QUESTIONS| WITH COMPLETE SOLUTIONS
Patient has poor perfusion, elevated respiratory rate, 38 is an example but no wheezing what do
you ventilate with? Correct Answer: BVM, not albuterol
Asthma patient becomes apneic and hands you a inhaler what do you do? Correct Answer: begin
ventilation
what are the alveoli purpose in the respiratory system? Correct Answer: exchange oxygen and
carbon dioxide molecules to and from bloodstream
tiny little clusters of balloon shaped air sacs sit at the end of the respiratory tree in the lungs
gas exchange in lungs Correct Answer: Occurs via diffusion
O2 concentration is higher in the lungs than in the blood, so O2 diffuses into blood.
CO2 concentration in the blood is higher than in the lungs, so CO2 diffuses out of blood.
contraindication with consumption of alcohol is? Correct Answer: Nitrous Oxide
flail segment or flail chest Correct Answer: two or more adjacent ribs that are broken in two or
more places, creating a free floating section
causes inadequate breathing due to pain
Cheyene stokes breathing usually caused by Correct Answer: ICP
intracranial pressure
abnormal pattern of deeper and sometimes faster breathing followed by decreased breathing
leading to apnea which is no breath
DKA diabetic ketoacidosis Correct Answer: Shortage of insulin resulting in hyperglycemia and
production of keytones and also leads to kidney failure
Kaussmauls breathing which is labored and deep leads to severe metabolic acidosis
Transporting a pt on a ventilator and the pressure release valve pops? Correct Answer: means
there is increased pressure in airway
The best indicator of Cellular perfusion in Base deficit? Correct Answer: end tidal CO2
monitoring which verifies gas exchange
Fix inspired oxygen FiO2 starts at 24% and increases how? Correct Answer: 1 LPM equals 24%
2 LPM 4% increase to 28%
Patient in destress can't use MDI which is albuterol what is next best thing Correct Answer:
Nebulizer treatment with a mask
, respiratory distress Correct Answer: increased work of breathing; a sensation of shortness of
breath
respiratory failure Correct Answer: The reduction of breathing to the point where oxygen intake
is not sufficient to support life
respiratory arrest Correct Answer: when breathing completely stops
yaunker suctions? Correct Answer: oral cavity
Ventricular Tachycardia which is V-tach leads to Correct Answer: V-fib
Ventricular fibrillation
rapid inadequate heart rhythm
occurs in bottom portions of heart
can be triggered by a heart attack
usually caused by previous heart issues
Most lethal cardiac rhythm in Cardiac Arrest Correct Answer: V-Fib
What Rhythms do a AED shock? Correct Answer: V-tach pulse less
V-fib
Nitroglycerin mechanism of action and cautions Correct Answer: Primary reason to give Nitro is
that it Reduces cardiac work load
Vasodilation, decreased preload and afterload
cautions are as follows
potential for compensated shock if
BP 90 and HR >100
erectile dysfunction drug taken
Baroreceptors Correct Answer: detect changes in blood pressure
baroreceptor reflex Correct Answer: The primary reflex pathway for homeostatic control of
blood pressure
If BP drops heart rate rises
if HR drops BP rises
What is ROSC? Correct Answer: Stands for return of spontaneous circulation. It is resumption
of sustained perfusing cardiac activity associated with significant respiratory effort after cardiac
arrest. Signs include breathing, coughing, or movement and a palpable pulse or a measurable
blood pressure.
* once ROSC has returned measure temp for
target temp relief
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