Podcast
Questions and Answers
What is the primary purpose of palliative sedation?
What is the primary purpose of palliative sedation?
- To reduce pain in patients with reversible diseases
- To hasten death in patients with incurable diseases
- To relieve suffering in patients with incurable diseases (correct)
- To induce coma in patients with painful diseases
Which of the following drugs is NOT commonly used in palliative sedation?
Which of the following drugs is NOT commonly used in palliative sedation?
- Ketamine
- Midazolam
- Fentanyl
- Metoprolol (correct)
What is a unique characteristic of Propofol?
What is a unique characteristic of Propofol?
- It is a water-soluble medication and can cause tachycardia
- It is a gas anesthetic and can cause respiratory depression
- It is a fat emollient and can cause hypotension (correct)
- It is a fat emollient and can cause hypertension
What is the normal range of PaO2?
What is the normal range of PaO2?
What is the role of the lungs in regulating pH?
What is the role of the lungs in regulating pH?
What is the relationship between the lungs and kidneys in regulating pH?
What is the relationship between the lungs and kidneys in regulating pH?
What is the usual order of interventions for respiratory management if a patient's condition is worsening?
What is the usual order of interventions for respiratory management if a patient's condition is worsening?
What is the correct mnemonic for remembering the regulation of pH?
What is the correct mnemonic for remembering the regulation of pH?
What is a possible complication of Propofol use?
What is a possible complication of Propofol use?
What is the primary concern when dealing with anaphylaxis and a blocked airway?
What is the primary concern when dealing with anaphylaxis and a blocked airway?
What is the recommended initial intervention for a patient with an upper airway obstruction who is conscious?
What is the recommended initial intervention for a patient with an upper airway obstruction who is conscious?
What is the purpose of elevating the head of the bed to 30 degrees in a patient with altered LOC?
What is the purpose of elevating the head of the bed to 30 degrees in a patient with altered LOC?
What is the primary concern when dealing with a patient who has a tumor putting pressure on the walls of the airway?
What is the primary concern when dealing with a patient who has a tumor putting pressure on the walls of the airway?
What is the typical measurement of an endotracheal tube at the lip line?
What is the typical measurement of an endotracheal tube at the lip line?
What is the recommended intervention for a patient with a serious nosebleed or epistaxis?
What is the recommended intervention for a patient with a serious nosebleed or epistaxis?
What is the primary concern when dealing with a patient who has lost tone in their pharyngeal muscles and tongue?
What is the primary concern when dealing with a patient who has lost tone in their pharyngeal muscles and tongue?
What is the primary purpose of a Nasogastric tube in a ventilated patient?
What is the primary purpose of a Nasogastric tube in a ventilated patient?
What is the purpose of inspecting, palpating, and auscultating the patient in respiratory management?
What is the purpose of inspecting, palpating, and auscultating the patient in respiratory management?
What is the normal range of Pulse Oximetry in a healthy individual?
What is the normal range of Pulse Oximetry in a healthy individual?
Which of the following can cause difficulties in Pulse Oximetry readings?
Which of the following can cause difficulties in Pulse Oximetry readings?
What is the purpose of a Chest X-Ray (CXR) in a ventilated patient?
What is the purpose of a Chest X-Ray (CXR) in a ventilated patient?
What is the advantage of a Cat Scan over a CXR in a ventilated patient?
What is the advantage of a Cat Scan over a CXR in a ventilated patient?
What is the primary purpose of ABGs in a ventilated patient?
What is the primary purpose of ABGs in a ventilated patient?
What is the difference between an Arterial Blood Gas (ABG) and a Venous Blood Gas (VBG)?
What is the difference between an Arterial Blood Gas (ABG) and a Venous Blood Gas (VBG)?
What is the mortality rate for patients with severe ARDS?
What is the mortality rate for patients with severe ARDS?
What is the primary complication seen in ICU patients?
What is the primary complication seen in ICU patients?
What is the normal PAO2/FIO2 ratio?
What is the normal PAO2/FIO2 ratio?
What is the treatment goal for patients with ARDS?
What is the treatment goal for patients with ARDS?
What is the primary reason for using prone positioning in ARDS patients?
What is the primary reason for using prone positioning in ARDS patients?
What is the purpose of neuromuscular blockade in ARDS patients?
What is the purpose of neuromuscular blockade in ARDS patients?
What is the device used to determine the threshold of stimulation in paralytic therapy?
What is the device used to determine the threshold of stimulation in paralytic therapy?
What is the caloric requirement for ARDS patients?
What is the caloric requirement for ARDS patients?
What is the primary function of Intermittent Mandatory Ventilation (IMV)?
What is the primary function of Intermittent Mandatory Ventilation (IMV)?
What determines the volume of spontaneous breaths in IMV?
What determines the volume of spontaneous breaths in IMV?
What is the benefit of allowing patients to breathe spontaneously in IMV?
What is the benefit of allowing patients to breathe spontaneously in IMV?
What happens if the patient breathes over the prescribed amount of ventilations in IMV?
What happens if the patient breathes over the prescribed amount of ventilations in IMV?
What is the purpose of setting a prescribed amount of ventilations in IMV?
What is the purpose of setting a prescribed amount of ventilations in IMV?
What is the potential issue with IMV, according to the text?
What is the potential issue with IMV, according to the text?
What is the significance of the setting '16 breaths, 450, 5 PEEP' in IMV?
What is the significance of the setting '16 breaths, 450, 5 PEEP' in IMV?
Why is the patient encouraged to breathe over the prescribed amount of ventilations in IMV?
Why is the patient encouraged to breathe over the prescribed amount of ventilations in IMV?
What is the primary complication of Pulmonary Embolism?
What is the primary complication of Pulmonary Embolism?
What is the purpose of V/Q scan in Pulmonary Embolism?
What is the purpose of V/Q scan in Pulmonary Embolism?
What is the treatment of choice for a patient with Pulmonary Embolism who is hemodynamically unstable?
What is the treatment of choice for a patient with Pulmonary Embolism who is hemodynamically unstable?
What is the primary goal of medical management in Pulmonary Embolism?
What is the primary goal of medical management in Pulmonary Embolism?
What is the significance of D-dimer test in Pulmonary Embolism?
What is the significance of D-dimer test in Pulmonary Embolism?
What is the primary reason for using sequential compression devices in Pulmonary Embolism prevention?
What is the primary reason for using sequential compression devices in Pulmonary Embolism prevention?
What is the purpose of transitioning patients from heparin to coumadin when they are discharged?
What is the purpose of transitioning patients from heparin to coumadin when they are discharged?
What is the primary characteristic of Acute Respiratory Failure?
What is the primary characteristic of Acute Respiratory Failure?
What is the primary focus of treatment for patients with blunt chest trauma?
What is the primary focus of treatment for patients with blunt chest trauma?
Which type of injury is commonly seen in older patients with three or more rib fractures?
Which type of injury is commonly seen in older patients with three or more rib fractures?
What is the primary purpose of inserting a chest tube in patients with blunt chest trauma?
What is the primary purpose of inserting a chest tube in patients with blunt chest trauma?
What is the recommended approach for managing patients with sternal or rib fractures?
What is the recommended approach for managing patients with sternal or rib fractures?
What is the purpose of educating patients with sternal or rib fractures to cough and deep breathe?
What is the purpose of educating patients with sternal or rib fractures to cough and deep breathe?
Which of the following is a common cause of blunt chest trauma?
Which of the following is a common cause of blunt chest trauma?
What is the primary goal of intravascular support in patients with blunt chest trauma?
What is the primary goal of intravascular support in patients with blunt chest trauma?
What is the purpose of decompressing the pericardium in patients with blunt chest trauma?
What is the purpose of decompressing the pericardium in patients with blunt chest trauma?
What is the primary reason for monitoring pulse oximetry during intubation?
What is the primary reason for monitoring pulse oximetry during intubation?
Why is the head of the bed elevated to at least 30 degrees in a ventilated patient?
Why is the head of the bed elevated to at least 30 degrees in a ventilated patient?
What is the purpose of a sedation vacation in a ventilated patient?
What is the purpose of a sedation vacation in a ventilated patient?
What is the primary reason for performing a capnography test after intubation?
What is the primary reason for performing a capnography test after intubation?
Why is oral care with chlorhexidine performed in a ventilated patient?
Why is oral care with chlorhexidine performed in a ventilated patient?
What is the purpose of turning and positioning a ventilated patient?
What is the purpose of turning and positioning a ventilated patient?
What is the primary benefit of using SIMV over IMV?
What is the primary benefit of using SIMV over IMV?
What is the primary effect of PEEP on alveoli?
What is the primary effect of PEEP on alveoli?
What is the primary reason for performing a CXR after intubation?
What is the primary reason for performing a CXR after intubation?
Why is the nurse responsible for ensuring the respiratory therapist has the necessary equipment for intubation?
Why is the nurse responsible for ensuring the respiratory therapist has the necessary equipment for intubation?
What is the primary complication of using PEEP?
What is the primary complication of using PEEP?
What is the primary purpose of Pressure Support (PS)?
What is the primary purpose of Pressure Support (PS)?
What is the primary difference between SIMV and IMV?
What is the primary difference between SIMV and IMV?
What is the primary advantage of using SIMV over other modes of ventilation?
What is the primary advantage of using SIMV over other modes of ventilation?
What is the primary effect of PEEP on venous return?
What is the primary effect of PEEP on venous return?
What is the primary purpose of using PEEP and PS together?
What is the primary purpose of using PEEP and PS together?
What is the primary purpose of applying a continuous pressure throughout the respiratory cycle in a spontaneously breathing patient?
What is the primary purpose of applying a continuous pressure throughout the respiratory cycle in a spontaneously breathing patient?
What is the result of combining PS and PEEP?
What is the result of combining PS and PEEP?
What is the primary focus of a systematic assessment of a patient?
What is the primary focus of a systematic assessment of a patient?
What is the purpose of checking the ventilator during a patient's care?
What is the purpose of checking the ventilator during a patient's care?
What is the primary reason for allowing a patient to breathe spontaneously on CPAP?
What is the primary reason for allowing a patient to breathe spontaneously on CPAP?
What is the primary purpose of administering oxygen to a patient with sleep apnea?
What is the primary purpose of administering oxygen to a patient with sleep apnea?
What is the primary benefit of using an alphabet board or writing for patient communication?
What is the primary benefit of using an alphabet board or writing for patient communication?
What is the primary purpose of checking the patient's RAS Score?
What is the primary purpose of checking the patient's RAS Score?
A patient with a pH above 7.45 and a PaCO2 below 35 is likely experiencing which type of acid-base disorder?
A patient with a pH above 7.45 and a PaCO2 below 35 is likely experiencing which type of acid-base disorder?
What is the primary cause of metabolic acidosis in ICU patients?
What is the primary cause of metabolic acidosis in ICU patients?
A patient with a pH below 7.35 and a PaCO2 above 45 is likely experiencing which type of acid-base disorder?
A patient with a pH below 7.35 and a PaCO2 above 45 is likely experiencing which type of acid-base disorder?
What is the treatment for contraction alkalosis?
What is the treatment for contraction alkalosis?
Which of the following is a cause of metabolic alkalosis?
Which of the following is a cause of metabolic alkalosis?
What is the relationship between pH and PaCO2 in respiratory acidosis?
What is the relationship between pH and PaCO2 in respiratory acidosis?
What is the primary cause of respiratory alkalosis?
What is the primary cause of respiratory alkalosis?
What is the result of excessive antacid use on acid-base balance?
What is the result of excessive antacid use on acid-base balance?
What is the primary purpose of assessing oxygen saturation levels in bloodwork?
What is the primary purpose of assessing oxygen saturation levels in bloodwork?
Why is the right lung more likely to be intubated by mistake?
Why is the right lung more likely to be intubated by mistake?
What is the primary function of the upper respiratory tract?
What is the primary function of the upper respiratory tract?
What is the purpose of a biopsy in assessing respiratory status?
What is the purpose of a biopsy in assessing respiratory status?
What is the significance of the heart's location on the left side of the body?
What is the significance of the heart's location on the left side of the body?
What is the primary benefit of using an EKG in COPD patients?
What is the primary benefit of using an EKG in COPD patients?
Why is it important to inspect, palpate, and auscultate the patient in respiratory management?
Why is it important to inspect, palpate, and auscultate the patient in respiratory management?
What is the primary function of the lower respiratory tract?
What is the primary function of the lower respiratory tract?
What is the primary purpose of intraosseous infusion in emergency situations?
What is the primary purpose of intraosseous infusion in emergency situations?
What is a sign of hypovolemic shock?
What is a sign of hypovolemic shock?
What is the primary indication for removing a chest tube?
What is the primary indication for removing a chest tube?
Why is it important to monitor for stridor in patients with chest trauma?
Why is it important to monitor for stridor in patients with chest trauma?
What is the consequence of clamping a chest tube with suction on?
What is the consequence of clamping a chest tube with suction on?
What is the primary risk factor for developing pulmonary embolism?
What is the primary risk factor for developing pulmonary embolism?
What is the primary purpose of giving isotonic solutions in the management of chest trauma?
What is the primary purpose of giving isotonic solutions in the management of chest trauma?
What is the source of a thrombus that causes pulmonary embolism?
What is the source of a thrombus that causes pulmonary embolism?
What is the benefit of using packed RBCs in transfusion?
What is the benefit of using packed RBCs in transfusion?
What is the purpose of inserting a chest tube in patients with chest trauma?
What is the purpose of inserting a chest tube in patients with chest trauma?
What is the consequence of having a DVT in the context of pulmonary embolism?
What is the consequence of having a DVT in the context of pulmonary embolism?
What is the primary reason for administering heparin to a patient with new atrial fibrillation?
What is the primary reason for administering heparin to a patient with new atrial fibrillation?
What is the primary concern in patients with recent alcohol use and chest trauma?
What is the primary concern in patients with recent alcohol use and chest trauma?
What is the term for the combination of DVT and pulmonary embolism?
What is the term for the combination of DVT and pulmonary embolism?
What is the primary focus of treatment in patients with chest trauma?
What is the primary focus of treatment in patients with chest trauma?
What is the primary complication of not removing a chest tube properly?
What is the primary complication of not removing a chest tube properly?
What is the primary goal of judicious use of analgesics in ventilated patients?
What is the primary goal of judicious use of analgesics in ventilated patients?
What is the recommended tidal volume setting for a patient with ARDS?
What is the recommended tidal volume setting for a patient with ARDS?
What is the primary concern when setting FiO2 in patients with COPD?
What is the primary concern when setting FiO2 in patients with COPD?
What is the primary benefit of using PEEP in ventilated patients?
What is the primary benefit of using PEEP in ventilated patients?
What is the primary goal of monitoring fluid balance in ventilated patients?
What is the primary goal of monitoring fluid balance in ventilated patients?
What is the primary indicator of hypoxia in ventilated patients?
What is the primary indicator of hypoxia in ventilated patients?
What is the primary benefit of using a low tidal volume in patients with ARDS?
What is the primary benefit of using a low tidal volume in patients with ARDS?
What is the primary purpose of following trends in ABGs in ventilated patients?
What is the primary purpose of following trends in ABGs in ventilated patients?
What is the primary advantage of SIMV over IMV?
What is the primary advantage of SIMV over IMV?
What is the primary function of PEEP in ventilated patients?
What is the primary function of PEEP in ventilated patients?
What is the primary difference between SIMV and IMV?
What is the primary difference between SIMV and IMV?
What is the primary purpose of using Bi-level Positive Airway Pressure (Bi-PAP) in a patient?
What is the primary purpose of using Bi-level Positive Airway Pressure (Bi-PAP) in a patient?
What is the primary complication of using PEEP?
What is the primary complication of using PEEP?
A patient is on Continuous Positive Airway Pressure (CPAP) and is not showing any signs of respiratory distress. What is the primary goal of CPAP in this patient?
A patient is on Continuous Positive Airway Pressure (CPAP) and is not showing any signs of respiratory distress. What is the primary goal of CPAP in this patient?
What is the primary purpose of Pressure Support (PS)?
What is the primary purpose of Pressure Support (PS)?
A patient is on Intermittent Mandatory Ventilation (IMV) and is breathing at a rate of 20 breaths per minute. What will the ventilator do if the patient initiates a breath before the preset rate?
A patient is on Intermittent Mandatory Ventilation (IMV) and is breathing at a rate of 20 breaths per minute. What will the ventilator do if the patient initiates a breath before the preset rate?
What is the primary difference between Synchronized Intermittent Mandatory Ventilation (SIMV) and Assist Control (AC) ventilation modes?
What is the primary difference between Synchronized Intermittent Mandatory Ventilation (SIMV) and Assist Control (AC) ventilation modes?
A patient is on CPAP and is not responding to treatment. What is the primary concern when considering increasing the FiO2 in this patient?
A patient is on CPAP and is not responding to treatment. What is the primary concern when considering increasing the FiO2 in this patient?
What is the primary benefit of allowing a patient to breathe spontaneously on IMV?
What is the primary benefit of allowing a patient to breathe spontaneously on IMV?
What is the primary difference between IMV and SIMV?
What is the primary difference between IMV and SIMV?
How does the ventilator respond if a patient breathes over the prescribed amount of ventilations in IMV?
How does the ventilator respond if a patient breathes over the prescribed amount of ventilations in IMV?
What is the primary advantage of using BIPAP over CPAP?
What is the primary advantage of using BIPAP over CPAP?
What is the primary goal of using IMV in weaning patients from mechanical ventilation?
What is the primary goal of using IMV in weaning patients from mechanical ventilation?
What is the primary advantage of using BIPAP over CPAP in patients with chronic heart failure?
What is the primary advantage of using BIPAP over CPAP in patients with chronic heart failure?
What is the primary difference between IMV and SIMV in mechanical ventilation?
What is the primary difference between IMV and SIMV in mechanical ventilation?
In which of the following scenarios would CPAP be contraindicated?
In which of the following scenarios would CPAP be contraindicated?
What is the primary advantage of using SIMV over IMV in patients with respiratory failure?
What is the primary advantage of using SIMV over IMV in patients with respiratory failure?
What is the primary indication for using BIPAP in patients with chronic heart failure?
What is the primary indication for using BIPAP in patients with chronic heart failure?
What is the main difference between PS and CPAP?
What is the main difference between PS and CPAP?
What is the primary benefit of allowing patients to breathe spontaneously on CPAP?
What is the primary benefit of allowing patients to breathe spontaneously on CPAP?
How is CPAP administered to a patient?
How is CPAP administered to a patient?
What is the primary purpose of using CPAP in a patient with sleep apnea?
What is the primary purpose of using CPAP in a patient with sleep apnea?
What happens when PS is added to PEEP?
What happens when PS is added to PEEP?
What is the primary goal of CPAP trials in weaning patients from mechanical ventilation?
What is the primary goal of CPAP trials in weaning patients from mechanical ventilation?
Which mode of ventilation is characterized by a set rate of mandatory breaths, but allows the patient to breathe spontaneously between these breaths?
Which mode of ventilation is characterized by a set rate of mandatory breaths, but allows the patient to breathe spontaneously between these breaths?
What is the primary difference between SIMV and IMV modes of ventilation?
What is the primary difference between SIMV and IMV modes of ventilation?
What is the primary benefit of using BIPAP over CPAP in patients with respiratory failure?
What is the primary benefit of using BIPAP over CPAP in patients with respiratory failure?
What is the Rapid Shallow Breathing Index used to assess in patients undergoing a weaning trial?
What is the Rapid Shallow Breathing Index used to assess in patients undergoing a weaning trial?
What is the primary limitation of a Pressure-Cycled Ventilator?
What is the primary limitation of a Pressure-Cycled Ventilator?
What is the purpose of a High Frequency Oscillatory Ventilator?
What is the purpose of a High Frequency Oscillatory Ventilator?
What is the primary difference between a Volume-Cycled Ventilator and a Pressure-Cycled Ventilator?
What is the primary difference between a Volume-Cycled Ventilator and a Pressure-Cycled Ventilator?
What is the nursing care requirement for patients on a High Frequency Oscillatory Ventilator?
What is the nursing care requirement for patients on a High Frequency Oscillatory Ventilator?
What is the primary advantage of a Volume-Cycled Ventilator?
What is the primary advantage of a Volume-Cycled Ventilator?
What is the primary purpose of a train of four test in patients on a High Frequency Oscillatory Ventilator?
What is the primary purpose of a train of four test in patients on a High Frequency Oscillatory Ventilator?
What is the primary difference between IMV and SIMV?
What is the primary difference between IMV and SIMV?
What is the primary benefit of using BIPAP over CPAP?
What is the primary benefit of using BIPAP over CPAP?
What is the primary purpose of CPAP in a patient who is not showing any signs of respiratory distress?
What is the primary purpose of CPAP in a patient who is not showing any signs of respiratory distress?
What is the primary limitation of IMV?
What is the primary limitation of IMV?
