Kettering (Pulmonary Diagnostic Testing) Exam with verified || || || || || || ||
detailed answers ||
Type #1 patients with a special pathology have what type of ABG, but the patient is in what
|| || || || || || || || || || || || || || || || || ||
condition? - ✔✔- ABG looks good, but the patient looks & feels bad
|| || || || || || || || || || || ||
Type #2 patients with a special pathology have what type of ABG, but the patient is in what
|| || || || || || || || || || || || || || || || || ||
condition? - ✔✔- ABG looks bad, but the the patient looks & feels fine
|| || || || || || || || || || || || ||
List 3 examples of pathologies that would be considered Type #1 patients. - ✔✔1. CO
|| || || || || || || || || || || || || || ||
poisoning
2. Anemia
||
3. Pulmonary Embolus
|| ||
What pathology would be considered a Type #2 patient? - ✔✔- COPD
|| || || || || || || || || || ||
Identify five examples of patients that are considered at high risk for developing pulmonary
|| || || || || || || || || || || || || ||
embolus - ✔✔- Post-op patients || || || ||
- Bedridden patients
|| || ||
-History of deep vein thrombosis
|| || || || ||
-Woman in advanced stages of pregnancy
|| || || || || ||
- Venous stasis (sitting for long periods of time)
|| || || || || || || ||
How would the respiratory therapist determine if a patient with COPD was suffering from
|| || || || || || || || || || || || || ||
oxygen induced hypoventilation? - ✔✔- The patient would become tired, sleepy, lethargic,
|| || || || || || || || || || || ||
and then unresponsive
|| ||
, What is recommended treatment for oxygen induced hypoventialtion? - ✔✔- Decrease the
|| || || || || || || || || || || ||
FIO₂
What reference point is used to determine if the oxyhemoglobin dissociation curve has
|| || || || || || || || || || || || ||
shifted? - ✔✔1. Shift to the left (increased O₂ affinity, <27 torr) means there will be a higher
|| || || || || || || || || || || || || || || || ||
oxygen content for any given PO₂
|| || || || || ||
2. Shift to the right (decreased O₂ affinity, >27 torr) means there will be lower oxygen
|| || || || || || || || || || || || || || || ||
content at any given PO₂ || || || ||
What are spirometers used to measure? - ✔✔- Volumes
|| || || || || || || ||
- Flow rates
|| ||
What does a pneumotachometer measure? - ✔✔- Flow
|| || || || || || ||
- May display volume
|| || ||
Describe a peak flow meter - ✔✔- device used to measure Peak Expiratory flowrate (PEFR)
|| || || || || || || || || || || || || || ||
at the bedside
|| ||
What does the accuracy of peak flow measurements depend on? - ✔✔- Patient effort
|| || || || || || || || || || || || ||
Describe how to identify a patient's personal best peak flow measurement - ✔✔- Instruct
|| || || || || || || || || || || || || ||
the patient to record their peak flow every day, morning, and afternoon, for two to three
|| || || || || || || || || || || || || || || ||
weeks during a period when their asthma is under control.
|| || || || || || || || ||
- The single highest measurement recorded during this time frame is their personal best
|| || || || || || || || || || || || ||
Explain how to select the peak flow measurement to record in the patients chart - ✔✔-
|| || || || || || || || || || || || || || || ||
Record the highest of the three tested numbers as the peak flow measurement
|| || || || || || || || || || || ||
detailed answers ||
Type #1 patients with a special pathology have what type of ABG, but the patient is in what
|| || || || || || || || || || || || || || || || || ||
condition? - ✔✔- ABG looks good, but the patient looks & feels bad
|| || || || || || || || || || || ||
Type #2 patients with a special pathology have what type of ABG, but the patient is in what
|| || || || || || || || || || || || || || || || || ||
condition? - ✔✔- ABG looks bad, but the the patient looks & feels fine
|| || || || || || || || || || || || ||
List 3 examples of pathologies that would be considered Type #1 patients. - ✔✔1. CO
|| || || || || || || || || || || || || || ||
poisoning
2. Anemia
||
3. Pulmonary Embolus
|| ||
What pathology would be considered a Type #2 patient? - ✔✔- COPD
|| || || || || || || || || || ||
Identify five examples of patients that are considered at high risk for developing pulmonary
|| || || || || || || || || || || || || ||
embolus - ✔✔- Post-op patients || || || ||
- Bedridden patients
|| || ||
-History of deep vein thrombosis
|| || || || ||
-Woman in advanced stages of pregnancy
|| || || || || ||
- Venous stasis (sitting for long periods of time)
|| || || || || || || ||
How would the respiratory therapist determine if a patient with COPD was suffering from
|| || || || || || || || || || || || || ||
oxygen induced hypoventilation? - ✔✔- The patient would become tired, sleepy, lethargic,
|| || || || || || || || || || || ||
and then unresponsive
|| ||
, What is recommended treatment for oxygen induced hypoventialtion? - ✔✔- Decrease the
|| || || || || || || || || || || ||
FIO₂
What reference point is used to determine if the oxyhemoglobin dissociation curve has
|| || || || || || || || || || || || ||
shifted? - ✔✔1. Shift to the left (increased O₂ affinity, <27 torr) means there will be a higher
|| || || || || || || || || || || || || || || || ||
oxygen content for any given PO₂
|| || || || || ||
2. Shift to the right (decreased O₂ affinity, >27 torr) means there will be lower oxygen
|| || || || || || || || || || || || || || || ||
content at any given PO₂ || || || ||
What are spirometers used to measure? - ✔✔- Volumes
|| || || || || || || ||
- Flow rates
|| ||
What does a pneumotachometer measure? - ✔✔- Flow
|| || || || || || ||
- May display volume
|| || ||
Describe a peak flow meter - ✔✔- device used to measure Peak Expiratory flowrate (PEFR)
|| || || || || || || || || || || || || || ||
at the bedside
|| ||
What does the accuracy of peak flow measurements depend on? - ✔✔- Patient effort
|| || || || || || || || || || || || ||
Describe how to identify a patient's personal best peak flow measurement - ✔✔- Instruct
|| || || || || || || || || || || || || ||
the patient to record their peak flow every day, morning, and afternoon, for two to three
|| || || || || || || || || || || || || || || ||
weeks during a period when their asthma is under control.
|| || || || || || || || ||
- The single highest measurement recorded during this time frame is their personal best
|| || || || || || || || || || || || ||
Explain how to select the peak flow measurement to record in the patients chart - ✔✔-
|| || || || || || || || || || || || || || || ||
Record the highest of the three tested numbers as the peak flow measurement
|| || || || || || || || || || || ||
