rrt adult medical/surgical conditions

ards c x-ray description?

• honeycomb

• ground glass

ards hemodynamics?

• increased pap

• normal pcwp

causes of pneumonia (broad)?

• bacteria

• virus

• aspiration

pneumonia c x-ray description?

air bronchograms

cbc with bacterial infection?

increased wbcs

cbc with viral infection?

decreased wbcs

how can pneumocystis carinii/jirovecii infections be treated?

aerosolized pentamidine

treatments to boost the immune system?

• immunoglobulin therapy

• interferon-gammy therapy

• stem cell transplantation

cardiogenic shock?

heart failure

neurogenic/vasogenic shock?

alterations in vascular smooth muscle tone

anaphylactic shock?

hypersensitivity/allergic reaction

septic shock?

infection

hypovolemic shock?

insufficient intravascular fluid volume

traumatic shock?

hypovolemic + septic shock

bariatric definition?

causes, prevention, and treatment of obesity

pickwickian syndrome?

obesity hypoventilation syndrome

cor pulmonale?

right heart failure

rhabdomyolysis?

pressure-induced myoglobinuria (high amounts of myoglobin protein in urine) cause of severe muscle breakdown

what to consider for bariatric pt ventilation?

early extubation to nppv or cpap

what to do if laryngectomy pt needs mechanical ventilation?

insert ett into laryngectomy opening

what to use for laryngectomy pts post op?

cool aerosol therapy

when is laryngectomy tube removed?

3-6 wks post op

what to monitor for laryngectomy pts?

basic labs

what to do for abdominal surgery pts pre-op?

pre-op pft

head trauma/surgery respiratory pattern?

cheyne-stokes or biots

head trauma/surgery special tests?

• ct

• mri

• pet scan

treatment for acute icp elevations?

• hyperventilation

• head of bed elevation

• mannitol

icp elevation?

>20

what med for seizures?

dilantin

neck or spinal injury/surgery respiratory pattern?

may be apneic

neck or spinal injury/surgery special tests?

• ct

• mri

what to use for intubation for neck or spinal injury/surgery?

use flexible bronchoscope

diabetes/renal failure respiratory pattern?

kussmaul breathing

diabetes/renal failure abg?

metabolic acidosis

diabetes/renal failure urine output?

decreased (<500mL)

diabetes/renal failure blood glucose?

>160

renal failure treatment?

• monitor intake and output

• monitor electrolytes

• watch for signs of chf

diabetes treatment?

• monitor blood glucose

• abg

• watch for respiratory failure

serum amylase?

digestive enzyme made by the pancreas

ace inhibitors?

vasodilate and decrease bp

what therapy to do pre and post op for thoracic surgery?

hyperinflation therapy

types of hyperinflation therapy?

• is

• smi

• ippb

hypothermia temperature?

<35 C (95 F)

how do you analyze abgs for hypothermic pts?

should be analyzed at the same temp as pt is at

if pt’s body temp is < 37 C, how will pts abg values be affected?

• increased ph

• decreased pco2

• decreased pao2

treatment for mild cases of hypothermia?

• warm clothes

• warm drinks

• isometric exercises

treatment for moderate cases of hypothermia (>30 C core temp)?

• warm water bath

• warm blanket

• heating pads

• warm oral fluids

treatment for severe cases of hypothermia (<30 C core temp)?

• warm intravenous solutions

• warm gastric lavage

• inhalation of warm gases

wet drowning definition?

water gets into lungs

dry drowning definition?

glottis spasms so water doesn’t get into lungs

rass?

sedation scale