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Quiz: List he four critical life functions
Ans: Ventilation - moving air in and out of the lungs
Oxygen - getting oxygen into the blood
Circulation - moving the blood through the body
Perfusion - getting blood and oxygen into the tissue
Quiz: Which of the four life function is the FIRST priority?
Ans: Ventilation
HINT: Do not pick STAT ABG on the exam
Quiz: What assessments would determine how well a patient is ventilating?
Ans: Respiratory Rate, tidal volume, chest movement, breath sounds, etco2, paco2
HINT: Always choose "turn up the flow" if it's an option.
Quiz: How would the ACCS determine if a patient has a problem with oxygenation?
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, Ans: Check heart rate, color, sensorium, pao2, sao2
HINT: This is the most common problem
Quiz: What information would help the ACCS determine if a patient's circulation is
adequate?
Ans: Check pulse and heart rate, heart strength, cardiac output
Quiz: What changes would indicate that a patient may not have adequate perfusion?
Ans: Check blood pressure, sensorium, temperature, urine output, and hemodynamics.
Quiz: Describe the difference between "signs" and "symptoms" and list an example of each.
Ans: Sings: objective information - things that you can see or/ measure.
Example: Color, pulse, edema, blood pressure
Symptoms: subjective information - those things that the patient must tell you.
Example: dyspnea, nausea, pain, muscle weakness, etc.
Quiz: Define an advance directive.
Ans: Set of instructions documenting what treatment a patient would want if he/she was
unable to make medical decisions.
Quiz: List and describe the four types of advance directives:
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, DNR
DNI
Living Will
DPO
Ans: Do Not Resuscitate
Do Not Intubate
Living Will describes treatment plan would want if he becomes terminally ill (<6 months to
live)
Durable power of attorney - makes health care decisions effective when patient is unable to
make decisions.
Quiz: A properly written order for respiratory care should include what four factors?
Ans: Type of therapy
Frequency
Medication dosage and dilution
Physician signature
Quiz: What is the normal value for urine output?
Ans: 40 mL/hr = 1 liter per day
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, Quiz: What findings might indicate that the patient's fluid intake has exceeded their urine
output?
Ans: Weight gain
Electrolyte imbalance
Increased hemodynamic pressures
Decreased lung compliance
Quiz: Changes in patient's CVP reading can indicate hypovolemia.
Ans: < CVP = hypovolemia
> CVP = hypervolemia
Quiz: What is normal CVP pressures?
Ans: 2-6 mmhg via Swan Ganz
4-12 cmh20 via central line
Quiz: *NOTE: PFT labs are not on the exam.
Patient lab reports may include:
- abg
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