FULL REVIEW CRTRRT NBRC Latest Update

FULL REVIEW CRT/RRT (NBRC) Latest Update - with 325 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor

1st Degree AV Block - CORRECT ANSWER:

2nd Degree AV Block - CORRECT ANSWER:

• types of ICP monitoring - CORRECT ANSWER: -Ventricular Catheter: inserted

through a burr hole (surgical opening into the skull -Subarachnoid bolt: metal screw with sensor chip that is inserted through a hole drilled into the subdural or subarachnoid space -Epidural Sensor: consists of placement of a fiberoptic sensor, radio transmitter, or tiny balloon in the epidural space through a burr hole in the skull

3L syringe - CORRECT ANSWER: -accuracy must be ±3.5%

-2.9 - 3.1

-Calibrate with flows between 2 and 12 L/sec

3rd Degree AV Block - CORRECT ANSWER:

A-a Gradient interpretations - CORRECT ANSWER: -25-65 mmHg on 100% = Normal

-66-300 mmHg = V/Q Mismatch ->300 mmHg = shunting

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each 100 mmHg = 5% shunt + 5% normal shunt

Acetylcysteine (Mucomyst) - CORRECT ANSWER: -liquify thick tenacious secretions

-ACETAMINOPHEN OVERDOSE

-give bronchodilator prior to acetylcysteine

• 3 to 4 mL of 10 - 20%

Acid Gluteraldehyde (Sonacide) - CORRECT ANSWER: -Disinfection or sterilization

-bactericidal in 10 mins -tuberculocidal in 20 mins -sporicidal in 1 hour -can be used up to 28 days

Air Bubbles in ABG sample - CORRECT ANSWER: -PaCO2 decreases toward 0 torr

-PaO2 increases to 150 torr -pH increases

Air Entrainment Mask - CORRECT ANSWER: -Irregular VT and RR and breathing

patterns -FiO2 remains the same regardless of flow from O2 inlet -FiO2 will increase as diameter of gas injector increases, increased resistance (water) in tubing -FiO2 decreases and total flow increases as air entrainment increases

Alkaline gluteraldehyde (Cidex) - CORRECT ANSWER: -disinfection or sterilization -bactericidal in 10 mins -tuberculocidal in 10-20 mins -sporicidal in 10 hours (sterile) -plastics (tubing, nebulizer, humidifier) 2 / 4

-for flexible bronchoscope

Alpha Response - CORRECT ANSWER: -Vasoconstriction

-blood pressures

Altering negative pressure - CORRECT ANSWER: -increase negative pressure to

remove thick tenacious secretions -do not exceed appropriate pressures

amiodarone - CORRECT ANSWER: -pulseless VT and V-fib that has not responded to

defibrillation

Analgesics - CORRECT ANSWER: -reduce sensation of pain (Opiods)

-reversed with naloxone (Narcan) -morphine -fentanyl -codeine -hydrocodone -oxycodone (Oxycontin) -hydromorphone (Dilaudid) -meperedine (Demerol)

Anesthetics - CORRECT ANSWER: -propofol (Diprivan) for anesthesia and sedation of ventilated patients -ketamine (Ketalar)

Angina - CORRECT ANSWER: -Nitroglycerin

-isordil

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Antibiotics - CORRECT ANSWER: -cillins = gram positive

-myacins = gram negative -coccus = gram positive -everything else = gram negative

-common side effect: diarrhea

-Vancomycin = MRSA

Antiviral agents - CORRECT ANSWER: -Ribavirin = treat RSV

-RSV Immune Globulin IV (RespiGam) = prevention of RSV -palivizumab (Synagis) = man-made antibody to RSV

APGAR Score - CORRECT ANSWER: -1 minute will determine neonatal survival

-5 minute predicts future neurological outcome -0-3 resuscitate -4-6 Stimuiate (stimulate, warm, O2) -7-10 Monitor (Routine care)

Apneustic - CORRECT ANSWER: prolonged gasping inspiration followed by extremely

short, insufficient expiration

-respiratory center problems, trauma, tumor

Ascites - CORRECT ANSWER: accumulation of fluid in the abdomen caused by LIVER

FAILURE

Assessment of Tube Position - CORRECT ANSWER: - Inspect for bilateral chest

expansion

• Ausculate for bilateral breath sounds
• Capnography or CO2 detectors
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