Elitestudyvault Stuvia
FCCS test guide with 100% verified
answers guaranteed pass
what vital sign abn and BMP finding is the most important indicator of critical illness? - ANS
tachypnea; metabolic acidosis
what is the gas volume in an adult resus bag? - ANS 1-1.5 L
waht is the mnemonic for airway prep? - ANS SOAP-ME
Suction
Oxygen
Airways (OPA, NPA, Ett)
Position: adjust bed
Monitoring and Medications: EtCO2, RSI drugs
Equipment: DL, VL, bougie
what are indicators of a difficult mask? - ANS beard,no teeth, OSA, high BMI, age > 55
how should you evaluate a patient for intubatioN? - ANS *same order you go through to
acutally intubate:
1. neck mobility
2. external face: small mandible, surg scarring
3. mouth (<3 finger breaths of opening is worrying)
4. tongue/pharynx
5. jaw: thyromental distance (from anterior prominence of thyroid cartilage to tip of mandible
what are the 2 NM blockers to know for intubation? - ANS sux, roc
drugs:
-lido p 28 - ANS a
what periintubation drug has been shown to blunt response of increasing ICP in someone whith
a head injury? - ANS lidocaine (1-1.5 mg/kg)
what is goal temp ranges for targeted temperature management? what are the 2 potential big
SEs? - ANS 32 to 36 C for at least 24 hours in comatose (GCS<8) patients following ROSC
SEs: coagulopathy, increased risk of infxn
what percentage of normal CO does chest compressions produce? - ANS 1/3
, Elitestudyvault Stuvia
what is the goal CO2 following arrest? - ANS 38-42 (normocapnea)
what are teh 3 broad types of respiratory failure? PNA is most often associated with which one?
drug OD? CHF? COPD? dead space ventillation? - ANS hypoxemic (PaO2 <60),
hypercapneic (PaCO2 >50), mixed
hypoxemic (although can be mixed)
hypercapneic
hypoxemic
mixed
hypercapneic
define shunt physiology? waht is at the other end of the VQ spectrum? - ANS no V, still
adequate Q
dead space
what ratio is most useful in tracking hypoxia over time? - ANS P:F ratio, PaO2 and FiO2
normal is 300-500
define minute ventilation (VA) - ANS VA = RR* (VT - VD)
VD = dead space
define paradoxical breathing? why does it occur - ANS diaphragm is flaccid b/c of fatigue
and moves upward during inspiration
what FiO2 is given with 2 L NC? 8 L facemask? - ANS 28%, 60%
what are BiPAP settings to start a patient on (EPAP, IPAP, Vt, backup rate), at what IPAP do you
worry about gastric distention? - ANS 5, 10, 6-8 mL/kg, 6
IPAP > 20
what are the 4 indications for invasive ventillation? - ANS failure to oxygenate, failure to
ventilate, failure to protect, projected clinical course
what are teh ABCD of teh vent cycle? - ANS A: triggering (initiation of inspiration)
B: end of inspiratory flow
C: cycling (start of expiratory flow)
FCCS test guide with 100% verified
answers guaranteed pass
what vital sign abn and BMP finding is the most important indicator of critical illness? - ANS
tachypnea; metabolic acidosis
what is the gas volume in an adult resus bag? - ANS 1-1.5 L
waht is the mnemonic for airway prep? - ANS SOAP-ME
Suction
Oxygen
Airways (OPA, NPA, Ett)
Position: adjust bed
Monitoring and Medications: EtCO2, RSI drugs
Equipment: DL, VL, bougie
what are indicators of a difficult mask? - ANS beard,no teeth, OSA, high BMI, age > 55
how should you evaluate a patient for intubatioN? - ANS *same order you go through to
acutally intubate:
1. neck mobility
2. external face: small mandible, surg scarring
3. mouth (<3 finger breaths of opening is worrying)
4. tongue/pharynx
5. jaw: thyromental distance (from anterior prominence of thyroid cartilage to tip of mandible
what are the 2 NM blockers to know for intubation? - ANS sux, roc
drugs:
-lido p 28 - ANS a
what periintubation drug has been shown to blunt response of increasing ICP in someone whith
a head injury? - ANS lidocaine (1-1.5 mg/kg)
what is goal temp ranges for targeted temperature management? what are the 2 potential big
SEs? - ANS 32 to 36 C for at least 24 hours in comatose (GCS<8) patients following ROSC
SEs: coagulopathy, increased risk of infxn
what percentage of normal CO does chest compressions produce? - ANS 1/3
, Elitestudyvault Stuvia
what is the goal CO2 following arrest? - ANS 38-42 (normocapnea)
what are teh 3 broad types of respiratory failure? PNA is most often associated with which one?
drug OD? CHF? COPD? dead space ventillation? - ANS hypoxemic (PaO2 <60),
hypercapneic (PaCO2 >50), mixed
hypoxemic (although can be mixed)
hypercapneic
hypoxemic
mixed
hypercapneic
define shunt physiology? waht is at the other end of the VQ spectrum? - ANS no V, still
adequate Q
dead space
what ratio is most useful in tracking hypoxia over time? - ANS P:F ratio, PaO2 and FiO2
normal is 300-500
define minute ventilation (VA) - ANS VA = RR* (VT - VD)
VD = dead space
define paradoxical breathing? why does it occur - ANS diaphragm is flaccid b/c of fatigue
and moves upward during inspiration
what FiO2 is given with 2 L NC? 8 L facemask? - ANS 28%, 60%
what are BiPAP settings to start a patient on (EPAP, IPAP, Vt, backup rate), at what IPAP do you
worry about gastric distention? - ANS 5, 10, 6-8 mL/kg, 6
IPAP > 20
what are the 4 indications for invasive ventillation? - ANS failure to oxygenate, failure to
ventilate, failure to protect, projected clinical course
what are teh ABCD of teh vent cycle? - ANS A: triggering (initiation of inspiration)
B: end of inspiratory flow
C: cycling (start of expiratory flow)
