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RSP 310 Exam 2 review Flashcards | StudBud
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RSP 310 Exam 2 review
RSP 310 Exam 2 review
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Ch 8, 10, 12, 13
Flashcards
35 cards
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Practice quiz
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Questions
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Answers
1
hazards of a recruitment maneuver (especially >40 seconds) include:
decrease in cardiac output, drop in BP
alveolar deadspace
increased HR and PaC02
no hazard
2
a 70 kg patient's PaC02 is 65, desired is 40. set Vt is 690 and F is 12. What needs changed?
Vt to 1000 ml
Vt to 720 ml
frequency to 19.5
frequency to 16
3
pulse oximeters are generally accurate for 02 saturations greater than what reading?
50
70
90
80
4
The following PVL indicates what?
increased compliance
decreased compliance
leak
overdistention
5
This is the best way to tell if the ventilator system has a leak.
lower PIP and exhaled tidal volumes than set or previously measured
normal tidal volume with lower PIP
higher PIP and lower exhaled tidal volume
no change on the vent
6
It is recommended that a RM is performed if PEEP is withdrawn due to leak or suctioning w/ significant change in Pa02
True
False
7
Methods for reducing risk of VAP include:
HOB >45, change circuit weekly, large gastric volumes with feeds
overfeeding patient, bed 15-30 degrees, CNS depressants
changing circuit when soiled, pt. 30-45 degrees, use single patient items
changing inline and circuit daily, nasal intubation, waiting to extubate
8
Immediately after placing the patient on the vent, the RT should do the following?
ETC02, CXR in one hour, BP
auscultate, ABG in one hour
auscultate, CXR and ABG in one hour
auscultate, Vital signs, ABG in 15-30mins
9
A 80 kg IBW pt. has a PaC02 of 62. the MD would like it to be 40. Rate is 12 and Vt is 400 ml. What should change?
increase rate to 15
increase Vt to 620 ml
increase Vt to 700
increase rate to 22
10
This depolarizing agent can be used with RSI.
cisatracurium
succinylcholine
rocuronium
vecuronium
11
The following PVL indicates what?
assisted breath
vent triggered breath
spontaneous breath
increased resistance
12
You have a patient with PIP 37, Pplat of 20, PEEP 8, and flow is 60 LPM. Calculate Raw.
29
17
10
12
13
Which of the following is an example of dysfunctional hemoglobin?
ventiglobin
methemoglobin (MetHb)
narloxoglobin
oxyhemogloin
14
You are placing a patient in PC with an inverse I/E ratio. What medication might be indicated in addition to sedatives?
bicarb
albuterol
antibiotic
paralytic
15
Point 4 on the PETC02 tracing indicates?
plateau
inhalation
exhalation
PaC02
16
A patient should not be given which drug due to the histamine release?
albuterol
ativan
versed
morphine
17
A patient is given fentanyl for a procedure. What is a likely side effect?
nausea and vomitting
diarrhea
tachycardia and hypertension
night sweats
18
Calculate P/F ratio if Pa02 is 75 and Fi02 is 0.6. What oxygenation marker is this?
45, severe
125, moderate
1.25, severe
300, mild
19
The yellow colored loop indicates what?
decreased compliance
normal compliance
increased compliance
increased resistance
20
This condition produces stiff lungs, inflammation, and ground glass CXR.
ARDS
pneumonia
Covid-19
Cystic fibrosis
21
This is the most frequent hospital acquired infection in a critically ill vented patient.
tracheitis
oral thrush
VAP
pneumothorax
22
Once physician's orders are verified, the RT ensures the vent has passed what prior to placing on the patient?
MRS (manufacturer recommended settings)
OVP (operational verification procedure)
COS (check of system)
MAP (mean airway pressure check)
23
A pt. receives sedation for a procedure and is not breathing or responding to normal stimuli. This is what level?
minimal sedation
moderate sedation
Deep sedation
anesthesia
24
this technology uses absorption of selected wavelengths of light beamed through the tissue (660 and 940 wavelengths)
ETC02
pulse oximetry
transcutaneous monitor
cooximeter
25
What is indicated by the graphic below?
pressure overshoot
air trapping
cycle dysynchrony
sensitvity issue
26
The following PVL indicates what?
leak
overdistention
bronchodilator response
decreased compliance
27
The PetC02 relates to the PaC02 how?
usually 10 or more higher
usually 4-6 mmHg lower
usually 4-6 mmHg higher
usually the same
28
Your pt. has a Pa02 of 52 on 0.35. The MD would like the Pa02 to be 80. you should make what change?
Fi02 45%
Fi02 28%
Fi02 54%
Fi02 100%
29
If a patient is suspected to have an elevated carboxyhemoglobin, what test should be ordered to measure oxygen sat?
transcutaneous monitor
pulse oximeter
Co-oximeter
allen's test
30
A patient with no secretions, CXR diffuse infiltrates, and no fever is likely to have VAP.
True
False
31
This is the name of the volume lost within the patient circuit d/t tubing compliance, some vents correct for it.
dead space
compliance volume
compressible volume
exhaled tidal volume
32
The flow-time scalar below indicates?
air trapping (auto-PEEP)
pressure overshoot
too fast of flow
cycle asynchrony
33
Patients with ARDS needing PEEP >10 would benefit from what study?
Berlin study
Optimal PEEP
derecruitment study
upper-inflection point study
34
sustained inflation for recruitment involves:
CPAP of 30-40 for 40 seconds
SIMV with PS of 40
PC with PEEP of 10
CPAP of 40-60 for 60 seconds
35
NMBA do not posses sedative or analgesic properties.
True
False