IA MED FPC Questions & Answers
How long does it take for the Bicarb/Carbonic Acid buffer system to react?
Seconds
What is the normal range of pH?
7.35 - 7.45
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Brainpower
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What makes up the 3 sides of the pediatric assessment triangle? - answer
Appearance
Work of breathing
Circulation
Describe the LEMON difficulty intubation assessment. - answer L - look externally
E - Evaluate 3-3-2
M - Mallampati
O - Obstructions
N - Neck mobility
Optimal intubation is to be performed with the patient's eat at the level of their _______?
- answer Sternal notch
What airway adjunct provides maximal protection against aspiration? - answer
Endotracheal Tube
True or False: High flow nasal cannulas may be used on the ventilator on both CPAP
and Bi-level methods of delivery. - answer True
What should you target the ETT cuff pressure to? - answer 20 - 30 mmHg. Gold
standard is 25.
What is the gold standard for confirmation of ET placement? - answer Chest X-ray
The distal tip of the ETT should be placed _______cm above the carina at the level of
which vertebrae? - answer 2 to 3 cm / T2 to T3
RSI: What are 2 important therapies to consider with a hypotensive patient prior to
induction/paralyzation? - answer Fluid bolus
Push dose pressors
True or False: OG/NG tubes are only to be used in conjunction with an ETT if they are
within 4 hours. - answer False.
OG/NG tubes shall be used with all intubations given there aren't any contraindications.
Which induction agent provides both analgesia and sedation? What is the proper dose
in RSI? - answer Ketamine
2mg/kg
State 3 contraindications for administration of Succinylcholine. - answer
Hyperkalemia
, Eye injuries
Nervous system disorder
What is the treatment for malignant hyperthermia? - answer Dantrolene
Hemodynamically unstable patients: Consider _________ the dose of an induction
agent, and ________ the dose of paralytic. - answer Half / Doubling
In the post intubation critical care patient is it better to provide push dose sedation or IV
infusion sedation? - answer IV infusion
You have had 2 failed attempts at intubation and have preoxygenated you patient to
95% SpO2 prior to you next step. Should you...
(A) Have the most experienced provider perform the intubation
(B) Perform a cricothyrotomy - answer A
One last attempt should be made. 3 are permitted given the SpO2 maintains above
90%.
Where are the central chemoreceptors located? - answer Medulla and pons
What is the gold standard diagnostic tool for monitoring ventilation? - answer
Capnography
What 2 factors are used to influence oxygenation? - answer PEEP
FiO2
What 2 factors are used to influence ventilation? - answer Respiratory Rate
Tidal Volume
Plateau Pressure (Pplat) should be maintained less than _____? - answer 30
Peak Inspiratory Pressure (PIP) should be maintained less than ____? - answer 35
What is the Ideal Body Weight calculation for both males and females? - answer
Males : 50 kg + 2.3 kg for each inch over 5 ft
Females : 45.5 kg + 2.3 kg for each inch over 5 ft
When making changes to the ventilator how many minutes should you wait for serial
ABGs? - answer 15 minutes
What does the ventilator alarm "DOPE" stand for? - answer D - Dislodged
O - Obstruction
P- Pneumothorax
E - Equipment
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