Clinical Simulation RRT Actual Study
Questions with 100% Correct Answers
1. What is the treatment & management(decision making) for trouble shooting?
- ANSWER 1.equipment problems
2.pt. problems
2. appropriate PH for ARDS? - ANSWER 7.30-7.45
3. Plateau pressure (Pplat) normal? - ANSWER <=30
4. The oxygenation (PaO2) the acceptable range of a patient with ARDS? -
ANSWER acceptable range of 55 - 80 for a patient with ARDS.
5. Rapid shallow breathing index (RSBI)Weaning parameter - ANSWER (The
RSBI is a comparison of respiratory rate and spontaneous tidal volume
(f/VT), used as a long-established credible metric to assess extubation
readiness. RSBI less than 105 is considered acceptable for a majority of
patients.)
6. Vital Capacity (VC) weaning parameters - ANSWER (A VC maneuver can
be easily acquired during mechanical ventilation by having a patient breath
in maximally and slowly breath out completely (to residual volume). A VC
measurement should be greater than 10-15 mls/kg of predicted body weight
in order to consider extubation readiness.)
7. Maximal inspiratory force (MIP) weaning parameters - ANSWER (The
MIP, also known as negative inspiratory force (NIF), is a standard
, measurement of inspiratory muscle strength and potential cough ability. The
greater the negative value, the better; a NIF should be less than -20 to -30
cmH2O before consideration of extubation readiness.)
8. Wedge shaped infiltrates on left side what is it? - ANSWER Pulmonary
embolus
9. Test to detect pulmonary embolism? - ANSWER STAT V/Q scan
Pulmonary angiogram(2rd)
10.Treatment plan for pulmonary embolus? - ANSWER Low dose IV heparin
Physician agrees (prevents PE from recurring)
Pnuematic compression device
Physician agrees (prevents PE from forming)
11.Sedate patient and administer 1 mg/kg of succinylcholine. - ANSWER For
quick intubation?
12.Instill lidocaine into the ET tube? - ANSWER Stops coughing
13.How do you treat a pneumothorax? - ANSWER Increase the FIO2 to 1.0
and place a chest tube in the second anterior intercostal space on the right
side.
, 14.Resuscitation steps in newborn who fail the rapid assessment? - ANSWER
1)Put under radiant warmer2)open and clear the airway3) dry the skin4)asses
heart rate and respiration
15.signs of respiratory failure and what are you supposed to do ? - ANSWER
tachypnea, hypercarbia, and hypoxemia)
NIV should be implemented to prevent further deterioration.
16.Prednisolone - ANSWER 60mg tablet, Prednisone can be used to gain quick
control in patients in acute exacerbation, and is recommended as part of the
EPR-3 guidelines for patients with severe persistent asthma recovering from
exacerbation.)
17.Beclomethasone Dipropionate HFA (Qvar) 80mcg: 2puffs bid - ANSWER
Ordered (EPR-3 guidelines recommend use of a medium-high dose inhaled
corticosteroid as a viable option for treatment in patients with severe
persistent asthma.)
EXITHELPTIME
18.Asthma severity classification? - ANSWER FEV1 greater than 80%-mild
19.FEV1 60 to 80 ? - ANSWER Moderate
20.FEV1 less than 60? - ANSWER Severe
21.Up to 2 days a week? - ANSWER Intermittent
22.Less than 2 days a week? - ANSWER Mild-persistent
Questions with 100% Correct Answers
1. What is the treatment & management(decision making) for trouble shooting?
- ANSWER 1.equipment problems
2.pt. problems
2. appropriate PH for ARDS? - ANSWER 7.30-7.45
3. Plateau pressure (Pplat) normal? - ANSWER <=30
4. The oxygenation (PaO2) the acceptable range of a patient with ARDS? -
ANSWER acceptable range of 55 - 80 for a patient with ARDS.
5. Rapid shallow breathing index (RSBI)Weaning parameter - ANSWER (The
RSBI is a comparison of respiratory rate and spontaneous tidal volume
(f/VT), used as a long-established credible metric to assess extubation
readiness. RSBI less than 105 is considered acceptable for a majority of
patients.)
6. Vital Capacity (VC) weaning parameters - ANSWER (A VC maneuver can
be easily acquired during mechanical ventilation by having a patient breath
in maximally and slowly breath out completely (to residual volume). A VC
measurement should be greater than 10-15 mls/kg of predicted body weight
in order to consider extubation readiness.)
7. Maximal inspiratory force (MIP) weaning parameters - ANSWER (The
MIP, also known as negative inspiratory force (NIF), is a standard
, measurement of inspiratory muscle strength and potential cough ability. The
greater the negative value, the better; a NIF should be less than -20 to -30
cmH2O before consideration of extubation readiness.)
8. Wedge shaped infiltrates on left side what is it? - ANSWER Pulmonary
embolus
9. Test to detect pulmonary embolism? - ANSWER STAT V/Q scan
Pulmonary angiogram(2rd)
10.Treatment plan for pulmonary embolus? - ANSWER Low dose IV heparin
Physician agrees (prevents PE from recurring)
Pnuematic compression device
Physician agrees (prevents PE from forming)
11.Sedate patient and administer 1 mg/kg of succinylcholine. - ANSWER For
quick intubation?
12.Instill lidocaine into the ET tube? - ANSWER Stops coughing
13.How do you treat a pneumothorax? - ANSWER Increase the FIO2 to 1.0
and place a chest tube in the second anterior intercostal space on the right
side.
, 14.Resuscitation steps in newborn who fail the rapid assessment? - ANSWER
1)Put under radiant warmer2)open and clear the airway3) dry the skin4)asses
heart rate and respiration
15.signs of respiratory failure and what are you supposed to do ? - ANSWER
tachypnea, hypercarbia, and hypoxemia)
NIV should be implemented to prevent further deterioration.
16.Prednisolone - ANSWER 60mg tablet, Prednisone can be used to gain quick
control in patients in acute exacerbation, and is recommended as part of the
EPR-3 guidelines for patients with severe persistent asthma recovering from
exacerbation.)
17.Beclomethasone Dipropionate HFA (Qvar) 80mcg: 2puffs bid - ANSWER
Ordered (EPR-3 guidelines recommend use of a medium-high dose inhaled
corticosteroid as a viable option for treatment in patients with severe
persistent asthma.)
EXITHELPTIME
18.Asthma severity classification? - ANSWER FEV1 greater than 80%-mild
19.FEV1 60 to 80 ? - ANSWER Moderate
20.FEV1 less than 60? - ANSWER Severe
21.Up to 2 days a week? - ANSWER Intermittent
22.Less than 2 days a week? - ANSWER Mild-persistent
