FCCS PRETEST , POST TEST AND EXAM NEWEST ACTUAL EXAM COMPLETE 130 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS )
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Course
FCCS
Institution
FCCS
FCCS PRETEST , POST TEST AND EXAM
NEWEST ACTUAL EXAM
COMPLETE 130 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS )
FCCS PRETEST , POST TEST AND EXAM
NEWEST ACTUAL EXAM
COMPLETE 130 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS )
FCCS PRETEST , POST...
Delta gap (formula, when and why it's used) - 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.
,Winter's formula (equation, what it measures) -
ANSWER-1.5[HCO3] + 8 +/- 2
If compensation is adequate
in acid/base issues
How AG changes with albumin changes - ANSWER-Decreases 2.5-3
for every 1 decrease in albumin
Hemodynamic changes after intubation - ANSWER-
Hypo/hypertension
Arrhythmia
Tachycardia
Pressure support equation for BiPAP - ANSWER-IPAP - EPAP
3 types of vent cycles - 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)
Goal tidal volume - ANSWER-10 cc/kg
, Goal FiO2 on vent - ANSWER-Start at 1.0, then decrease as SpO2
tolerates (goal of 92-94 saturation)
Ppeak - ANSWER-Peak inspiratory pressure
Pplat (try to keep it below ?) - ANSWER-Inspiratory plateau
pressure (shows alveolar distention)
30
AutoPEEP (what it is, what it causes, how to fix
it) - 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)
Danger of increased PEEP - ANSWER-Increases autoPEEP, increases
Pplat
PaO2 we're usually happy with - ANSWER->60
When to consider NPPV vs invasive - ANSWER-When it's a
quickly solved problem in 1-2 days (e.g. COPD
exacerbation)
When the patient can be compliant
with working with NPPV
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