NBRC topic practice

Helium/O2 ratios

80/20=1.8

70/30=1.6

60/40=1.4

Shortcuts equation for liquid gas

344 X lbs of liquid O2

High frequency oscillation ventilation(HFOV) if PaCo2 increased you do what to amplitude

Increase

High frequency oscillation ventilation(HFOV) if PaCo2 decreased you do what to amplitude

Decrease

P/F ratio less than 100 indicates

Ecomo

Flat sound indicates

Considilation

Single bore tach

Don’t have a hole

Barking cough

Croup

IPAP = ventilation

Decreased PaCO2 you increase ipap

Increase PaCO2 you decrease ipap

EPAP =oxgynation

Increase pao2 you increased Fio2 or epap

Drecreased pao2 you decreased Fio2 or epap

To fix breaking you need to

Decreased tidal volume

Decreased PIP

Increased PIP should do what to PaCo2

Decrease

Driving pressure

Plat - peep

Correcting hypercapnia

Increase tidal volume

Increase vent rate

Male short cut for tidal volume

Cm height - 101

Female short cut for tidal volume

Cm height - 105

pneumothorax

Air

Increased COHb indicates

Fire

Increased METHB indicates

Nitrate exposure (chocolate brown color mucus)

Hypervolemic pt has a increased

P(A-a)

Vent ready

MIP atlest -20

VC > 10-15

Spontaneous vt atlest 5-6mL/Kg

RSBI Less than 105

VD/VT = .60

P(A-a) O2 <350 on 100% Fio2

PaO2/Fio2 >200

Peep <10cm

3 or more ribs =

Fail chest

Tension pneumothorax treatment

Needle decompression

IPPB indications

VC <10

60% O2 or higher you shoudl institute

CPAP

PaO2 for ARDs

55-80

Atropine used for bronchoscope to

Dry airway

Lidocaine used in bronchoscope is used to

Numb the airway

Versed is used in bronchoscope to

Sedate the pt

Tracheal Shift away from midline

Pneumothorax

Bilevel only for

Central apnea

BMI over 30 indicates

Obesity

AHI levels

<5= normal

5-15 =mild

15-30 =mod

>30= serve

Leukotriene modifier used for

Control asthma attacks

Desired vt equation

Vt(current) x PaCo2(current)/ PaCo2(desired)

Vent management drugs

vecuronium

Pancuronium

Rocurorium

Cystic fibrosis drug

Pulmozyme

HHFNC flow relationship level to CPAP pressure

10L/min = 1

20L/min = 2

30L/min= 3

40L/min= 4

50L/min =5

60L/min= 6

Flat line on pressure/volume loop

Indicates atlecatsis which we need alveolar recruitment

Beaking in loop indicates

Overdistention

Pulmonary capillary wedge pressure

Distal end of the catheter is inflated, it wedges in a branch of pulmonary artery.

Pulmonary artery pressure(PAP)

Mixed venous blood

Air/02 ratio

24% =25:1

28%=10:1

30%=8:1

35%=5:1

40%=3:1

45%=2:1

50%=1:7.1

60%=1.1

Determine A-aDO2

ABG & Alveolar oxygen tension

Galvanic analyzer reading low or not working

Change the fuel cell

Anectine(succinycholine chloride) mediation

Muscle twitches on face and neck means it working and intubation can be done

PCWP is elevated in patients

with cardiogenic pulmonary edema and is normal in patients with noncardiogenic pulmonary edema

Increases PVR

Hypercapnia

Hypoxemia

Vasoconstrictors

acidemia

Pulmonary embolism

Pneumothorax

Positive pressure ventilation

PEEP

CPAP

Decreasing I:E ratio

You increased inspiratory time

Tidal volume initial vent setting

6-8ml/kg

Increase I:E ratio

You decrease inspiratory time

During bronchoscopy procedures and bleeding is seen

Used epinephrine

Marked/severe inspiratory stridor

Immediate endotracheal intubation

Thumb sign

Epiglottis

PDA

15% or increases post/pre ductal ABG

Boot shaped heart in baby

Tetralogy of Fallot w right ventricle hypertophy

Egg shaped heart in shape

Great vessels

Initial peep setting

peep between 3-5

Self-inflating infant resuscitator with mask complication

Gastric insufflation

Subjective information

Is what a pt tell you

Objective information

Is what you can see

Calculate alveolar oxygen tension

BP & Fio2

FiO2 greater then or equal to 60% you change

PEEP

H-cylinder

3

E-cylinder

.3

Liquid gas equation

Gas remaining= liquid wt(lb) x860) / 2.5L/lb

If you get liters given divide the answer you got by your liters

Divide by 60

Full H tank

2200

Need to raise CO2 there are 3 choices

Decreased tidal volume

Decrease rate

Adding deadspace

Flipped T wave and elevation S-T segment

Myocardial ischemia & injury

Full E tank

1800

Reducing autoPEEP

Decreasing rate/ and or increasing flow

PvO2 measurement locations taken

Distal end of pulmonary artery cath

Liberation mean the same thing as

Weaning

Placing a cap in pt fenestrated tracheostomy tube you must

Removed inner cannula and deflated cuff

Most benefit from cardioversion

Ventricular tachycardia w pulse

Determined effectiveness of IS

Listen to breath sound before and after

Cylinder equation

Cylinder pressure(psi)x cylinder factors/ flow rate (L)

Alveolar air equation

PAO2=(7x O2%)- (PaCO2 +10)

Diagnosing vocal cord paralysis with

Flow volume loop

Absolute humidity equation

Relative x capacity

Albuterol advertised effect

Nauseous and vitals increasing by 20

Hypertonic saline or complains SOB

Adverse reactions stop treatment

Heilum analyzer should read

0%

FiO2 rule when initial setting for mechanical ventilation

The same level the patient was receiving before the initiation of ventilation

Optimal PEEP

The level of PEEP that improves lung compliance with cardiac compromise

Alveolar minute ventilation equation

Tidal volume - vd(aka body weight in pounds) x RR

Minimum inspiratory

60/ mandatory rate

Sum of I:E

Then divide the answers

Then look for the closed number

Intercostal muscles and eternal reactions represent

Upper airway obstruction

Humidify deficit

44 — absolute humidity

Or

Humidity deficit/44 ×100

Mallampati score true statement

The smaller the better

Et tube placement on x-ray

3-4 ribs or 3 to 5 cm above carina

Increased inspiratory flow

Will fix autopeep

Mild pneumothorax you can do

thoracentesis

Normal CVP

2-6mmHg

Mark stridor

Serve stridor more than like gonna have to intubate with bronchoscope

Vd/vt equation

PaCo2–PETCO2 /PaCO2

Divide the answer by your tidal volume

Difficult Calibrating a transcutaneous oxygen electrode

The membrane damaged by like being dirty or torn it’s won’t read correctly

ABG errors key

Fio2 × 5

Whatever that answer is your pao2 can’t be over 200

Cor pulmonale (right heart failure)

Increase CVP

Optimal peek trick

Peep - plat

Look for the lowest number