FCCS Study Exam Questions and
Answers5
what are best initial vent settings? (VT, FiO2, RR)? what is normal minute ventilation? -
ANSWERS-VT = 4-8 mL/kg; closer to 8 for COPD, closer to 4 for ARDS
7-8 L/min
92-94%
what is peak airway pressure? inspiratory plateau pressure? which one corresponds more to
barotrauma? how can you decrease Pplat? - ANSWERS-Ppeak = a measure of airway resistance;
< 40 is ideal
Pplateau = measure of compliance and alveolar distension, a static measurement; need an
inspiratory hold of 1 sec; normal < 30 cm H2O
Pplat
decrease PEEP, decrease VT
if you can't get FiO2 < 60 what should you do? - ANSWERS-increase PEEP
waht is auto PEEP? how can tell its happening on tracing? - ANSWERS-badness, happens when
expiratory time is too short to allow full exhalation. can decrease CO, need to adjust vent. To get
rid of increase peak flow and decrease RR
, can see on tracing by if a breath is initiated below baseline
what vital sign abn and BMP finding is the most important indicator of critical illness? -
ANSWERS-tachypnea; metabolic acidosis
what is the gas volume in an adult resus bag? - ANSWERS-1-1.5 L
waht is the mnemonic for airway prep? - ANSWERS-SOAP-ME
Suction
Oxygen
Airways (OPA, NPA, Ett)
Position: adjust bed
Monitoring and Medications: EtCO2, RSI drugs
Equipment: DL, VL, bougie
what are indicators of a difficult mask? - ANSWERS-beard,no teeth, OSA, high BMI, age > 55
how should you evaluate a patient for intubatioN? - ANSWERS-*same order you go through to
acutally intubate:
1. neck mobility
2. external face: small mandible, surg scarring
3. mouth (<3 finger breaths of opening is worrying)
4. tongue/pharynx
5. jaw: thyromental distance (from anterior prominence of thyroid cartilage to tip of mandible
what are the 2 NM blockers to know for intubation? - ANSWERS-sux, roc
Answers5
what are best initial vent settings? (VT, FiO2, RR)? what is normal minute ventilation? -
ANSWERS-VT = 4-8 mL/kg; closer to 8 for COPD, closer to 4 for ARDS
7-8 L/min
92-94%
what is peak airway pressure? inspiratory plateau pressure? which one corresponds more to
barotrauma? how can you decrease Pplat? - ANSWERS-Ppeak = a measure of airway resistance;
< 40 is ideal
Pplateau = measure of compliance and alveolar distension, a static measurement; need an
inspiratory hold of 1 sec; normal < 30 cm H2O
Pplat
decrease PEEP, decrease VT
if you can't get FiO2 < 60 what should you do? - ANSWERS-increase PEEP
waht is auto PEEP? how can tell its happening on tracing? - ANSWERS-badness, happens when
expiratory time is too short to allow full exhalation. can decrease CO, need to adjust vent. To get
rid of increase peak flow and decrease RR
, can see on tracing by if a breath is initiated below baseline
what vital sign abn and BMP finding is the most important indicator of critical illness? -
ANSWERS-tachypnea; metabolic acidosis
what is the gas volume in an adult resus bag? - ANSWERS-1-1.5 L
waht is the mnemonic for airway prep? - ANSWERS-SOAP-ME
Suction
Oxygen
Airways (OPA, NPA, Ett)
Position: adjust bed
Monitoring and Medications: EtCO2, RSI drugs
Equipment: DL, VL, bougie
what are indicators of a difficult mask? - ANSWERS-beard,no teeth, OSA, high BMI, age > 55
how should you evaluate a patient for intubatioN? - ANSWERS-*same order you go through to
acutally intubate:
1. neck mobility
2. external face: small mandible, surg scarring
3. mouth (<3 finger breaths of opening is worrying)
4. tongue/pharynx
5. jaw: thyromental distance (from anterior prominence of thyroid cartilage to tip of mandible
what are the 2 NM blockers to know for intubation? - ANSWERS-sux, roc
