Airways
What is the purpose of a pilot balloon?
Monitor cuff pressures
What disorders are typically associated with exudative pleural effusions
Pna
Cancer
Identify the hallmark symptom of bronchiectasis.
Copious purulent sputum
This is the most difficult thing to monitor during a procedure like bronchoscopy
Depth of sedation
Severe hypercapnia
Impaired neck mobility
Recent myocardial infarction
The following criteria are contraindications for which procedure?
Flexible bronchoscopy
What is the purpose of the murphys eye?
Collateral air movement if there is an obstruction
Hypoxemia during FB on a mechanically ventilated patient is typically due to
loss of lung volume.
Your patient is in the burn unit of the hospital with burns that have destroyed the epidermis and dermis above the fascia. What degree of burn would this be categorized as?
3rd
These are considered indications for flexible bronchoscopy
Unexplained lung collapse
Evaluate endotracheal tube-related injury
Bronchogenic carcinoma
To retrieve a foreign object is done under most circumstances you would use a
a rigid bronchoscope
Evaluating a patient for extubation, what would you recommend to minimize the risk of postextubation aspiration?
Discontinue (DC) tube feeding 4 to 6 hr before extubation.
Head of bed elevated 30 degrees
How should the vacuum regulator be adjusted after the set-up of a chest tube system?
Adjust until gentle continuous bubbling is observed in the suction control chamber
Cystic bronchiectasis is defined as .....
Progressive, distal enlargement of the airways, resulting in sac-like dilatations is classified as
The complications of Afib include:
Stroke
Reduced cardiac output
Pulmonary embolism
These are two major complications of transbronchial biopsy?
Pneumo and bleeding
This assessment of the upper airway prior to a procedure helps identify patients in whom it may be difficult to secure an airway is referred to as
the Mallampati classification.
If the water level in the water seal chamber is too low, what can be the hazard to the patient?
Increases the risk of entry of atmospheric air into the patient’s thoracic cavity
Which complaint is most closely associated with the diagnosis of chronic bronchitis?
Chronic productive cough
What are the treatments for your our patient presents with unstable wide complex monomorphic Vtach.
Sedate the patient
Adenosine 6mg
Cardioversion 100J
Which dysrhythmia usually has recognizable QRS complexes, and has ill-defined atrial activity at a rate that is usually uncountable?
AFIB
You need to set up a vent for a 750 pound male patient. What are some settings you would use and add any additional support that would be needed following extubation.
Pressure or volume ventilation
Position head of the bed greater than or equal to 30 degrees elevation
NIV for 24- to 48-hr postextubation
During a bronchoscopic procedure, a patient starts bleeding excessively. The patient should be administered which drug to control the bleeding?
Epinephrine
Iced saline
Lidocaine
Your 23 yr old male pt is BIBA to the emergency department after falling from a ladder. Bedside assessment reveals trachea deviation to the right, dull percussion note on the left with decreased breath sounds on the left. This information would indicate that this patient is suffering from:
Hemothorax
After an intubation attempt, an expired capnogram indicates a CO2 level near zero. What does this finding probably indicate?
Placement of the endotracheal tube in the esophagus
What are some differences between defibrillation and cardioversion?
1 defibrillation is an unsynchronized countershock
2 cardioversion is done at an energy level starting at 50 J.
3 defibrillation is the single most important treatment for V-Fib