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CSE STUDY TIPS
| Question | Answer |
|---|---|
| _______ reflexes should be checked with a patient who has overdosed from drugs. | Pupillary Reflexes |
| A Patient who presents with __________ & _________ requires defibrillation along with this medication. | V-Fib & V-Tach; Amiodarone |
| Which medication can cause a decrease in ICP? | Mannitol |
| To keep ICP's >20 you would want the patient to ________? | Hyperventilate (permissive hypocapnia) |
| Normal Urine Output _______ mL/hr: | 40 mL/hr |
| What is the normal FeCO value for patient's who are NON-SMOKERS: | Exhaled Carbon Monoxide "FeCO" = <7 |
| Normal Cuff Pressure = ________ mmHg OR _______ cmH2O | __20-25______ mmHg OR ___25-35___ cmH2O |
| ETT Markings for Oral & Nares: | Oral: 21-25 cm @ lips Nares: 26- 29 cm @ nares |
| This type of ultrasound can be used to detect fluid in thorax, pneumothorax, chest tubes & can be used to guide a thoracentesis: | Thoracic Ultrasound |
| This type of ______ scan can be used to identify _____ tumors. | PET scan, malignant tumors |
| This type of scan can help rule out or diagnose a PE: | V/Q perfusion scan |
| What type of diagnostic test can help identify the PRESENCE & EXTENT of a PE: | CT angiography |
| When would you need to assess the head/neck of a patient? | when evaluating for traumatic brain, neck, spine injury |
| To assess the thoracic cavity, detect tumors, aortic aneurysm, effusions, & chest trauma; this type of diagnostic test may be chosen: | CT/MRI |
| A ______ X-Ray can help differentiate the cause of stridor (croup vs epiglottitis) and to help detect _______. | A ___NECK___ X-Ray can help differentiate the cause of stridor (croup vs epiglottitis) and to help detect ___FOREIGN BODY ASPIRATIONS____. |
| Foreign Body Aspirations would present as ______ on an Xray. | Radiopaque (WHITER) |
| What kind of test can be done to evaluate "tolerance for exertion"? | Exercise Testing |
| Normal Values for Newborn ABG: | pH __> 7.30___ PaO2 __>60 torr___ PaCO2 _< 50 torr____ |
| PEEP for NEONATE: | 2-4 cmH2O |
| I-Time for NEONATE: | 0.3-0.5 seconds |
| PIP for NEONATE: | 20- 30 cmH2O |
| Pressure-Limited/ Time Cycled (vent settings recommended for :________) | Neonates |
| Carboxyhemoglobin percentage: ____ to ____% | 0 to 1 % |
| PFT- Calibration syringe: | 3.0 liters (+/ - 3.5%) |
| What king of therapy would you recommend to a patient who is Wheezing with Bronchospasm: | bronchodilator |
| Drugs that you would recommend for CHF? | diuretics & positive inotropes |
| What is another name for Stridor and what would you give to treat? | Laryngeal Edema-> give cool mist/ racemic epinephrine |
| What procedure would help you confirm the presence of a foreign body object? | Laryngoscopy |
| What procedure would help you diagnose an Unconfirmed Tumor? | Bronchoscopy |
| What BS would you hear with a patient who has secretions in the Large a/W? | Rhonchi/ Tactile Fremitus |
| What treatment would you recommend to a patient who has rhonchi/ tactile fremitus? | Give bronchial hygiene therapy/ suction |
| A patient with a weak cough would have ______ clearance: What would you recommend as treatment? | Poor secretion clearance: Give Bronchial Hygiene Therapy/ suction |
| What test would you recommend to diagnose Reversible vs Irreversible Obstructive disease? | Pre/Post bronchodilator results |
| What can help evaluate blood clotting & bleeding abnormalities? | Platelets, INR, PT (prothrombin time) |
| Electrolytes can help determine & identify what? | Determine the type of metabolic acid-base imbalance (anion gap) & identify causes of selected cardiac arrhythmias & neuromuscular abnormalities |
| Percussion Notes to identify a Pneumothorax? | HYPERRESONANT |
| Percussion Notes to identify Consolidation or PNA? | DULL |
| What assesses Respiratory MUSCLE STRENGTH? | MIP/NIF |
| What assesses INSPIRATORY/EXPIRATORY MUSCLE FUNCTION? | VC (vital capacity) |
| What would you use to evaluate the ADEQUACY OF VENTILATION? | Ve, RR, RSBI |
| Which values would you use to differentiate between obstructive & restrictive conditions? | FRC, RV, TLC |
| What test would assess for a/w hyper-responsiveness & inflammation ? | Bronchoprovocation |
| What would you use to evaluate the cause of restrictive disorders & assess the feasibility of lung reduction surgery? | Diffusing Capacity (DLCO) |
| A CBC can evaluate & assess for what? | Hb, Hct, RBC; evaluate O2 carrying capacity & assess for Anemia |
| CHF - assess _______, give _____ and place on _____ with 100%. Watch for bilateral fluffy ______, ______wing appearance, or _______ b lines on cxr. | CHF - assess ___BNP____, give __LASIX___ and place on _CPAP____ with 100%. Watch for bilateral fluffy _INFILITRATES_____, __BAT____wing appearance, or ___KERLEY____ b lines on cxr. |
| Pulm Embolism - assess _______and ______ and give a clot buster, such as _______ or ______and an anticoagulant (_______) Watch for ________ shaped atelectasis on cxr and decreasing _____. | Pulm Embolism - assess __D-DIMER_____and __INR____ and give a clot buster, such as __STREPTOKINASE_____ or ___tPA___and an anticoagulant (___HEPARIN____) Watch for ____WEDGDE____ shaped atelectasis on cxr and decreasing __eTCO2___. |
| COPD - assess _______...will be less than _____ which supports COPD. | COPD - assess ___FEV1%____...will be less than __70%___ which supports COPD. |
| For patients with COPD; Do NOT choose NITROGEN WASHOUT! WHY? | Because it gives 100% O2 to your Patient. |
| What is another option aside from Nitrogen Washout that you recommend to evaluate Lung Volumes in a COPD patient? | Helium Dilution or Body Plethysmography |
| FeNO would _______ with Asthma? | Increase |
| ARDS - ________ appearance in cxr. Use ______ tidal volumes (_____ml/kg minimum) with higher peep. PaO2 range is _______. | ARDS - _GROUND GLASS_______ appearance in cxr. Use __LOWER____ tidal volumes (___4__ml/kg minimum) with higher peep. PaO2 range is __55-80_____. |
| Increased troponin will indicate an acute ______ vs increased _____with CHF. | ACUTE MYOCARDIAL INFARCTION; INCREASED BNP |
| Cystic Fibrosis - _______clubbing at an early age with barrel chest. | DIGITAL CLUBBING |
| What are some treatment recommendations for a patient with CF? | Bronchodilator; CPT, Pulmozyme (Not Mucomyst) & Inhaled TOBI (antibiotic for Psuedomonas) |
| For a Patient with VAP; what would you recommend to get a sputum sample? What will this sample provide? | Perform BAL to get sputum sample to isolate causative organism |
| Nueromuscular disease that has transient improvement of muscle weakness: | Myasthenia Gravis |
| This neusomsuclar disease typically follows after an ACUTE INFECTION? | Gillain Barre |
| Medications to give for Myasthenia Gravis? | give cholinesterase inhibitor (EDROPHONIUM or NEOSTIGMINE) to see reverse of muscle weakness |
| What would you assess for a patient who has Guillain Barre? | CSF protein count |
| What is a Cholinergic Crisis? | If MG and no signs of reversal of muscle weakness following cholinesterase inhibitor-> RESULT OF EXCESSIVE MEDICATION ADMINISTRATION |
| If you seen a THUMBNAIL SIGN on a Peds CXR; this indicates: | Epiglottitis |
| If you notice Epiglottitis on a CXR what should you recommend? | Go to OR and perform controlled intubation |
| A STEEPLE sign on a CXR indicates: | CROUP |
| What are some recommendations to treat CROUP? | Cool Mist Aerosol & maybe racemic Epi |
| Neonates - premature baby with _______ ventilating pressures and _____tidal volumes= RDS = give _______ | High ventilating Pressures & Low Tidal Volumes; Give Surfactant |
| After the administration of SURFACTANT this would result _____tidal volumes in PCV. This may lead to resp _______ | After the administration of SURFACTANT this would result __INCREASED___tidal volumes in PCV. This may lead to resp ___ALKALOSIS____ |
| How would you correct Respiratory Alkalosis for a Neonate who is in PCV? | decrease insp pressure (PIP) to decrease delivered VT to reduce overall minute ventilation and correct resp alkalosis. |
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tumi6472
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