HFJV ADVANCED
PEDS
AGP's
MISC
oops
100
JET therapy should be considerD in at least what 3 patient conditions
What is hemodynamic compromise, secretions, air leak syndrome, failure of HFOV
100
These 2 other types of samples may be an alternative to ABG punctures of pediatric patients but are unreliable for PO2
What is Venous and capillary
100
How frequently should fit testing occur for staff
What is every year
100
After a patient is intubated and placed on a ventilator, how quickly should an ABG be taken
What is within 30 minutes
200
When transitioning from HFOV to the jet, this is how you would figure out the PIP to set
What is put lifeport adapter in line and generated HFOV amp will show on jet measured pip
200
This is the minimal amount of blood that should be collected in pediatric patients
What is 0.3 CC for less than 3 years and at least 0.5cc for >3 years
200
True or false: N95 mask must be worn at all intubations now, where are n95 masks kept on the crash carts?
What is True, located in airway drawer
200
Describe the correct procedure for extubating a difficult airway patient in the ICU
What is Ensure anaesthesia present for extubation
200
You have an overdose patient ventilated on AC 20 x 450, Peep 8, Fio2 .35 who is not ready for spontaneous breathing yet. An ABG comes back at 7.36/39/64/23/94. What changes would you make?
What is NONE!
300
In BPD or chronic lung disease this setting would be most beneficial in improving overall jet therapy and why?
What is increase Ti to improve distribution of ventiatlion as these patients will have longer time constants due to lung compliance changes
300
Pediatric patient is defined by what age?
What is >45 weeks PMA---ie number of weeks at birth and number of weeks after birth, and the upper age limit 17 years less a day
300
A trach patient with droplet precautions is on t-p and needs to go for a transport. What is the safest way to transport this patient while minimizing AGP’s
What is Manual bagger with filter
300
What is the best way to transport a ventilated 17 kg child to CT scan
What is Adult LTV circuit with peds HMEF
300
How many RT's should attend a code blue? what specifc RT's should be at the code?
What is Charge, ICU,
400
In an airleak syndrome this parameter is most important to set optimally
What is MAP, labout 1-2 lower than CV so don’t’ aggravate the leak
400
What is the max flow the pediatric size opti flow prong can be used to
What is 25L/min
400
Name 4 low risk AGP’s that require staff to wear an N95 when a patient is on droplet precautions
What is Nebulizer therapy, high flow o2, NIPPV, Breaking circuit on vent, changing hme, T-P
400
These are the 4 moments of hand hygiene
What is Before patient contact, before aseptic task, after body fluid exposure, after patient contact
500
In this disease or patient’s condition, starting with a lower jet rate and higher MAP should be used to avoid air trapping and spline open airways
What is Meconium aspiration syndrome
500
You have a 10 kg 4 month old child come in and requires intubation and ventilation. What ETT size and blade would you recommend using, and what VT/RR and Ti would you pick as a start?
What is 4.0 ETT, 1-2 Miller blade, VT 60-105 ml (6-10 ml/kg), RR 30-45, Ti 0.6-0.7
500
Name 5 high risk AGP’s where an N95 mask must be worn regardless of any precautions
Tracheotomy, sputum induction, BMV with no filter, Bronchs, CPR with bmv (no filter), intubation
500
Name 5 mandatory certifications that must be completed by staff and how frequently
What is ACLS q2yr, NRP q2yr, Hand hygiene q1yr, Code red q1yr, Mask fit test q1yr, Artline 2 per yr