TMC For May 2020 Questions And Answers

TMC For May 2020 If a patient is on 8-12L/min, what would be the fio2? - 50% If minute ventilation stays the same but dead-space is added, what will increases? - PaCO2 What is the static compliance equation? - Exhaled Vt/(Pplat - PEEP) Before chest physiotherapy is done, what should the respiratory therapy do FIRST? - Review patient chart history What should a therapist do when a family is asking to put the patient on the mechanical ventilator when they have a DNI order in place? - Start with NPPV What phrase would describe a patient having dyspnea? - "I have to stop and catch my breath" A patient who has a neck injury but needs their airway protected. What should you put in place? - Oropharyngeal airway A patient is unconscious, what should you do to establish a patent airway? - Head tilt chin A patient has accessory muscle and scalene usage, what does this indicate? - Increased work of breathing Unevenly spaced beats decreased pulse strength during inspiration, is indicative of what? - Pulsus paradoxus What positions do you place a patient in for right lung secretions? - Left lateral decubitus What the correct endotracheal tube placement? - 5cm above the carina or 4-6cm Chest x-ray looks normal but they have been sitting for an extended period of time and is experiencing dyspnea. What is likely the cause? - Pulmonary embolism Chest x-ray showing a deflated lung. What is a likely diagnosis? - Tension pneumothorax A patient has hemoptysis, what do you do? - Bronchoscopy Broncholavage should be done with what? - Mini ball-vap After intubation there is a lack of breath sounds on the left side, what could be the cause? - Right mainstem bronchi intubation There is a hyperresonance and tracheal shift with distant breath sounds, what is a likely diagnosis? - Pneumothorax What is a V/Q scan used to identify? - Pulmonary embolism What is the name of the gestational age test? - Ballard score What is used to diagnose cancer? - PET scan Bronchogram is used to diagnose what? - Bronchiectasis A patient has left sided chest pain, what diagnostic test should be done? - Chest x-ray Midclavicular is the place for what lead? - V4 leads What percentage of PaCO2 is normal? - 5% What is the normal value of ejection fraction? - 60 How is VD/VT calculated? - PaCO2-PeCO2/PaCO2 is 30 Patient was taken from a burning house, what diagnostic test should be done? - Cooximeter/hemoximeter Low urine output can be caused by what? - Low PCWP What is the reversal agent of OPIODS? - Narcan What do you give for stridor? - Racemic epinephrine A patients endotracheal tube is 18cm at the lip, cuff pressure is 19cmH2O, and there is still gurgling, what should you do? - Advance the ET tube Unequal breath sounds - What should be done after ABG sampling? - Change the gloves What type of heated humidifier should be placed for a patient with tracheostomy? - HME (Heat and moisture exchanger) The Semi fowler position is used for what? - Anterior apical upper lung segmented lobes Blood for sampling for an ABG must be done. There is no collateral circulation to the right arm and there is a shunt in place on the left arm, what site should the ABG be done? - Dorsalis pedis