Respiratory Trivia
Which part of the brain regulates breathing?
What is the Medulla oblongata
By policy what is the GCS a patient should maintain on NIV?
They must maintain a Glasgow Coma Score (GCS) greater than 11. If GCS ≤ 11,
What are the two main components of a rapid sequence intubation (RSI)?
What are a sedative and a paralytic agent?
Children are at higher risk for airway obstruction because their airways have this key anatomical difference compared to adults.
What is their airways are smaller and narrower in diameter?
This abnormality, often seen on a chest X-ray, can indicate hyperinflation of the lungs commonly associated with conditions like COPD.
What is hyperinflation
What is the name of the surgical procedure where the larynx is removed?
What is Laryngectomy
What does an adult tracheostomy patient needs to have at the bedside AND transport at all times?
What is: An emergency airway bag will be kept at the patient's bedside at all times (including during transport).
This bag will contain a #6 cuffed endotracheal tube (ETT) and a suction kit.
In pressure-controlled ventilation, this variable is constant, while tidal volume may vary.
What is inspiratory pressure?
A newborn with suspected meconium aspiration syndrome is worsening on CPAP. Breath sounds are diminished on the left, and a STAT chest X-ray is ordered. This quick bedside diagnostic tool can also be used to assess for pneumothorax or other lung pathology.
What is transillumination
This physical exam finding, characterized by tracheal deviation away from the affected side, strongly suggests this life-threatening condition.
What is tracheal deviation (away from the effected side)
What structure prevents food from entering the trachea during swallowing?
What is the epiglottis.
Scenario: Patient's family brings in their home CPAP machine to use at night for OSA.
What system smart phrase (per policy) would be document that equipment is safe to use on admission to facility?
RESPHOMECPAPPASS
The gold standard for confirming endotracheal tube placement.?
What is end-tidal CO₂ (capnography)?
What is the leading cause of cardiopulmonary arrest in children?
What is Respiratory Failure
A pH of 7.31, PaCO₂ of 52, HCO₃⁻ of 24 indicates what?
What is acute respiratory acidosis?
Which organ primarily regulates bicarbonate levels?
What is the kidneys.
What is the widely accepted nominal cuff pressure to minimize potential damage to the mucous membranes of the tracheal wall?
What is 15 cmH2O
This ventilator parameter reflects lung compliance and is calculated by (tidal volume / (plateau pressure – PEEP)).
What is static compliance
This respiratory condition is most common in term or late-preterm infants born via C-section and usually resolves within 72 hours.
What is Transient Tachypnea of the Newborn (TTN)?
Characterized by sudden onset of high fever, drooling, and stridor in children, this potentially life-threatening condition has become rare due to the Hib vaccine.
What is Epiglottis
What condition is characterized by a P/F ratio < 200?
What is ARDS (Acute Respiratory Distress Syndrome).
When assisting with a bedside emergency bronchoscopy on a ventilated patient, per hospital policy, this documentation about the ventilator settings must be recorded for procedure
What is Document Ventilator Settings before, during and after the procedure
What formula would you use to get a desired VE?
Example: ABG values: PaCO2: 55 mmHg (High), Current VE: 8 L/min, and you want to achieve a desired PaCO2: 40 mmHg. What formula can you use to get what get desires VE?
What is (Current PaCO2 * Current VE) / Desired PaCO2= VE to achieve desired PaCO2
Example:
Desired VE = (Current PaCO2 * Current VE) / Desired PaCO2
Desired VE = (55 mmHg * 8 L/min) / 40 mmHg
Desired VE = 11 L/min
How many ml/kg would you use per Children's Hospital for a 900 Gram/.9 kg baby
What is 5-5.5ml/kg
A child with a history of asthma presents to the ED with wheezing, severe SOB, inability to speak in full sentences, high HR, and nearly inaudible breath sounds on auscultation. Reported breathing TX's given enroute. This life-threatening condition should be your top concern.
What is Status Asthmaticus