SIMV/VC or
AC/VC if the settings are the same
-always select "to titrate"
, -pedal edema
-APGAR for neonates
Trach patients _____________ PFTs - ANSWER-cannot do
When __________________ are in place, you should select _________________ as
an option to check out - ANSWER--hemodynamic lines
-hemodynamic values
A pt with laryngeal edema will need - ANSWER-immediate intubation
If a baby is grunting or has retractions, then - ANSWER-give CPAP
CT scan is not the first line of testing unless it is a - ANSWER-trauma or stroke pt
A stable PTX pt just needs a - ANSWER-chest tube
An unstable PTX needs - ANSWER-needle decompression
When the vent alarms are sounding off, you should first - ANSWER-disconnect and
manually ventilate the pt
A MVA pt or a pt found down should always get - ANSWER-toxicology and glucose
No SpO2 should be assessed for burn pts within - ANSWER-the 1st 24 hours
If a pt has a PVC, then we should give - ANSWER-lidocaine and O2
-Do these 3 things in order for a vent pt on the exam - ANSWER--weaning then SBT
then extubate
If a pt's RSBI is < 105 and everything else is marginal, then - ANSWER-you can still
extubate
COPD and asthma exacerbation pts in the ER should be given - ANSWER-IV steroids
Trach patients cannot take - ANSWER-spiriva
If an EKG reads right axis deviation, then the pt has - ANSWER-a cor pulmonale
HIV patients commonly get - ANSWER-pneumocystis pneumonia (PCP)
Give nocturnal BiPAP to a pt if CO2 is (2 things) - ANSWER--over 55 mmHg
-likely applies to sleep apnea pts
If there is no resistance during bag compression, then - ANSWER-check the bag
CORRECT ANSWERS
The combination of anti-inflammatory + long acting bronchodilators are indicated for
_________________. They should be taken __________________. They are not
recommend for ________________ - ANSWER--pts with asthma (12 yrs +) and COPD
-twice a day
-tx of acute bronchospasm
Examples of a combo an anti-inflammatory + long acting bronchodilator (2 things) -
ANSWER-advair and salmeterol, symbicort
Mucolytics are recommended when - ANSWER-secretions are thick and tenacious
(inspissated) and cannot be easily removed
Pulmozyme is a mucolytic that is specifically indicated for - ANSWER-CF patients
Never pick this drug on the CSE - ANSWER-Mucomyst
Pulmonary vasodilators __________________________ and are indicated for
_____________________. Examples include ______________________ - ANSWER--
dilate the pulmonary blood vessels
-pulmonary HTN, ARDS, Right Ventricular Failure / Cor Pulmonale
-epoprostenol, Iloprost, sildenafil
0.45% saline AKA hypotonic saline is used for _____________________. Hypotonic
saline may be irritating and can cause __________________ - ANSWER--liquefying
secretions and humidifying the airway
-swelling of dried retained secretions or bronchospasm
1.8-1.5% saline AKA hypertonic saline is used to ______________________ -
ANSWER-induced sputum specimens, it can irritate the airway and cause
bronchospasm or secretion obstruction
Leukotriene modifiers are nonsteroid drugs that have been used for
_________________________. Leukotriene modifiers are not to be used as
__________________ - ANSWER--pts with mild to moderate persistent asthma
-tx for acute episodes
Leukotriene modifiers improves ____________________. They also reduce
________________________. Examples include ____________________ -
ANSWER--lung function
-symptoms and the need for beta agonist drugs
-montelukast and zileuton
,Mast Cell Stabilizers are recommended for - ANSWER-pts with exercised induced
asthma or exercise induced bronchospasm
Mast Cell Stabilizers are not effective once _________________________. Examples
include ___________________ - ANSWER--the asthma attack has begun as the pt will
continue to have wheezing
-cromolyn sodium and nedocromil sodium
Inotropic agents increase _________________. Indications include
____________________. Examples of inotropic agents include ________________ -
ANSWER--the strength of myocardial contractions
-CHF, atrial tachycardia and a-fib
-digitalis and digoxin
Furosemide is a diuretic agent indicated for _____________________. Important
adverse effects are ___________________ - ANSWER--pulmonary edema, liver &
kidney disease, and CHF
-hypokalemia, hypochloremia, and metabolic alkalosis
Mannitol is a diuretic used for (3 things) - ANSWER--cerebral edema
-drug toxicity
-drug OD
Acetazolamide is a diuretic used for (3 things) - ANSWER--cerebral edema
-peripheral edema
-altitude sickness
What are the 2 methods of administration for surfactant replacement therapy -
ANSWER--prophylactic
-rescue
Describe the prophylactic method of administration for surfactant replacement threapy -
ANSWER-it is administered to at risk infants immediately after birth
Describe the rescue method of administration for surfactant replacement therapy -
ANSWER-it is administered to infants after they demonstrate signs and symptoms of
RDS
What is the route of administration for surfactant replacement therapy - ANSWER-it is
instilled directly into the trachea, the infant is then positioned to allow gravity to aid in
distributing the surfactant throughout the lung
Things to remember to always select on the CSE (4 things) - ANSWER--SIMV/VC or
AC/VC if the settings are the same
-always select "to titrate"
, -pedal edema
-APGAR for neonates
Trach patients _____________ PFTs - ANSWER-cannot do
When __________________ are in place, you should select _________________ as
an option to check out - ANSWER--hemodynamic lines
-hemodynamic values
A pt with laryngeal edema will need - ANSWER-immediate intubation
If a baby is grunting or has retractions, then - ANSWER-give CPAP
CT scan is not the first line of testing unless it is a - ANSWER-trauma or stroke pt
A stable PTX pt just needs a - ANSWER-chest tube
An unstable PTX needs - ANSWER-needle decompression
When the vent alarms are sounding off, you should first - ANSWER-disconnect and
manually ventilate the pt
A MVA pt or a pt found down should always get - ANSWER-toxicology and glucose
No SpO2 should be assessed for burn pts within - ANSWER-the 1st 24 hours
If a pt has a PVC, then we should give - ANSWER-lidocaine and O2
-Do these 3 things in order for a vent pt on the exam - ANSWER--weaning then SBT
then extubate
If a pt's RSBI is < 105 and everything else is marginal, then - ANSWER-you can still
extubate
COPD and asthma exacerbation pts in the ER should be given - ANSWER-IV steroids
Trach patients cannot take - ANSWER-spiriva
If an EKG reads right axis deviation, then the pt has - ANSWER-a cor pulmonale
HIV patients commonly get - ANSWER-pneumocystis pneumonia (PCP)
Give nocturnal BiPAP to a pt if CO2 is (2 things) - ANSWER--over 55 mmHg
-likely applies to sleep apnea pts
If there is no resistance during bag compression, then - ANSWER-check the bag
