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Special P. -Ketterin
Special Procedures Kettering Practice
| Question | Answer |
|---|---|
| What level of Atmosphere Pressure Absolute (ATA) do you start a patient suffering from decompression sickness that requires hyperbaric oxygen therapy? | 2 (ATP), Because the initial sea level starts at 1 ATP and see how the patient responds Normal Range: 2 - 6 ATP |
| What type of patients is Hyperbaric Chamber used for? | CO poisoning Decompression Sickness |
| What types of patients need Heliox? | Any patients with obstructions issues, -Such as Stridor, Severe asthma, Foreign Object Aspiration |
| A patient breathes a mixture of 70% He / 30% O2 via non-rebreather mask. The oxygen flowmeter indicates a flow of 12 L/min. What is the actual flow of gas to the mask? | 80/20 = 1.8 70/30 = 1.6 12 x 1.6 = 19.2 |
| What is potential side effect of inhaled nitric oxide therapy? | Methemoglobinemia Nitrogen Dioxide (NO2) Rebound Pul HTN (D/C too rapidly) |
| What is an indication for iNO? | Pulmonary HTN |
| While assisting a pulmonologist performing thoracentesis on a 58-year-old man, the respiratory therapist observes that the pleural fluid is clear with a light straw color | transudate (CHF) |
| Exudate | Blood & Pus |
| Purulent | Pus |
| What types of patients require Thoracocentesis ? | Plural Effusion ( Fluid in the pleural space) |
| What type of needle is needed for a thoracentesis? | 14 Large bore gauge Needle |
| What type of percussion is heard when theres fluid in the lungs? | Flat or Tympanic |
| What do you you see in OSA patients? | No Airflow Only -Obstruction issue due to anatomy in upper airway |
| What is a treatment for OSA patients? | CPAP |
| What do you see in Central Sleep Apnea patients? | Loss of ventilation effort (both Airflow + Thoracic) -Neurologic issue |
| What is a treatment for Central Sleep Apnea patients? | BIPAP |
| Severe Apnea (AHI) is... | >30 |
| Mild Apnea (AHI) is... | 5-15 |
| While performing an assessment of the patient-ventilator system, the respiratory therapist notes continuous bubbling in the water seal bottle. The therapist should first do what?? | Clamp the chest tube |
| If the the continuous bubbling "stops" when the tube is clamped then the problem is within... | the patient |
| If the the continuous bubbling "continues" when the tube is clamped then the problem is within... | Chest drainage system, Disconnection or Replace |
| Cardiopulmonary stress testing Formula is... | Equation: 220 - Age = |
| The respiratory therapist prepares to perform cardiopulmonary stress testing for a 60-year-old man. What is the patient's maximum heart rate? | 220- 60 = 160 |
| 66-year-old patient's RQ is reported as 1.01. This would indicate that the patient is primarily metabolizing | Carbs (1.00) |
| Fats RQI | 0.71 |
| Proteins RQI | 0.82 |
| A 32-year-old patient with shortness of breath is admitted to the emergency room. The patient states that she was running with a friend and suddenly felt pain on the right side of her chest, Plus desating and tracheal shift to the left | insert a 14 gauge needle into the 2nd intercostal space on the right side in the midclavicular line. |
| A 28-week gestational age neonate is experiencing frequent apneic episodes with bradycardia. Which of the following should the respiratory therapist recommend? | Administering theophylline (caffeine) |
| To confirm a diagnosis of brain death, the respiratory therapist should recommend | Best Recommend diagnostic is cerebral perfusion scan. |
| While performing an exercise stress test on a patient, the respiratory therapist observes a 6 mm depression in the ST segment, What does this indicate? | it indicates an adverse reaction, Stop the test, stabilize the patient, and notify the physician |
| A 2 kg (4.4 lb) neonate requires transportation to a tertiary care center for cardiac surgery. The infant has Bp 60/30, HR 140 and is being assisted manually for ventilation at rate of 40. what does the RT have to do? | Normal Neonate BP 70- 190 Normal Neonate BP 60 /30 Normal Ventilation (RR) 30-60 -Prepare for a immediate transport, no need to stop and asses |
| A patient is receiving heliox therapy via a simple mask. The patient’s work of breathing has not decreased and the physician asks the respiratory therapist for a recommendation. The therapist should recommend? | NRB due to Simple mask not providing enough oxygen |
Created by:
Fabian.559
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