ACTUAL COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ | GUARANTEED SUCCESS!! NEWEST
EXAM | JUST RELEASED!!
Antiviral agents - ANSWER --Ribavirin = treat RSV
-RSV Immune Globulin IV (RespiGam) = prevention of RSV
-palivizumab (Synagis) = man-made antibody to RSV
pentamidine - ANSWER --treat Pneumocystis Jirovecii
(carinii) infections
(commonly with
AIDS)
-must use one way valve and bacteria filter to
avoid spreading
Vaccines - ANSWER --against influenza and staphylococcus
pneumoniae =
Pneumovax for > 60 yrs
-Children at risk for RSV should be immunize with RespiGam
and Synagis
Patient Positions - ANSWER --Prone
= ARDS
,-Fowler's =
CHF
-Lateral Fowler's =
obese
-good lung down for unilateral
lung disease
Sustained Maximal Inspiration (SMI) - ANSWER --Prevention
of atelectasis
-Date, time, volume should be charted (not
durations)
-must be taught before
surgery
-auscultate BS before
and after
-Inhale! not
exhale
IPPB Indications - ANSWER --Prevent or correct atelectasis in
patients unable to take a deep breath
-prevent/decrease pulmonary edema
-decrease WOB
-mechanical bronchodilation
-distribute aerosols more evenly
-Hazards include: hyperventilation (breathe slower), Impeding
venous return, pneumothorax
-contraindications: pulmonary hemorrhage, untreated
pneumothorax
,Bird Mark 7 - ANSWER --Pressure Cycled
-increase flow = decrease i-time
-Air mix off = 100% source gas, low flow rate because air not
entrained, increase flow setting when air mix off
-pressure limit controls volume
-
Bird Mark 7 changes that affect FiO2 - ANSWER --increase
pressure will increase FiO2
-decrease flow will increase FiO2
-Air mix off will give 100% FiO2
-use of nebulize will increase FiO2 on PR-II
-Use of terminal flow on PR-2 will decrease FiO2
Bird Mark 7 control changes that affect volume -
ANSWER --increasing
pressure will increase
volume
-decreasing flow will increase
volume
-increasing the flow will
decrease volume
Bird Mark 7 control changes that affect the I:E ratio - ANSWER -
-increased pressure will increase i-time and change I:E
-increased flow will decrease i-time
-increased rate will decrease e-time
, IPPB Troubleshooting - ANSWER --Loss of pressure = leak, low
flow
-Excessive pressure = obstruction, excessive flow
-fail to cycle into inspiration = sensitivity, seal around
mouthpiece -fail to cycle into expiration = leak
(mouthpiece, cuff, trach tube, loose connection)
-Pressure does not rise normally (needle reads low or negative)
= insufficient flow
Mask CPAP - ANSWER --short term,
temporary use
-CO
poisoning
-
pneumonia
-post-op atelectasis,
etc.
Nasal CPAP - ANSWER --neonates since they are obligate
nose breathers
-readjust nasal prongs if
losing CPAP
Troubleshooting CPAP - ANSWER --loss of pressure = leak,
insufficient flow
-increased pressure = obstruction,
excessive flow