Name that Disease
The abnormal new tissue growth characterized by the progressive, uncontrolled multiplication of cells
Cancer
Chest radiograph findings would be associated in a patient with ILD
Plueral effusion
Honeycombing
What test is usually performed to confirm the diagnosis of myasthenia gravis
RNS
What are the ventilatory stratergies used in the treatment of ARDS
Small tidal volume
Increased RR
During the assessment of an adult patient who is receiving mechanical ventilation, you suddenly notice the simultaneous sounding of both the low pressure and low volume alarms. What is the most likely cause of this finding?
There is a disconnection in the ventilator circuit
This disease process involves loss of reflexes and symmetrical paralysis of skeletal muscles. Patient's symptoms are leg pain and numbness
GBS
The respiratory therapist is evaluating a patient for risk for obstructive sleep apnea. Which of the following are risk factors for obstructive sleep apnea?
Excess weight
Large neck size
Hypertension
T—represents the size and location of the primary tumor
N—denotes the regional lymph node involvement
M—signifies the extent of metastasis (e.g., common sites are the brain, bones, adrenal glands, liver, kidneys, and other lung)
Staging of NSCLC
Staging of Cancer
A patient with myasthenia gravis is given edrophonium, what response would be expected?
Strength will temporarily improve for 10 minutes
A 50-kg (110-pound) 30-year-old female patient has myasthenia gravis. Bedside spirometry has found her VC to be 700 mL and NIF –14 cm H2O. Vital signs show a respiratory rate of 38 breaths/min, a heart rate of 140/minute, and blood pressure of 130/90 mm Hg. What should the respiratory therapist recommend?
Initiate mechanical ventilation per protocol
Characterized by acute, subacute, or chronic inflammatory infiltration of alveolar walls by cells, fluid, and connective tissue
ILD
Clinical signs of an upper airway thermal injury include
Facial burns
Mucosal edema
Epithelial sloughing
A 10-year-old patient has inhaled hot gases, and an inspection of her mouth shows edema and blisters. What should the respiratory therapist recommend?
Perform endotracheal intubation
A physician recommended a thymectomy for a patient with generalized myasthenia gravis. The primary benefit of this procedure is to
Eliminate the source of AChR antibodies
An adult patient with pneumonia was intubated and placed on pressure control ventilation with a FiO2 of 75% and a PEEP of 10 cm H2O. The chest x-ray shows bilateral infiltrates. After being on the ventilator for 30 minutes, an ABG is obtained with the following results: pH 7.47 PaCO2 33 torr PaO2 38 torr SaO2 65% HCO3 25 mEq/L BE +2 MEq/L. What is the P/F ratio? How would treat a patient with this P/F ratio?
38/.75= 51
Severe ARDS
Increase the PEEP, PRONE the patient, add iNO, or increase the FiO2
The signs of this disease usually appear 6 to 72 hours after the inital event and worsens rapidly
ARDS
Radiographic findings would be associated with the intermediate stage of recovery from a serious smoke inhalation injury
Pulmonary edema/ARDS
What are three types of respiratory issues that virtually all near drowning suffer from?
Hypoxemia
Hypercapnia
Respiratory acidosis
The management of this lung disease is directed at the inflammation associated with the various disorders and are treated with corticosteroids and immunosuppressive agents
Management of ILD
A patient presents in the emergency department complaining of fatigue, headaches, and mouth sores. His CBC indicates a low while blood cell count. Current medications include Cyramza and Combivent. Which of the medications are likely causing his symptoms?
A. Cyramza
B. Combivent
C. The combination of these medications is contributing to his complaints
D. None of these medications are contributing to his complaints
A. Cyramza
A person with ____________ usually begins with central apnea that is followed by obstructive apnea
Mixed sleep apnea
What COHb level is associated with a throbbing headache, nausea, vomiting, and impaired judgment?
20% to 30%
4mL x BSA (%) x weight (kg)
Parkland Formula for fluid resuscitation for burn patient
A sleep study is done on a patient that revealed the patient had 78 apneas and 103 hypopneas over 8 hours of total sleep time. What is the patient’s AHI? How would you classify the results? How would you treat it?
78+103=181 181/8= 22.6
Moderate OSA
Start CPAP or Start CPAP to achieve an AHI of less than 5
In an industrial accident, an adult incurred burns over his head, both legs, posterior truck, and his anterior trunk. What percent of his BSA was burned?
81%