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FCCS Review Flashcards _ Tests Questions And Answers With Latest Updates(1).pdf
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8/29/24, 6:19 PMFCCS Review
Jeremiah
Terms in this set (39)
Tachypnea
What is the most important sign in a critically
ill pt? Why?
Indicates metabolic acidosis w/ respiratory alkalosis compensation
A pt misses dialysis for a few days and comes Cardiac tamponade; obstructive shock
in with fluid overload. He's tachycardic and
tachypneic. On physical exam, you find JVD,
pulsus paradoxus (20 mmHg drop during
inspiration), and HoTN (80/40) with distant,
muffled heart sounds. Lungs are clear to
auscultation. What is the dx?
If a pt has a thyromental distance of 2 cm, Difficult airway w/ an anteriorly displaced larynx
what can you expect about their airway?
A COPD pt comes in with difficulty BVM
breathing. He then becomes apneic and
unresponsive. How would you ventilate this
pt?
A pt arrives after falling from a ladder and Cerebral edema/increasing ICP
has a frontal laceration. On examination, you
find papilledema and labored breathing w/o Intubation tends to cause an increase in ICP. Administer lidocaine prior to intubation to
being able to clear secretions. What is your inhibit vagal stimulation.
biggest concern when intubating this pt?
An ESRD pt w/ hyperkalemia develops Succinylcholine
dyspnea and requires intubation. Which
paralytic agent/NMB should you avoid and Worsens hyperkalemia
why?
1/6
, 8/29/24, 6:19 PM
A pt is admitted after an OD. He starts to The pt is having apneic episodes, which means that administering high-flow O2 will be
have apneic episodes and his SpO2 is ineffective.
dropping. You place him on a non-
rebreather mask w/ 100% O2, yet his SpO2 Choose an LMA if the BVM fails.
remains at 80%. Why is it not being
corrected?
Then, if you try a BVM and it also fails, and
video laryngoscopy is unavailable, what is
your next best choice for an airway?
Targeted temperature management.
What intervention improves outcomes with
ROSC after cardiac arrest?
32-36 C
A shunt means there is perfusion without Pneumonia
ventilation. What disease process is an
example of a shunt?
Which type of respiratory failure occurs with Acute hypercapnic respiratory failure --> mixed
CNS depression after an OD?
A 50 y/o pt is having a COPD exacerbation. Auto-peep is the cause.
You have tried steroids, bronchodilators, etc.
with no improvement. PCO2 is in the 90s, pH COPD pts have difficulty exhaling --> pressure buildup in alveoli.
is 7.20. You decide to intubate. Vent settings
are: VT 375, RR 20, FiO2 .35, PEEP 5. CXR is We use PEEP for the pressure and to improve oxygenation. Auto-peep comes from
normal. A few minutes later, his BP drops to breath-stacking --> intrinsic peep. Alveoli enlarge --> high peak airway pressure. All
70/40. Lungs are clear/equal. Vent shows leads to low venous return --> low CO --> HoTN
peak airway pressure of 55 (high) and
plateau pressure of 15. End expiratory hold
gives auto-peep of 15.
What is the cause of this pt's HoTN and why?
A COPD pt is admitted to the ICU for Tension pneumothorax
exacerbation. Pt is on a vent. Pt is tx w/
bronchodilators, steroids, and Abx. ABG was Needle decompression/chest tube
normal 1 hr ago, but now the peak airway
pressure is up to 55 and plateau pressure is
also high at 50. Pt becomes hypotensive at
70/40. You observe tracheal deviation to the
R. Normal breath sounds on the right,
diminished on the left. No wheezing. WBC is
normal.
What is the dx and treatment?
A pt in ARDS s/p pneumonia is on 100% FiO2 Decrease the PEEP, even though it will decrease PaO2.
with PEEP of 22. PO2 is 88%. Peak airway
pressure and plateau are both high. VT is 5 (Note: you can't decrease the VT because it is already on the low end).
ml/kg.
How can you decrease the airway
pressures?
2/6
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