FCCS POST TEST REVIEW QUESTIONS AND ANSWERS

FCCS POST TEST REVIEW
QUESTIONS AND ANSWERS



Most important indicator that a patient has a severe illness? - ans-Tachypnea
sd sd sd sd sd sd sd sd sd sd sdsd




3 respiratory types, and their criteria - ans-Hypoxemic (PaO2 <50-60)
sd sd sd sd sd sd sdsd sd sd




Hypercapnic (PaCO2 >50, pH <7.36) sd sd sd sd




Mixed

Delta gap (formula, when and why it's used) - ans-Difference in AG from normal -
sd sd sd sd sd sd sd sd sdsd sd sd sd sd sd




Difference in HCO3 from normal
sd sd sd sd sd




In AG metabolic acidosis it's used. It tells you if there's underlying metabolic alkalosis or res
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd




piratory acidosis with bicarb compensation IN ADDITION to the AG metabolic acidosis. Bot
sd sd sd sd sd sd sd sd sd sd sd sd




h of those would result in a high bicarb to begin with, and a smaller change in bicarb from no
sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd sd




rmal.

Winter's formula (equation, what it measures) - ans-1.5[HCO3] + 8 +/- 2
sd sd sd sd sd sd sdsd sd sd sd sd




If compensation is adequate in acid/base issues
sd sd sd sd sd sd




How AG changes with albumin changes - ans-Decreases 2.5-
sd sd sd sd sd sd sdsd sd




3 for every 1 decrease in albumin
sd sd sd sd sd sd




Hemodynamic changes after intubation - ans-Hypo/hypertension sd sd sd sd sdsd




Arrhythmia
Tachycardia

Pressure support equation for BiPAP - ans-IPAP - EPAP sd sd sd sd sd sdsd sd sd




3 types of vent cycles - ans-Volume (preset tidal volume, relieves WOB the most)
sd sd sd sd sd sdsd sd sd sd sd sd sd sd




Time (constant pressure of time)
sd sd sd sd




Flow (constant pressure until inspiratory flow is below 25% of peak)
sd sd sd sd sd sd sd sd sd sd




Goal tidal volume - ans-10 cc/kg
sd sd sd sdsd sd




Goal FiO2 on vent - ans-Start at 1.0, then decrease as SpO2 tolerates (goal of 92-
sd sd sd sd sdsd sd sd sd sd sd sd sd sd sd sd




94 saturation) sd