FCCS

What is the first indicator of critical illness correct answer: Tachypnea Evidence of decreased perfusion include? correct answer: AMS, Urine output, skin temperature DIRECT correct answer: Detection, intervention, Reassessment, effective communication, teamwork Late sign of circulatory demise correct answer: hypotension Important indicator of critical illness correct answer: Metabolic acidosis -> lactacte measurement -> anaerobic metabolism What does metabolic acidosis...

How do you diagnose airway obstruction? correct answer: FEV1/FVC <70% Once airway obstruction is diagnosed, how do you determine whether it is d/t asthma or COPD? correct answer: Give pt bronchodilator. if >12% improvement of FEV1 then asthma The *Global* initiate for Chronic *Obstructive Lung Disease* (GOLD) categorizes airflow limitation into how many stages? correct answer: 4 stages of COPD GOLD 1 spirometric findings correct answer: mild: FEV1/FVC = <70% FEV1 >...

Most important indicator that a patient has a severe illness? correct answer: Tachypnea 3 respiratory types, and their criteria correct answer: Hypoxemic (PaO2 <50-60) Hypercapnic (PaCO2 >50, pH <7.36) Mixed 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 A...

DIRECT Methodology correct answer: Detection Intervention Reassessment Effective Communication Teamwork ____ is the greatest contribution to diagnosis. correct answer: History ____ is the single most important indicator of critical illness. correct answer: Tachypnea Kussmall Breathing (or change in depth of respiration) usually indicates correct answer: Metabolic acidosis Cheyne-Stokes Respiration (or periodic breathing with apnea or hypopnea usually indicates correct answer:...

What does a DNR mean? correct answer: take care of the patient but DO NOT do chest compressions Who takes care of patients and their comfort measures and specifically focuses on the quality of life? correct answer: Palliative care You intubate someone how do you confirm you did it correctly? correct answer: capnography (end tidal CO2 monitor) **aka qualitative CO2 exhale monitor **the line on the capnography machine will turn purple to yellow and this means youre exhaling CO2 A c...

Which of the following parameters may be a late sign of cardiovascular disturbance signaling failure of the compensatory mechanisms? A. Tachycardia B. Bradycardia C. Hypotension D. Hypertension correct answer: C Investigative tests should be based on the patient's history and physical examination as well as on previous tests. Which of the following is one of the most important indicators of critical illness? A. Respiratory acidosis B. Metabolic acidosis C. Elevated creatinine D. Hyp...

Most important indicator that a patient has a severe illness? correct answer: Tachypnea 3 respiratory types, and their criteria correct answer: Hypoxemic (PaO2 <50-60) Hypercapnic (PaCO2 >50, pH <7.36) Mixed 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 A...

what vital sign abn and BMP finding is the most important indicator of critical illness? correct answer: tachypnea; metabolic acidosis what is the gas volume in an adult resus bag? correct answer: 1-1.5 L waht is the mnemonic for airway prep? correct answer: SOAP-ME Suction Oxygen Airways (OPA, NPA, Ett) Position: adjust bed Monitoring and Medications: EtCO2, RSI drugs Equipment: DL, VL, bougie what are indicators of a difficult mask? correct answer: beard,no teeth, OSA, high ...

What is the single most important indicator in critical illness? correct answer: tachypnea Beck's Triad correct answer: hypotension, JVD, muffled heart sounds - a/w cardiac tamponade What is the thyromental distance? correct answer: It is the distance in finger breadths between the anterior prominence of the thyroid cartilage (adam's apple) and the tip of the mandible (chin). It is an estimate of the length of the mandible and the available space anterior to the larynx What does...

What is the most important sign in a critically ill pt? Why? correct answer: Tachypnea Indicates metabolic acidosis (often w/ respiratory alkalosis compensation) A pt misses dialysis for a few days and comes 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? correct answer: Cardiac tamponade; obstr...