Resporatory: Accs Exam Review

Front 1

Capnography

Back 1

Normal

Front 2

Capnography

Back 2

Hyperventilation

Front 3

Capnography

Back 3

Obstruction

Front 4

Back 4

Disconnection, leak, apnea

Front 5

What color should a colormetric etCO2 detector change with proper ETT placement?

Back 5

Yellow

Front 6

How do you estimate anatomic deadspace?

Back 6

1ml per lb of IBW

Front 7

How do yo estimate mechanical deadspace?

Back 7

10ml per inch of flex tube

Front 8

What is the formula for P/F ratio?

Back 8

PaO2/FiO2

Front 9

What is a normal P/F ratio?

Back 9

>380 torr

Front 10

What is considered mild ARDS?

Back 10

P/F ratio <200-300

Front 11

What is considered moderate ARDS?

Back 11

P/F ratio <100-200

Front 12

What is considered severe ARDS?

Back 12

P/F ratio <100

Front 13

Swan-Ganz: Where shod the catheter sit when inserted through the jugulat or subclavian vein?

Back 13

Pulmonary Artery about the 50cm

Front 14

Swan-Ganz: Catheter is inserted >50cm and no waveform is obtained, why?

Back 14

Catheter is curling in the right atrium or right venteicle.

Front 15

Normal PAP

Back 15

25/8

Front 16

Normal pulse pressure:

Back 16

40MmHg

Front 17

Normal Cardiac Output (Qt)

Back 17

4-8L/min

Front 18

Normal Cardiac Index:

Back 18

2.5-4.0 L/min/m2

Front 19

Normal Systemic Vascular Resistance (SVR):

Back 19

<20 mmHg

Front 20

Normal Pulmonary Vascular Resistance (PVR):

Back 20

<2.5 mmHg/L/min

Front 21

CBC: Normal RBC

Back 21

4-6

Front 22

Polycythemia indicates what?

Back 22

Chronic tissue hypoxemia (COPD)

Front 23

Anemia occurs with what condition?

Back 23

Blood loss or hemorrhagr

Front 24

CBC: Normal Hemoglobin (Hb)

Back 24

12-16

Front 25

Low Hb indicates what?

Back 25

Anemia <RBC

Front 26

High Hb indicates what?

Back 26

Polycythemia >RBC

Front 27

CBC: Normal Hematocrit (Hct)

Back 27

40-50%

Front 28

What does Hct measure?

Back 28

The %of RBC in total blood volume

Front 29

Low Hct indicates?

Back 29

Anemia (<RBC)

Front 30

High Hct indicates what?

Back 30

Polycythemia (>RBC)

Front 31

CBC: Normal WBC

Back 31

5,000-10,000

Front 32

Increased WBC

Back 32

Leukocytosis: bacterial infection

Front 33

Decreased WBC

Back 33

Leukopenia- viral infection

Front 34

WBC - Neutrophils increase with what chronic condition?

Back 34

COPD

Front 35

WBC - Eosinophols increase with what Chronic condition?

Back 35

Asthma

Front 36

WBC - Monocytes increase with what chronic condition?

Back 36

TB

Front 37

Electrolytes: Normal Potassium (K+)

Back 37

3.5-4.5

Front 38

Hypokalemia (<K+) is associated with what clinical findings:

Back 38

Metabokic alkalosis, renal loss, vomiting/diarrhea, NG suction, cardiac issues.

Front 39

Hyperkalemia (>K+) is associated with what clinical findings?

Back 39

Acidemia, kidney failure

Front 40

Electrolytes: Normal Sodium (Na+)

Back 40

135-145

Front 41

Hyponatremia (<Na) is significant with what clinical findings?

Back 41

Fluid loss, diuretics, vomiting/diarrhea, fluid gain from CHF, IV therapy

Front 42

Hypernatremia (>Na) is associated with what clinical findings?

Back 42

Dehydration

Front 43

Electrolytes: Normal Chloride (Cl-)

Back 43

80-100

Front 44

Electrolytes: Normal Bicarbonate (HCO3)

Back 44

22-26

Front 45

Electrolytes: Normal Magnesium (Mg)

Back 45

1.7-2.4

Front 46

Electrolytes: Normal Calcium (Ca)

Back 46

4.5-5.25

Front 47

Electrolytes: Normal Phosphorus/phosphate

Back 47

1.2-2.3

Front 48

Cardiac Markers: Troponin

Back 48

<0.1 and increade with MI

Front 49

Cardiac Markers: Brain Natriuretic Peptide (BNP)

Back 49

<100 elevated indicates CHF

Front 50

Normal Lactate

Back 50

0.5-2.2, greater than 4=sepsis, increase = >O2 demand

Front 51

Normal Serym Glucose

Back 51

70-100