BKAT CRITICAL
CARE REVIEW PRACTICE QUESTIONS AND ANSWERS
TETSED AND APPROVED!!!
Major therapeutic goal in the Tx of cardiogenic shock is? --
ANSWER-Increase the cardiac output
Elevated cardiac enzymes occur in all of the following EXCEPT: --
ANSWER--
CHF
*will occur in trauma, CABG, and pericarditis
What is the classic EKG change in a MI: -- ANSWER--ST segment
elevation
After an arterial catheter is removed direst pressure should be applied
for how long? -- ANSWER--5-10 minutes
A CVP reading directly measures pressure where? -- ANSWER--
Right Atrium
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You can use an arterial line for all the following except: -- ANSWER-
-
Administration of drugs
Causes of ST elevation include: -- ANSWER--MI, pericarditis, left
bundle branch block, left ventricular hypertrophy, hyperkalemia
Causes of ST depression Include: -- ANSWER--Hypothermia,
hypokalemia, tachycardia
What is the normal pulmonary capillary wedge pressure? --
ANSWER--4-12 mmHg
Normal pulmonary artery pressure is? -- ANSWER--11-20
Elevated central venous pressure show: -- ANSWER--Right sided
heart failure
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Pulmonary capillary wedge pressure shows pressure where? --
ANSWER--Left ventricle
Monitor is showing the correct pattern for a pulmonary capillary
wedge pressure, you can do all of the following except? -- ANSWER-
-Flush the line
If the pulmonary capillary wedge pressure is elevated it can be an
indication of? -- ANSWER--Left ventricular failure
The wave in the cardiac cycle that shows atrial depolarization is? --
ANSWER--
P-Wave
P-R interval -- ANSWER--0.12-0.20 seconds
QRS Complex longer that 0.12 may indicate? -- ANSWER--Bundle
branch block
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What is the purpose of enclosing a pacemaker generator in a rubber
glove is? --
ANSWER--To prevent electrical interference with the pacemaker
In which part of the cardiac cycle would a strong ventricular stimulus
be dangerous -- ANSWER--T-wave
What is the initial drug Tx for ventricular tachycardia? -- ANSWER--
Lidocaine
50-100MG
You have a patient that has no pulse, apneic and the monitor is
showing asystole. What drug is given initially? -- ANSWER--
Epinephrine
To avoid sepsis when dealing with a central venous catheter the most
important thing you can do is? -- ANSWER--Use aseptic care when
dealing with the catheter
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