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ICU / CVICU EXAM LATEST | 100 QUESTIONS | WITH SOLVED CORRECTLY ANSWERS!!
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ICU / CVICU EXAM LATEST | 100 QUESTIONS | WITH SOLVED CORRECTLY ANSWERS!!
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ICU / CVICU EXAM LATEST | 100 QUESTIONS| WITH SOLVED CORRECTLY ANSWERS!!
When do you change HME? Answer - Every 24 hours or when wet
When do you change inline sxn Answer - Every 72 hours or when soiled
How do you avoid accidentally using air flowmeter? Answer - take off nipple
connecter when not in use.
What can sxn cause? (Heart function) what do you do if this happens Answer -
PVC: stop immediately
When checking RR what is important to minitor Answer - Compare monitor vs.
Vent vs. Observation
What are two means of measuring LOC Answer - GCS, RASS
RASS score Answer - Richmond agitation sedation scale: 4- combative (overtly
combative, violent, immediate danger to staff) 0- alert and calm -5-cannot be
aroused (No response to voice or physical stimulation)
what GCS indicates need to intubate Answer - </= 8
Best/ worst GCS Answer - 15 best, 3 worst
, What is a 3T GCS Answer - Totally unresponsive tubed pt.
Highest GCS for a vented pt. Answer - 11T
C in GCS? Answer - Closed (facial swelling) eyes
CAM-ICU pos vs neg Answer - Pos: delerium present
Neg: no delerium
What is the ABCDEFG bundle? Answer - Awakening and Breathing trials,
Coordination of all aspects of care and medication choices for pain/sedation,
Delerium assessment, prevention and treatment, Early mobility, Family
engagement and empowerment, Feeding and FLuids and Functional
reconciliation, Goal setting and Good communication
Improves 1 year survival, vent time, ICU and Coma time
SBT safety screen Answer - Safe: SpO2 >/= 88%, FiO2</= 50%, PEEP
</=8cmH2O, No myocardial ischemia, inspiratory effort present
Fail safety screen: RR>/=35/min, RR</=8, SpO2 </= 88%, resp distress, mental
status change, acute cardiac arrhythmia
How do you do an SBT? Answer - CPAP 5 Ps 6-8 FiO2</= 50%
OR CPAP 5 + ATC 100%, FIO2</= 50%
OR T-piece or trach collar on FiO2 >/= 10% on ventilator
Tolerate for 30 minutes? Yes: consider liberation from vent
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