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NRNP 6566 final prep 6-12 with correct answers 100% 2024

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NRNP 6566 final prep 6-12 with correct answers 100% 2024 Normal pH - Correct Answer 7.35-7.45 7.35 Acid 7.45 alkalosis respiratory aklalosis - Correct Answer pH 7.45, PaC02 low, HC03 low respiratory acidosis - Correct Answer pH 7.35 PaCO2 45 Hc03 normal 22-26 Metabolic alkalosis - Correct Answer pH 7.45 HCO3 26 PaC02 45-35 normal oxygen levle - Correct Answer 80-100 mild hypoxemia - Correct Answer 60-80 moderate hypoxemia - Correct Answer 40-60 severe hypoxemia - Correct Answer 40 A-a gradiatian calculation is a calculation of what? - Correct Answer level of hypoxia PA02-Pa02 A-a gradiant varies with age, calculation - Correct Answer 2.5 + 0.21 x age in years 5 causes of hypoxemia - Correct Answer VQ mismatch shunt PNA, interstitial lung dz hypoventilation high altitude clinical symptoms that require intubation - Correct Answer neuromuscular depression or failure. spinal cord injuries guillain barre syndrome trauma-spinal cord injuries, phrenic nerve injury myasthenia gravis shock status asthmaticus sustained apnea of any kind indications for weaning from vent - Correct Answer underlying process that required the vent is corrected maintaining oxygen status no presser support- levophed, epinephrine, etc. Pa02 80, FI02 of 0.5, and PEEP 8.0 cm H20 prior to seperation from the vent proceed with this ...... to determine if pt is able to dc vent - Correct Answer trial of spontaneous breathing Volume targeted assist control (AC) mode - Correct Answer the clinician determines tidal volume and rate/ pt can still breath over the vent. example: pt gets RR of 12 but has an additional 2 breaths on their own, pt will still breathe 14 breaths/min. tidal volume is based on the vent. Synchronized intermittent mandatory ventilation SIMV - Correct Answer clinician sets rate, and tidal volume, and peak inflation pt can also have their own breaths. tidal volume is set based on the patient. VENT doesn't specify tidal volume. Pressure Control - Correct Answer A mode of ventilation that is normally patient or time triggered, pressure targeted and time cycled. AC control vent settings how do you determine tidal volume? - Correct Answer is based on ideal body weight. careful with obese patients. tidal volume - Correct Answer Amount of air that moves in and out of the lungs during a normal breath peep - Correct Answer positive end expiratory pressure Static Pressure - Correct Answer the pressure of air at rest, or that portion in moving air, if the air stream were to stop Plateau pressure - Correct Answer Measures the compliance the entire lung End inspiratory pause button Peak pressure - Correct Answer Pressure required to get a volume of air into the lungs, fighting resistance increase in peak pressure is a complication from which patients? - Correct Answer ARDS or restrictive airway patients. high peak pressures with normal plateau pressures indicate.... - Correct Answer resistance, such as an ET obstruction or bronchospasm Minimal sedation - Correct Answer relief of anxiety, minimal affection on sensorium, anti-anixety medications

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NRNP 6566 final prep 6-12 with correct
answers 100% 2024
Normal pH - Correct Answer 7.35-7.45



<7.35 Acid

>7.45 alkalosis



respiratory aklalosis - Correct Answer pH> 7.45, PaC02 low, HC03 low



respiratory acidosis - Correct Answer pH < 7.35

PaCO2 > 45

Hc03 normal 22-26



Metabolic alkalosis - Correct Answer pH > 7.45

HCO3 > 26

PaC02 45-35



normal oxygen levle - Correct Answer 80-100



mild hypoxemia - Correct Answer 60-80



moderate hypoxemia - Correct Answer 40-60



severe hypoxemia - Correct Answer <40



A-a gradiatian calculation is a calculation of what? - Correct Answer level of hypoxia

PA02-Pa02

, A-a gradiant varies with age, calculation - Correct Answer 2.5 + 0.21 x age in years



5 causes of hypoxemia - Correct Answer VQ mismatch

shunt

PNA, interstitial lung dz

hypoventilation

high altitude



clinical symptoms that require intubation - Correct Answer neuromuscular depression or failure.

spinal cord injuries

guillain barre syndrome

trauma-spinal cord injuries, phrenic nerve injury

myasthenia gravis

shock

status asthmaticus

sustained apnea of any kind



indications for weaning from vent - Correct Answer underlying process that required the vent is
corrected

maintaining oxygen status

no presser support- levophed, epinephrine, etc.

Pa02 >80, FI02 of 0.5, and PEEP <8.0 cm H20



prior to seperation from the vent proceed with this ...... to determine if pt is able to dc vent - Correct
Answer trial of spontaneous breathing



Volume targeted assist control (AC) mode - Correct Answer the clinician determines tidal volume and
rate/ pt can still breath over the vent. example: pt gets RR of 12 but has an additional 2 breaths on their
own, pt will still breathe 14 breaths/min. tidal volume is based on the vent.

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