Pulmonary
Cardiology
ALS/BLS
Mech. Ventilation
Miscellaneous
100

This flow loop is consistent with what pulmonary condition?

Obstructive pulmonary disease

100

What is this rhythm? (Exact name only)

Ventricular tachycardia

100
What does ROSC stand for and what occurs in the capnometry reading?

Return of spontaneous circulation

A spike is observed in the exhaled CO2 reading

100
What is the best method to evaluate weaning and ventilator liberation, and what are the most common modes used?

A spontaneous breathing trial, SIMV or PSV can be used

100

Difference between Macintosh and Miller blade and where do you place them during intubation?

Macintosh=curved, the vallecula

Miller=straight, lifts epiglottis

200

Scientific name for croup?

laryngotracheobronchitis

200

This view analyzes the inferior (bottom) surface of the heart from right arm to left leg.

Lead II

200

Non-shockable rhytms?

Pulseless electrical activity and Asystole

200
List ALL possible reasons a low delivered VT alarm may sound?

Cuff is leaking

Leak in the tubing

Exhalation valve is stuck on open

Leak in the water heater

Alarms were not adjusted

200
Patient presents to the ER following MVA with Glascow Coma Score of 6, what must be done immediately?

Intubate

300

What is this disease process?

Dullness to percussion, decreased tactile fremitus, absent breath souns.

Pleural effusion

300

Which lead is placed in the 5th ICS, anterior axillary line?

V5

300

During intubation, what should be done INITIALLY to confirm a tracheal intubation?

Colorimetric capnography and bilateral chest rise

300

A 23 year old female (5'6", 60 kg, 132 lbs) is admitted to the ED following a drug overdose. ABG is as follows:

 ph 7.34   PaCO2 62 torr   PaO2 74 torr  HCO3 26 mEq/L

The physician has orders for mechanical ventilation, what would be the most appropriate settings?

A) VC SIMV Vt 360mL, RR 6 bpm, FiO2 55%, PEEP 6cmH2O

B)VC AC Vt 450mL, RR 26 bpm, FiO2 40%, PEEP 2cmH2O

C)VC SIMV Vt 500mL, RR 14 bpm, FiO2 65%, PEEP 10cmH2O

D) VC AC Vt 600mL, RR 10 bpm, FiO2 50%, PEEP 5cmH2O

D) VC AC Vt 600mL, RR 10 bpm, FiO2 50%, PEEP 5cmH2O

300
For sleep apnea studies, if a patient has an apnea hypopnea index of 28, what category of sleep apnea would that be?
Moderate sleep apnea AHI (16-30)
400

It is he difference between the amount of the oxygen in the alveoli (the alveolar oxygen tension [PAO2]) and the amount of oxygen dissolved in the plasma (PaO2), is an important measure to help narrow the cause of hypoxemia. It describes the overall efficiency of oxygen uptake from alveolar gas to pulmonary capillary blood. What do we call this formula?

 The A-a gradient

400
A 62-year-old male patient with a history of COPD is receiving mechanical ventilation in the ICU. The nurse notes a sudden drop in the patient's blood pressure and oxygen saturation. A pulmonary artery catheter is in place, and the respiratory therapist obtains the following hemodynamic profile:
  • CVP: 14 mmHg    PAP: 42/22 mmHg
  • PCWP: 7 mmHg   MAP: 58 mmHg    CO: 3.2 L/min

What is most likely the issue?

Pulmonary hypertension due to pulmonary vasoconstriction caused by COPD hypoxemia

400

Drugs that can be instilled in the ET tube (aka VANEL or NAVEL)?

Valium Atropine Narcan Epinephrine Lidocaine

400

What are the possible ways to correct Auto-PEEP when you identify it?

Increase E-time (AKA decrease i-time)

Alter I:E ratio

Lower the high MV (lower Vt or RR) (AKA calm the patient down)

Switch to a bigger ET tube size

400

What is the tube placement location to drain FLUID from the pleural space?

5th to 7th intercostal space in the midaxillary line