random stuff to know

from ai quiz

what intervention to recommend for copd pt in acute exacerbation with ph between 7.25-7.35?

nppv

what is the primary issue in premature infants with low pao2?

alveolar collapse

what to do for premature infants with low pao2 and signs of respiratory distress?

increase cpap

symptoms of a massive pulmonary embolism?

• dramatic drop in etco2

• hypotension

• elevated peak airway pressure

what will capnograph look like for pt experiencing acute bronchospasm?

shark fin with prolonged upward sloping

what does it mean if capnograph doesn’t return to baseline during inspiratory phase?

pt is rebreathing exhaled co2

for hfov how is o2 primarily controlled?

map

for hfov how is ventilation controlled?

• amplitude

• frequency (hz)

for hfov what is amplitude?

• wiggle factor

• comparable to vt

for hfov what is frequency (hz)?

• rate of oscillations per second

how to increase ventilation using frequency?

decrease frequency (creating bigger amplitude)

what’s sugammadex?

non-depolarizing neuromuscular blocking agent reversal

what is likely to happen to burn pts who receive succs?

hyperkalemia

what’s svo2?

mixed venous o2 saturation (how much o2 is left after delivery)

what does a high svo2 mean?

tissues didn’t need/couldn’t absorb all the o2

what does a low svo2 mean?

tissues were starving for o2 so extracted a ton

best vasoconstrictor for shock?

norepinephrine

should a molecular sieve be used with high flow?

nope!

best bronchial hygiene for pts with atelectasis and very small inspiratory capacity?

ippb

shunt vs. ventilation/perfusion mismatch?

• v/p mismatch will improve significantly if fio2 is increased

• shunt will not improve much if fio2 is increased

ventolin generic name?

albuterol

where is mixed venous sample drawn from?

pulmonary artery

normal peak flow (pefr)?

400-600 L/min

normal raw?

.6-2.4

how to monitor effectiveness of bronchodilator therapy?

do serial peak flow measurements

symptoms of cardiogenic shock?

• elevated filling pressures

• decreased cardiac output

symptoms of septic shock?

• decreased svr

• high cardiac output

• decreased filling pressures

cardiac tamponade?

fluid around heart that puts pressure on it