Pulmonary Embolism and Venous Thromboembolism Quiz
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Questions and Answers

What may interfere with pulse oximeter readings?

  • Nice bouncy waveform
  • Lack of circulation
  • Vasopressor therapy
  • Nails (correct)

    • What is the gold standard for checking blood oxygen?

  • CatScan
  • Chest X-ray
  • Pulse Oximetery
  • PaO2 through blood sampling of the artery (ABG's) (correct)

    • What is the best way to listen to the lungs according to the text?

  • Posterior (correct)
  • Through CatScan imaging
  • Anterior
  • During a bronchoscopy

    • Why should COPD patients not be given too much oxygen?

    <p>Increases hypoxic drive</p> Signup and view all the answers

    What should be done if a patient is breathing more than 35 bpm?

    <p>Get them intubated</p> Signup and view all the answers

    Which medication is known for fast action and the risk of oversedation in ICU settings?

    <p>Propofol (Diprivan)</p> Signup and view all the answers

    What is the maximum duration an endotracheal tube should remain in place for a patient?

    <p>2-3 weeks, beyond that a tracheostomy will be necessary</p> Signup and view all the answers

    What condition can develop after lung injury and if left untreated can lead to multiorgan system dysfunction?

    <p>Acute Respiratory Distress Syndrome (ARDS)</p> Signup and view all the answers

    What does ARDS resemble on an X-ray?

    <p>Severe pulmonary edema</p> Signup and view all the answers

    How can the differentiation between Cardiac induced pulmonary edema and ARDS pulmonary edema be checked?

    <p>BNP marker - high BNP indicates ARDS</p> Signup and view all the answers

    If a patient on a ventilator takes the PAFIO2 test and the result is below 100, what does it indicate?

    <p>High probability of ARDS</p> Signup and view all the answers

    What characterizes the acute exudative phase of ARDS?

    <p>Pulmonary flooding and nullification of surfactant</p> Signup and view all the answers

    What are the usual provider's orders for patients with ARDS?

    <p>High PEEP and low tidal volumes</p> Signup and view all the answers

    Which of the following is NOT associated with the development of ARDS?

    <p>Acute respiratory distress syndrome (ARDS)</p> Signup and view all the answers

    What is the first phase of ARDS characterized by?

    <p>Rapid onset dyspnea within 72 hours of primary injury</p> Signup and view all the answers

    In what situation is ECMO (Extracorporeal Membrane Oxygenation) used?

    <p>ARDS</p> Signup and view all the answers

    What lab testing is required while a patient is on propofol?

    <p>Liver Function Tests (LFT) and Triglycerides</p> Signup and view all the answers

    How often should the IV tubing with propofol be changed?

    <p>Every 12 hours</p> Signup and view all the answers

    Which drug is preferred by the provider due to its fast turnaround and decreased chances for delirium?

    <p>Precedex (Dexmedetomidine)</p> Signup and view all the answers

    What is a typical use of Valium (Diazepam)?

    <p>Alcohol detox</p> Signup and view all the answers

    What can a mucus plug cause in terms of ventilation and perfusion?

    <p>Shunt (Perfusion without ventilation)</p> Signup and view all the answers

    Why do we avoid splinting individuals with blunt chest trauma?

    <p>To allow lung expansion</p> Signup and view all the answers

    "What can the 5 H's and 5 T's cause?"

    <p><strong>Pulseless electrical activity (cardiac arrest)</strong></p> Signup and view all the answers

    What can subcutaneous emphysema lead to if it's pressing on the trachea?

    <p><strong>Airway compromise</strong></p> Signup and view all the answers

    When is bubbling considered okay for a chest tube?

    <p><strong>Intermittent bubbling</strong></p> Signup and view all the answers

    Which diagnostic should be done for a patient with chest trauma?

    <p>Chest X-ray</p> Signup and view all the answers

    What nursing intervention is recommended for a patient with a pneumothorax?

    <p><strong>Chest tube insertion</strong></p> Signup and view all the answers

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