CRT/RRT (NBRC)FULL REVIEW
SELF-ASSESSMENT
EXAMINATION (FORM C)
QUESTIONS AND ANSWERS
1 3 types of ICP monitoring <answer>-Ventricular
Catheter: inserted through a burr hole (surgical
opening into the skull
,-Subarachnoid bolt: metal screw with sensor chip
that is inserted through a hole drilled into the
subdural or subarachnoid space
-Epidural Sensor: consists of placement of a
fiberoptic sensor, radio transmitter, or tiny balloon in
the epidural space through a burr hole in the skull
2 3L syringe <answer>-accuracy must be ±3.5%
-2.9 - 3.1
-Calibrate with flows between 2 and 12 L/sec
3 A-a Gradient interpretations <answer>-25-65
mmHg on 100% = Normal
-66-300 mmHg = V/Q Mismatch
->300 mmHg = shunting
each 100 mmHg = 5% shunt + 5% normal shunt
4 Acetylcysteine (Microcyst) <answer>-liquify thick
tenacious secretions
-ACETAMINOPHEN OVERDOSE
-give bronchodilator prior to acetylcysteine
- 3 to 4 mL of 10 - 20%
5 Air Bubbles in ABG sample <answer>-PaCO2
decreases toward 0 torr
-PaO2 increases to 150 torr
-pH increases
,6 Air Entrainment Mask <answer>-Irregular VT and
RR and breathing patterns
-FiO2 remains the same regardless of flow from O2
inlet
-FiO2 will increase as diameter of gas injector
increases, increased resistance (water) in tubing
-FiO2 decreases and total flow increases as air
entrainment increases
7 Alkaline glutaraldehyde (Cadex) <answer>-
disinfection or sterilization
-bactericidal in 10 mins
-tuberculocidal in 10-20 mins
-sporicidal in 10 hours (sterile)
-plastics (tubing, nebulizer, humidifier)
-for flexible bronchoscope
8 Alpha Response <answer>-Vasoconstriction
-blood pressures
9 Altering negative pressure <answer>-increase
negative pressure to remove thick tenacious
secretions
-do not exceed appropriate pressures
10 amiodarone <answer>-pulseless VT and V-fib
that has not responded to defibrillation
, 11 Analgesics <answer>-reduce sensation of pain
(Opioids)
-reversed with naloxone (Narcan)
-morphine
-fentanyl
-codeine
-hydrocodone
-oxycodone (Oxycontin)
-hydromorphone (Dialuric)
-meperidine (Demerol)
12 Anesthetics <answer>-propofol (Diprivan) for
anesthesia and sedation of ventilated patients
-ketamine (Ketelaar)
13 Angina <answer>-Nitroglycerin
-isoradial
14 Antibiotics <answer>-Cullins = gram positive
-myokines = gram negative
-coccus = gram positive
-everything else = gram negative
-common side effect: diarrhea
-Vancomycin = MRSA
15 Antiviral agents <answer>-Ribavirin = treat RSV
SELF-ASSESSMENT
EXAMINATION (FORM C)
QUESTIONS AND ANSWERS
1 3 types of ICP monitoring <answer>-Ventricular
Catheter: inserted through a burr hole (surgical
opening into the skull
,-Subarachnoid bolt: metal screw with sensor chip
that is inserted through a hole drilled into the
subdural or subarachnoid space
-Epidural Sensor: consists of placement of a
fiberoptic sensor, radio transmitter, or tiny balloon in
the epidural space through a burr hole in the skull
2 3L syringe <answer>-accuracy must be ±3.5%
-2.9 - 3.1
-Calibrate with flows between 2 and 12 L/sec
3 A-a Gradient interpretations <answer>-25-65
mmHg on 100% = Normal
-66-300 mmHg = V/Q Mismatch
->300 mmHg = shunting
each 100 mmHg = 5% shunt + 5% normal shunt
4 Acetylcysteine (Microcyst) <answer>-liquify thick
tenacious secretions
-ACETAMINOPHEN OVERDOSE
-give bronchodilator prior to acetylcysteine
- 3 to 4 mL of 10 - 20%
5 Air Bubbles in ABG sample <answer>-PaCO2
decreases toward 0 torr
-PaO2 increases to 150 torr
-pH increases
,6 Air Entrainment Mask <answer>-Irregular VT and
RR and breathing patterns
-FiO2 remains the same regardless of flow from O2
inlet
-FiO2 will increase as diameter of gas injector
increases, increased resistance (water) in tubing
-FiO2 decreases and total flow increases as air
entrainment increases
7 Alkaline glutaraldehyde (Cadex) <answer>-
disinfection or sterilization
-bactericidal in 10 mins
-tuberculocidal in 10-20 mins
-sporicidal in 10 hours (sterile)
-plastics (tubing, nebulizer, humidifier)
-for flexible bronchoscope
8 Alpha Response <answer>-Vasoconstriction
-blood pressures
9 Altering negative pressure <answer>-increase
negative pressure to remove thick tenacious
secretions
-do not exceed appropriate pressures
10 amiodarone <answer>-pulseless VT and V-fib
that has not responded to defibrillation
, 11 Analgesics <answer>-reduce sensation of pain
(Opioids)
-reversed with naloxone (Narcan)
-morphine
-fentanyl
-codeine
-hydrocodone
-oxycodone (Oxycontin)
-hydromorphone (Dialuric)
-meperidine (Demerol)
12 Anesthetics <answer>-propofol (Diprivan) for
anesthesia and sedation of ventilated patients
-ketamine (Ketelaar)
13 Angina <answer>-Nitroglycerin
-isoradial
14 Antibiotics <answer>-Cullins = gram positive
-myokines = gram negative
-coccus = gram positive
-everything else = gram negative
-common side effect: diarrhea
-Vancomycin = MRSA
15 Antiviral agents <answer>-Ribavirin = treat RSV
