Tracheostomy
Abuse
Terminal Illness
Obesity
Dan Ballard
100
The inner cannula of a tracheostomy tube:
A. Should be equipped with a cuff if used in a pedi
B. Has a 15mm port that can be attached to a ventilator circuit
C. Is the larger tube that passes directly into the trach
B. Has a 15mm port that can be attached to a ventilator circuit
100
Approximately 70% of all child abuse or neglect cases involve
Substance abuse by the perpetrator
100
A definition of terminal illness
Disease that is expected to cause death within 6 months, confirmed by a physician
100
Definition of morbid obesity by Body Mass Index
40-49.9 kg/m (squared)
100
Ballard's saying when he's accused of getting a question wrong in Group Testing
"Don't you put that evil on me"
200
A fenestrated tracheostomy tube:
A. Should be used for pts who require constant support from a ventilator
B. Is not equipped with an inflatable cuff and is secured with sutures
C. Allows the pt to speak, breathe or clear secretions from the upper airway
C. Allows the pt to speak, breathe or clear secretions from the upper airway
200
This patient population is at the greatest risk for abuse or neglect
Children with chronic medical conditions
200
When patients with a terminal illness will continue aggressive treatment hoping for a statistically improbably recovery or prolong life as long as possible it is called
Curative care
200
A factor that complicates airway management in an obese patient
Limited neck mobility
200
Ballard's reaction to Cary saying "Nice going Dan"
Slams desk with hands, spins around and lunges toward Cary
300
When suctioning the trach od a ventilator dependent pt it is most important to
A. Keep the pt well oxygenated
B. Have a new tube readily available
C. Suction no longer than 5 seconds
A. Keep the pt well oxygenated
300
Most common type of maltreatment
Neglect
300
This happens to medical care when a patient is receiving palliative care
Medical care continues, but aggressive and invasive treatments cease
300
Position that would most likely be ineffective for ventilating an obese patient with a BVM
Supine
300
Location of Ballard's standup comedy
Go Bananas Comedy Club
400
On arrival at the residence of a 27 y/o man who has a trach tube and is mechanically ventilated, you note that he is breathing shallowly, is cyanotic and diaphoretic. You should:
A. Disconnect the pt from the mechanical ventilator and use a BVM to ventilate
B. Immediately check the settings on the mechanical ventilator to ensure it is working
A. Disconnect the pt from the mechanical ventilator and use a BVM to ventilate
400
A type of maltreatment that involves isolating the victim from others
Emotional abuse
400
Primary tasks for paramedics who are caring for patients with a terminal illness
Pain assessment and management
400
Percentage of adults in America who are considered obese (as of 2023)
40.3%
400
The way Dan drinks from his water bottle in the middle of a silent room during a test
500
Several attempts to clear a plugged trach tube with suction have failed. The pt, who is on a mechanical vent has a pulse of 150 and is making exaggerated attempts to breathe. You should
A. Remove the trach place a mask over the stoma and vent with a BVM
B. Deflate the cuff on the trach tube and vent the pt in the usual way with a BVM
B. Deflate the cuff on the trach tube and vent the pt in the usual way with a BVM
500
A man leaving his 4 year old child at home alone while he golfs with his friends is an example of this type of maltreatment
Abandonment
500
The purpose of hospice care
End of life care, pain and symptom management
500
Definition of BMI/ How to calculate it
Body Mass Index, weight in kg divided by height in meters squared
500
Things that have been put in Dan's water bottle
Coffee grinds, saltine crackers