2024 FCCS P OST TEST REVIEW QUESTIONS AND 100% CORRECT ANSWERS RATED A (EXPERT VERIFIED) 1st step in respiratory arrest while ON the vent - ✔✔✔ Correct Answer >Disconnect them from the vent 3 res piratory types, and their criteria - ✔✔✔ Correct Answer >Hypoxemic (PaO2 <50-60) Hypercapnic (PaCO2 >50, pH <7.36) Mixed 3 types of vent cycles - ✔✔✔ Correct Answer >Volume (preset tidal volume, relieves WOB the most) Time (constant pressure of time) Flow (constant pressure until inspiratory flow is below 25% of peak) ABG findings in PE - ✔✔✔ Correct Answer >Decreased CO2 (hyperventilating) Decreased O2 (V/Q mismatch) ACE-I in pregnancy - ✔✔✔ Correct Answer >NO Airway in hematemesis pt - ✔✔✔ Correct Answer >Electively intubate it Assist -control ventilation - ✔✔✔ Correct Answer >Either volume or time cycled breaths given Usually the go to when you just started someone on the vent Gives the pt a set tidal volume and preset flow rate respiratory rate. Very rigi d. However, if the patient wants to take extra breaths if they trigger them. AutoPEEP (what it is, what it causes, how to fix it) - ✔✔✔ Correct Answer >Breath stacking Decreases preload to the heart with positive pressure on the lungs --> hypotension Decrease RR, decrease inspiration time (goal is to have more time for the lungs to exhale) C diff abx - ✔✔✔ Correct Answer >Flagyl CAP immunocompromised pt (tx) - ✔✔✔ Correc t Answer >Bactrim CAP tx - ✔✔✔ Correct Answer >beta -lactam and macrolide OR fluoroquinolone CPP goal in TBI (and how to calculate it) - ✔✔✔ Correct Answer >50 -70 MAP - ICP Danger of increased PEEP - ✔✔✔ Correct Answer >Increases autoPEEP, increases Pplat Delta gap (formula, when and why it's used) - ✔✔✔ Correct Answer >Difference in AG from normal - Difference in HCO3 from normal In AG metabolic acidosis it's used. It tells you if there's underlying metabolic alkalosis or respiratory acidosis with bicarb compensation IN ADDITION to the AG metabolic acidosis. Both of those would result in a high bicarb to begin with, and a smaller change in bicarb from normal. Endocarditis bugs - ✔✔✔ Correct Answer >Strep viridans and other streps, staph GI change in pregna ncy - ✔✔✔ Correct Answer >LES tone decreases, increasing the risk of aspiration Goal FiO2 on vent - ✔✔✔ Correct Answer >Start at 1.0, then decrease as SpO2 tolerates (goal of 92 -94 saturation) Goal tidal volume - ✔✔✔ Correct Answer >10 cc/kg HCAP tx - ✔✔✔ Correct Answer >vanc/zosyn HELLP vs preeclampsia tx - ✔✔✔ Correct Answer >Delivery
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