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clinical simulation 1 1. various oxygen administration devices
A respiratory therapist assigned to the 2. intubation equipment
ED is asked to assist in the evaluation
of a 24 year old male victim of a 3. suction equipment
motorcycle accident who will be
arriving in 5 minutes. Which of the 4. chest tube placement equipment
following should be available for the
arrival of this patient? 5. Bag-valve device with various sizes of mask
6. medications for pain and agitation
7. fluids for vascular support
8. Venous and arterial line equipment
9. cardiac monitor and defibrillator
,When the patient arrives at the ED, he 1. Vital signs (TPR) and blood pressure
is awake, but agitated. He has a
cervical collar on and is moving all 2. general appearance
extremities while breathing room air.
During the initial evaluation of this 3. breath sounds
patient, which of the following should
be assessed? 4. chest inspection
5. SpO2
6. skin color
7. ECG via cardiac monitor
8. pupillary response
Which of the following should be oxygen via nonrebreathing mask at 12L/min
recommended?
The ED physician requests Arterial blood gas analysis
recommendations of diagnostic
studies and laboratory data that would 12-lead ECG
help to further assess the patients
condition. Which of the following Chest x-ray
should be evaluated?
CBC
Chemistry and toxicology
Electrolytes
Which of the following should be Endotracheal intubation and manual ventilation
recommended to the ED physician?
,clinical simulation 2 Continue manual ventilation and begin chest
compressions
An evening shift respiratory therapist
on call for labor and delivery (L&D)
receives a page to report immediately
to the L&D to assist in the
management of an infant female who
was delivered limp and cyanotic. The
infant is manually ventilated via mask
and resuscitator bag. There are no
efforts at spontaneous respirations
and the heart rate is approximately 50
breaths/min. The infant is 36 weeks
gestation and weighs 2622 grams.
Which of the following should be
recommended?
One minute later, the infant remains 3.0-mm internal diameter; uncuffed endotracheal
unresponsive and with minimal tube
improvement in color. The physician
now requests assistance in performing
endotracheal intubation. Which of the
following endotracheal tubes should
be selected for this infant?
The infant is intubated and manual Heart rate
ventilation is resumed. Which of the
following should now be assessed? Spontaneous respirations
Chest excursion
Breath sounds
Which of the following should be Reposition the endotracheal tube
recommended?
, Five minutes later, the infants color Stop chest compression; continue to manually
has significantly improved. The heart ventilate; transfer the infant to the NICU
rate is now 136/minute. No detectable
spontaneous respirations are
observed. Which of the following
should be recommended?
clinical simulation 3 VC- SIMV; FIO2 0.40, PS 10 cmH2O; mandatory rate
14; Tidal volume 575mL; PEEP 5 cmH20
A respiratory therapist assigned to the
cardiac intensive care unit (CICU) will OR
be managing the ventilator care of a
coronary artery bypass (CABG) VC-AC; FIO2 0.40; mandatory rate 14; tidal volume
patient who will be admitted to the 575 mL; PEEP 5 cmH2O
unit after surgery.
When the patient arrives in the unit,
the anesthesiologist states that the
patients PaO2 normalizes with an FIO2
of 0.40. The patient is 178 cm (5ft, 10 in)
tall and weighs 83 kg (183lbs). Which
of the following initial ventilator
settings should be recommended?
Which of the following should be ECG via cardiac monitor
assessed immediately after
connecting the patient to the General appearance
ventilator?
Ventilator settings
Ventilator alarms
Breath Sounds
SpO2
Vital signs (TPR) and blood pressure