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54 Cards in this Set
- Front
- Back
The best way to determine upper airway obstruction.
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Flow volume loop
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Flow rates are increased or decreased when obstruction is present?
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decreased
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Normal PaO2 for a newborn.
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50 to 70 torr
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When hypoxemia is present, what O2 percentage should not be raised over instead increase the PEEP?
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60%
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Alternative therapy for cystic fibrosis in patients that cannot tolerate postural drainage.
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Flutte - valve Oscillation therapy
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When shoud a tracheostomy tube cuff be deflated?
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during eating and breathing treatments
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Sedative drug that is commonly administed during bronchoscopy?
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Versed
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Secreations in in the airway increase?
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airway resistance
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Calculation for partial pressure
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(BP - 47 torr) X fractional concentration of gas
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A decrease in PVO2 after an increase in PEEP is an indication of?
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decreased cardiac output
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A fast - acting peripheral vasodialator.
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Nitropusside sodium (Nipride)
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I defibrilating with 250 J does not result in termination of ventricular firillatin what should be done?
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A secod charge of hagher voltage should be administered not more that 360 J in adults.
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How much CO2 does exhaled air contain?
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6% to 7%
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VT needed for patient to be weaned?
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at least 3mL/kg of ideal body weight
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Airway that maintains and open airway by pulling the tongue off the back of the throat.
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Oropharyngeal airway
(only to be used in uncounsious patients) |
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What is used for a tracheostomy patient to make him able to talk?
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tracheostomy button
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Best way to fix an I:E ratio alarm?
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Increase the flow, this will shorten the inspiration allowing for a longer exhalation
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Calculation for static compliance
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VT/(Plateau pressure - PEEP)
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Calculation for desired VE
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Desired VE = [VE(current) X PaCO2 (current)/PaCO2 (desired)
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How do you clear an obstruction in a chest tube?
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Milk the chest tube
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What oxygen delivery device is indicated for a patien with a fluctuating VT?
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Air entrainment mask
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Calculation for cardiac index.
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cardiac output/body surface area
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CVP is a measurement of?
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Righ arterial pressure
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What two thing will increase the O2 delivered in manual resuscitator?
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Increasing the flow
Adding a reservoir |
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Lidocaine is indicated for the treatment of?
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Ventricular fibrillation, Ventricular tachycaridia, and PVCS
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Pulmonary capillary wedge pressure (PCWP) is the meassure of>
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Left atrial pressure and Left ventricular end - diastolic pressure
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An elevation of the BUN level indicates?
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Renal failure
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VD/VT ratio acceptable for weaning?
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less than 0.60
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Maximal inspiratory pressure acceptable for weaning?
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at least -20 cm H@O
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Rapid shallow breating index acceptable for weaning?
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less that 100
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Calcualtion of RSBI?
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respiratory rate/VT
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How do you convert uncontrolled atrial fibrillation?
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Cardioversion with an energy level of 25 - 100 joules
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O2 device needed for a patient who has been pulled from a burning house?
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non - rebreathing mask at 15 L/min
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Most efficient method to treat a combative ventilator patient?
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sedate and paralyze the patient
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To increase PaCO2 to a normal level what needs to be done on a ventilator?
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decrease the minute ventilation
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Pulmonary infaction may occur if the tip of the Swan - Ganz is inflated longer than?
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15 - 20 sec.
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When lungs get stiffer and harder to ventilate this is considered?
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decreased lung compliance
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Difficulty breathing while lying in the supine position?
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Orthopnea
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Name of position in which the patient is sitting up?
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Fowlers
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Normal capillarty PO2
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40 to 50 torr
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Amount of CO2 in room air?
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less than 1%
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An consistent plateau pressure with an increasing peak pressure indicates?
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Increasing airway resistance (Raw)
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PEEP level that results in the highest static compliance or highest PVO2?
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Optimal PEEP
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A decreased FVC, FEV1, and FEV1/FVC ratio is clearly indicative of?
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Obstructive disease
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Increased Total lung cappacity is indicative of?
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Air trapping
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The most reliabkle method of detrmining whether a ventilated patient's lungs are getting stiffer and hand harder to ventilate is by measuring the:
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Static compliance
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When physiolgic deadspace increases, PaCO2?
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increases
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How quickly should artificial sufactant be administered to an infant?
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12 to 24 hours after the onset of symptoms
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Normal respiratory rate for a neonate?
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40 - 60 breaths per minute
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Respiratory quotiant (QT) calculation
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QT = O2 consumption (VO2)/[(CaO2 - CVO2) X 10]
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Arterial content calculation
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Arterial Content = (1.34 X SaO2 X Hb) + PaO2 X 0.003
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Venous content calculation
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Venous Content = (1.34 X SVO2 X Hb) + PVO2 X 0.003
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Normal L:S ratio?
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2:1
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Normal FEV1?
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75% - 85%
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