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8 Cards in this Set

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  • Back

Wilkins clinical assessment in RC

chapter 14 314 to 321

Complications of acute respiratory failure

Complications add significantly to morbidity and mortality


:ARDS more patients die of complications (sepsis, MSOF) than of original disease


:Emboli

All of the following can occur if the PaCO2 is normalized in patients with chronic respiratory failure except?

Metabolic acidosis


A diagnosis of respiratoryre failure can be made if which of the following are presnt?

Which of the following is not a primary cause of hypoxemia?


Anemia



Which of the following are not causes of hypoxemia respiratorye failure?


REspiratory acidosis



All of the following would tend to cause hypercapnic respiratory failure except which one?

Pulmonary edema



Which respiratory failure due to inadequate ventilation?


Hypercapnic



Hypercapnic respiratory failure is a sysnonym for which f the following terms?


Ventilatory failure



What type of disease is associated with perfusion/diffusion imairment?


pulmonary fibrosis



A patient with ILD interstitial lung disease has hypoxemia due to diffusion defect wouldh ave which of the followoing clinical signs?


clubbing of the ifnger nail beds, JVD, dyspnea on exertion, fine bibasilar crackles, all the above



A patient with a PaO2 of 56 torr. which of the following additional information would be necesary before deciding whether this patient is suffering from hypoxemic respiratoure failure?

the FiO2, the Barometric pressure, the age?


All the above



A 34 year old man admitted to the emergency department with lung contusions exhibits the following blood gas results breathing 35% O2.



What is the underlying physiological process leading to pure hypercapnic respiratory failure?


Alveolar hypoventilation


A patient with an opiate drug overdose is unconscious and exihibits the following blood gas results breathing room air. pH 7.19


Acute hypercapnic respiratory failure



major causes of hypercapnic respiratory fialure include all of the following escept which one?



diffusion impairments



Which of the following informatioin best hep to distinguish chronic hypercapnic respriatory filaure from acute hypercapnic respiratory failure


Kidneys retaing bicarbonate to elevate the blood pH


In acute hypercapnic respitatoyre failure what does the pH do?

It drops 0.08 units for every 10 mmHg



all of the following would tend to cause hypercapnic respiratooyre failure except?


pulmonary edema