Exam with Correct Answers 2025
Terms in this set (95)
You are transporting a The curve will be shifted right
traumatic patient who has
been in the Trauma ICU with
significant injuries for 1 week.
He has not developed sepsis
with the following VS:
BP: 88/55
P: 120 Sinus tach without
ectopy RR: 10
SpO2: 100%
Temperature:
102.1F ABGs
pH: 7.1
PaCO2:
50mmHg
PaO2: 340
mmHg
HCO3:
30mEq/L
What would you expect with this
patient's O2 Hemoglobin
dissociation curve?
You are intubating a 54 year old II
female who is 5'2" and weighs
235lbs. While preforming a
mallampati assessment, you
notice her soft palate and major
part of uvula present. You could
classify her as a class:
Structures seen with Class I Soft palete, uvula, fauces, pillars visible
,Mallampati assessment
,Structures seen with Class II Soft Palate, major part of uvula, fauces visible
Mallampati assessment
Structures seen with Class III Soft palate, base of uvula visible
Mallampati assessment
Structures seen with Class IV Only hard palate visible
Mallampati assessment
What can cause a left shift in A patient who received mass transfusion
the oxyhemoglobin
dissociation curve? ARDS Would shift left due to increased oxygen carrying. ARDS,
A pt. who received mass Respiratory acidosis, and sepsis all are associated with acidosis,
transfusion Respiratory lower pH, higher levels of CO2, which would cause a right shift
Acidosis
Sepsis
Oxygen is the final electron acceptor in the electron transport chain
When it comes to making ATP
during aerobic respiration,
High-energy electrons go through the electron transport chain
why is oxygen necessary?
in a series of exe3rgonic redox reactions. Ultimately used to
produce ATP.
Which of the following methods Fogging in the tube
is the least effective way to
confirm endotracheal tube
placement?
End Tidal CO2
capnometry
Fogging in the tube
Direct visualization between
the vocal cords
Bilateral equal lung sounds
What is the gold-standard to End Tidal CO2 capnometry
confirm ETT placement?
Gas will diffuse from high pressure to low pressure
What is Graham's law?
Higher O2 concentration in alveoli will diffuse to capillaries,
which has lower concentrations of O2
, SMART
Surgery of
Acronym to consider for Neck Mass
surgical cric considerations Access to the neck - obesity, Limited
ROM Radiation
Tumor
HEAVEN
Hypoxemia
Extremes of size - obese pt,
Acronym to consider when
petite pt. Anatomic
predicting a difficult airway
disruption/obstruction
Vomit/blood/fluid
Exsanguination- bled out so much they can't
keep SpO2 up Neck mobility/neuro injury
Mallampati is direct visualization of the oral cavity and
Mallampati score vs Cormack-
oropharynx Cormack-Lenane score is direct visualization
Lenane score
of the pharynx and glottis with laryngoscope
They compete with acetylcholine, blocking nicotinic receptors
How do non-depolarizing Non-depolarizing neuromuscular blocking drugs do not
paralytic agents, like depolarize receptions. They compete with Ach for binding sites
on nicotinic alpha subunits, causing skeletal relaxation
rocuronium, work?