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 setting prevents alveolar collapse on a ventilator?
What is PEEP (Positive End-Expiratory Pressure)?
Why are children at higher risk for airway obstruction?
What is because they have proportionally larger tongues and smaller airways?
What does a flattened diaphragm on chest X-ray indicate?
What is hyperinflation, commonly seen in COPD?
What is the name of the surgical procedure where the larynx is removed?
What is Laryngectomy
What supplies and equipment is the RCP responsible for with patients with tracheostomy tubes, artificial airways, and/or stoma airways of the neck?
What are the two main components of a rapid sequence intubation (RSI)?
Answer: What are a sedative and a paralytic agent?
Baby is born and meconium is present. Infant is having respiratory distress and provider suspects meconium aspiration syndrome. Infant is on CPAP and developing worsening RD. Auscultation reveals very diminished BS on the left side. Provider orders STAT chest Xray. What is another quick bedside diagnostic tool could be used?
What is transillumination
Which physical exam finding suggests a tension pneumothorax?
What is tracheal deviation away from the affected side?
What structure prevents food from entering the trachea during swallowing?
What is the epiglottis.
What are the vent alarms limits pediatric patient for minute ventilation, and TV?
What is auto-PEEP and how can it be identified on a ventilator waveform?
Unintentional PEEP caused by air trapping; seen as incomplete exhalation on the flow-time waveform.
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 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 are the alarms limits for a Neonatal patient for minute ventilation and PIP
Minute Ventilation
What does the mnemonic "DOPE" stand for when troubleshooting a ventilated patient?
What is Dislodgement, Obstruction, Pneumothorax, Equipment failure?
What the mnemonic MRSOPA?
What is
M Mask adjustment to assure good seal
R Reposition airway
S Suction nose/mouth (if needed)
O Open mouth and move jaw forward
P Pressure increase until chest rise
A Airway Alternative- consider ETT/LMA
A 4-year-old child is in the ED with complaints of sore throat, irritable and mom reports drooling. The patient has a fever, SOB, and stridor. Lateral neck Xray shows the "thumbprint sign". What is your diagnosis?
What is Epiglottis
What condition is characterized by a P/F ratio < 200?
What is ARDS (Acute Respiratory Distress Syndrome).
You assist Dr. Stallings with a bedside emergency bronchoscopy on a ventilated patient. Per policy what ventilator documentation is required?
What is Document Ventilator Settings before, during and after the procedure
Let's say you have the following 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
Example:
Desired VE = (Current PaCO2 * Current VE) / Desired PaCO2
Desired VE = (55 mmHg * 8 L/min) / 40 mmHg
Desired VE = 11 L/min
What is the correct placement for the tip of an endotracheal tube in a neonate on X-ray?
What is between T2 and T3 vertebrae (or between clavicles)?
Triage Nurse call Respiratory for a child brought into the ED with history of Asthma. You note absence of breath sounds, sudden rise in respiratory rate, tachycardic, hypoxia. What is your immediate clinical concern?
What is Status Asthmaticus