Ventilation
The name of the paralytic found in the RSI kit
A. What is Succinylcholine?
B. What is Versed?
C. What is Etomidate?
Inclusion criteria includes a Glasgow Coma Scale of less than_______
What is
A. 10
B. 8
C. 6
During a procedure that requires moderate sedation, vital signs, level of consciousness, and airway patency must be monitored every ___ minutes.
What is
A. 10 minutes
B. 15 minutes
C. 5 minutes
D. 2 minutes
The shock state that presents with profound vasodilation and capillary leak which leads to relative hypovolemia.
What is
A. Septic shock
B. Cardiogenic shock
C. Hypovolemic shock
For hemodynamic monitoring, the phlebostatic axis approximates this.
What is
A. The left atrium
B. The right atrium
C. The aorta
D. The left ventricle
Explain the meaning of AC/VC with the following ventilator settings:
AC/VC - rate- 14, Vt -450, PEEP- 10, FIO2- .80
A. What is assist control/volume control in which the tidal volume is set for 450 for all patient breaths
B. What is assist control/ volume control in which the tidal volume is set for 450 for only ventilator assisted breaths
C. What is assist control/volume control in which the tidal volume is set for 450 for only patient initiated breaths
Exclusion criteria includes all of the following EXCEPT
What is
A. Sepsis
B. Unmanageable hemodynamic instability
C. Purposeful movement
D. ROSC at 45 minutes after initial cardiac arrest
Moderate sedation should elicit this patient response
What is
A. Purposeful response after repeated or painful stimulation
B. Purposeful response to verbal or tactile stimulation
C. Normal response to verbal stimulation
D. Unarousable, even with painful stimulation
The components of cardiac output include:
What is
A. HR x BP
B. HR x preload
C. HR x SV
A misplaced internal jugular attempted central line suspected to be in the carotid artery can be evaluated by this
What is
A. A pulsatile flow
B. Transducing the line to assess the waveform
C. Ultrasound
D. All of the above
Interpret the following ABG: pH- 7.18, PAO2 - 54, HCO3 - 16, CO2 -61, sats- 90% with a patient on FIO2 - .80
A. Metabolic acidosis with hypoxia
B. Respiratory acidosis
C. Combined respiratory and metabolic acidosis with hypoxia
Goal temperature of _____ should be achieved within ____ hours of ROSC
What is
A. 33 degrees Celsius and 2 hours
B. 34 degrees Celsius and 4 hours
C. 33 degrees Celsius and 4 hours
D. 34 degrees Celsius and 2 hours
The reversal agent for opiates that can cause nausea, sweating, and hypertension.
A. Flumazenil
B. Versed
C. Sublimaze
D. Narcan
The primary hemodynamic effect of Dopamine 5-10mcg/kg/min
What is
A. Increase preload
B. Decrease afterload
C. Increase contractility
The time a patient needs to stay in a supine position after a central line has been pulled
What is
A. 10 minutes
B. 1 hour
C. 30 minutes
D. None- they can get up after hemostasis is achieved.
The interventions for a patient on a volume control mode with the alarm of high peak pressures.
A. What is suction patient?
B. What is assess for agitation?
C. What is consider a pressure control mode?
D. What is all of the above?
Stop all _______ infusions before the re-warming phase.
What is
A. Potassium
B. Magnesium
C. Sedation
D. All of the above
The FIRST action for a patient with moderate sedation that has an EtCO2 of 4, sats 94% and BP - 88/52(64).
What is
A. Give them a fluid bolus- they are hypovolemic
B. They are fine- recheck vitals in 5 minutes
C. Assess airway, respiratory effort and sedation level
Ms. B. is admitted with c/o SOB and fatigue. Clinical findings: Bibasilar crackles, S3, Chest X-ray- venous congestion and weight gain of 10 pounds in 1 week. The hemodynamic alterations that need to be treated for Ms. B
What are
A. Increased afterload, decreased contractility and increased preload
B. Decreased afterload, decreased contractility and decreased preload
C. Decreased afterload, decreased contractility and increased preload
The maximum amount of time a Huber needle can be in place before it needs to changed in a port-a-cath.
What is
A. 5 days
B. 7 days
C. 2 weeks
D. 1 month
The ventilator setting that can be changed to improve the following ABG: pH- 7.35 PAO2 -50 CO2 - 45 HCO3 - 23, sats - 88% on AC/VC - rate 16, Vt - 425, FIO2 - .50, PEEP - 5
What is
A. Increase Vt
B. Increase PEEP
C. Increase FIO2
D. Increase FIO2 and PEEP
Neurologic prognostication should not occur before ___ hours post protocol completion.
What is
A. 48 hours
B. 24 hours
C. 8 hours
D. 72 hours
Monitor a patient for minimum recovery period of ___ minutes from the last dose of sedation
What is
A. 30 minutes
B. 60 minutes
C. 15 minutes
D. 45 minutes
First line vasoactive drip after fluid resuscitation used for septic shock
What is
A. Vasopressin
B. Dopamine
C. Epinephrine
D. Levophed
The only exception for an medication infusion in a arterial line
What is
A. Heparinized saline
B. No medications
C. In a code, when venous access cannot be established