Critical Care 2 Midterm

1. This GABA active induction agent also used for seizures is one of the most lipid soluble agents resulting in quick absorption by the brain
a. Ketamine
b. Etomidate
c. Propofol
d. Midazolam
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1. This GABA active induction agent also used for seizures is one of the most lipid soluble agents resulting in quick absorption by the brain
a. Ketamine
b. Etomidate
c. Propofol
d. Midazolam
d. Midazolam
2. Which of the following NMBA's can contribute to hyperkalemia due to the fasciculations it causes?
a. Rocuronium
b. Thiopental
c. Pavulon
d. Succinylcholine
d. Succinylcholine
3. Which of the following NMBA's when dosed at 1 mg/kg has effects lasting 20-30 minutes?
a. Rocuronium
b. Thiopental
c. Pavulon
d. Succinylcholine
a. Rocuronium
4. Which of the following is NOT a characteristic of the ideal induction agent?
a. Decrease MAP by 25%
b. Cause loss of consciousness and amnesia
c. Be immediately reversible
d. Have few if any side effects
a. Decrease MAP by 25%
Human factors have been reported to be a factor in 40% of RSI related adverse airway outcomes. List two of the four factors identified by Flin et al.
a. Poor communication, poor training/teamwork
b. Deficiencies in equipment, inadequate systems and processes
a. Poor communication, poor training/teamwork
b. Deficiencies in equipment, inadequate systems and processes
6. Auto-PEEP refers to:
a. The ventilator setting that automatically manages the PEEP delivered to a patient
b. Incomplete exhalation of lung volume prior to the next positive pressure breath
c. CPAP devices where PEEP is pre-set and cannot be adjusted
d. Atelectasis that occurs with increasing levels of PEEP
b. Incomplete exhalation of lung volume prior to the next positive pressure breath
7. What nasal cannula flow rate in LPM is recommended for the NO-DESAT technique?
a. 25
b. 15
c. 10
d.6
b. 15
8. Where is the balloon for an IABP placed in the body?
a. The descending vena cava
b. Distal tip set just inferior to the left subclavian → it is radial opaque
c. Distal tip immediately after the aortic valve
d. In the left subclavian artery
b. Distal tip set just inferior to the left subclavian → it is radial opaque
9. Which of the following is NOT a technique for timing the IABP with the patient's cardiac cycle?
a. Arterial pressure
b. EKG, specifically the R wave
c. Ventricular pacer spikes
d. Internal mode
d. Internal mode
Refers to your ability to tell the balloon pump in the absence of seeing an EKG → pump anyway
Artificial internal trigger where you set the rate
10. Which of the following is a contraindication for the use of an IABP?
a. Recent descending aortic surgery
b. Unsuccessful cardiac caths
c. High risk cardiac caths
d. Uncontrolled Angina Pectoris
a. Recent descending aortic surgery