FCCS: Fundamentals of Critical Care Support Exam Review | Complete Study Guide with Questions and Verified Answers| 100% Correct (Latest 2023\/ 2024 Update) Grade A Guaranteed<\/p>\n\n\n\n
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FCCS: Fundamentals of Critical Care
Support Exam Review | Complete Study
Guide with Questions and Verified Answers|
100% Correct (Latest 2023\/ 2024 Update)
Grade A Guaranteed
Q: NPPV uses two levels of positive airway pressure, combining modalities of pressure support
ventilation and what?
Answer:
CPAP
Q: What is CPAP?
Answer:
continuous positive airway pressure<\/p>\n\n\n\n
\n7 mL\/kg of predicted body weight, improved gas exchange, and patient comfort.<\/p>\n\n\n\n
\n
- It is also important to be cognizant that IPAP > 20 cm H2O may lead to gastric distension.
Q: What are the goals of NPPV?
Answer:
The goals of NPPV may include a<\/li>\n\n\n\n- respiratory rate <30 breaths\/min<\/li>\n\n\n\n
- VT >7 mL\/kg of predicted body weight<\/li>\n\n\n\n
- improved gas exchange<\/li>\n\n\n\n
- patient comfort.
Q: Initial NPPV settings
Answer:
Use the following initial ventilator settings:<\/li>\n\n\n\n- Mode: Spontaneous<\/li>\n\n\n\n
- Trigger: Maximum sensitivity<\/li>\n\n\n\n
- FIO2: 1.00<\/li>\n\n\n\n
- (PEEP) EPAP: 4-5 cm H2O
** (higher levels are poorly tolerated initially)<\/li>\n\n\n\n- (PSV) IPAP: 10-15 cm H2O<\/li>\n\n\n\n
- Backup rate: Start at 6\/min<\/li>\n<\/ul>\n<\/blockquote>\n\n\n\n
Q: CPAP indications, pros, cons
Answer:<\/p>\n\n\n\n\n
- CPAP alone can also be delivered noninva- sively but does not provide support of ventilation.<\/li>\n\n\n\n
- CPAP allows spontaneous breathing from a gas source at an elevated baseline system pressure
(higher than atmospheric pressure) and is functionally equivalent to positive end-expiratory
pressure (PEEP).<\/li>\n\n\n\n- uncomfy<\/li>\n\n\n\n
- primarily used to treat OSA
Q: DRUGS USED TO FACILITATE TRACHEAL INTUBATION<\/em> – Fentanyl
Dose : Benefits:
Cautions:
Answer:
Fentanyl<\/em>
Dose: 0.5-2ug\/kg IV bolus every several minutes, titrated for analgesia. Benefits: Rapid onset,
short acting, reversible w\/ naloxone
Cautions: chest wall rigidity w\/ rapid administration, respiratory depression, does not inhibit
awareness of procedure
Q: DRUGS USED TO FACILITATE TRACHEAL INTUBATION<\/em> – Midazolam
Dose: Benefits:
Cautions:
Answer:
Midazolam<\/em>
Dose: 0.1-0.3mg\/kg bolus, titrated to sedate
Benefits: Provides amnesia, rapid onset, short acting, reversible w\/ fumazenil
Cautions: Added respiratory depression when combined w\/ narcotics
Q: DRUGS USED TO FACILITATE TRACHEAL INTUBATION<\/em> – Etomidate
Dose:Benefits:<\/li>\n<\/ul>\n\n\n\nCautions
Answer:
Etomidate<\/em>
Dose: 0.1-0.3mg\/kg single IV bolus
Benefits: provides hypnosis, MAY be preferred in head injury, NO adverse CV effects Cautions:
May induce myoclonus including mild trismus (consider pre-medicating w\/ fentanyl), NO
reversal agent, transient adrenal suppression
Q: DRUGS USED TO FACILITATE TRACHEAL INTUBATION<\/em> – Lidocaine
Dose:Benefits:
Cautions
Answer:
Lidocaine<\/em>
Dose: 1-1.5mg\/kg IV bolus 2-3 min before laryngoscopy
Benefits: blunts hemodynamic and tracheal response to intubation, may reduce ICP
during laryngoscopy
Cautions: should not exceed 4mg\/kg due to neurotoxicity (seizures)
Q: DRUGS USED TO FACILITATE TRACHEAL INTUBATION<\/em> – Ketamine
Dose:Benefits:
Cautions
Answer:
Ketamine<\/em> Dose: 1-4mg\/kg IV bolus
Benefits: Rapid onset, no adverse CV effects (exception in severe CHF), short acting Cautions:
May increase ICP, hallucinations, consider a small dose of benzo like midazolam as an adjunct.
Q: DRUGS USED TO FACILITATE TRACHEAL INTUBATION<\/em> – Propofol
Dose:Benefits:
Cautions
Answer:
Propofol<\/em> Dose: 1-2mg\/kg IV bolus
Benefits: rapid onset, short acting, provides amnesia
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