TEST 2

Question 1

what is the positioning called when the image is from back to front (taken with board placed in front of Pt)

Answer 1

Posteroanterior (PA)

Question 2

Right lateral decubitus and oblique (turned) positions are mainly used in

Answer 2

children

Question 3

in kids and adults, X Rays are the GOLD standard for determining what?

Answer 3

Et tube placement

Question 4

What disease process does widened intercostal spaces and flattened diaphragm indicate

Answer 4

Asthma

Question 5

Inspiratory pauses allow for

Answer 5

Better image/evaluation of the lungs in an x-ray, (especially in infants)

Question 6

besides ETT, chest x rays are used as a diagnostic tool to assess the placement of

Answer 6

lines, drains, and tubes

Question 7

what three things can you identify on a lateral decubitus x-ray

Answer 7

air, fluid or foreign body aspiration in the pleural space

Question 8

on X-rays, kids oblique positioning is mainly for determining what

Answer 8

Rib fractures

Question 9

Any head flexion of pt can cause ____ to move and migrate into the __

Answer 9

ETT, trachea and the tip is positioned at carina or within bronchus

Question 10

the ETT will appear deeper with

Answer 10

any variation of pt neck placement

Question 11

For head extension, you should place the ET tube:

Answer 11

superiorly and place tip of tube above the thoracic inlet

Question 12

tips of lines/drains should be seen where on an xray

Answer 12

In the stomach, below the left hemidiaphragm

Question 13

UVC are used for

Answer 13

giving fluid and medicines

Question 14

UVA is used for

Answer 14

drawing blood in babies, can get ABG

Question 15

a central venous catheter (PICC line) rests in

Answer 15

the right atrium of the heart

Question 16

If any central venous line/PICC line migrates it can cause

Answer 16

Arrhythmias/SVTs

Question 17

MRI has no risk of any

Answer 17

Ionizing radiation

Question 18

You can administer medications through

Answer 18

PICC line

Question 19

finger probe has two sides of independent LED light source, they are

Answer 19

One is red and the other infrared

Question 20

to get the fastest/most reliable SpO2 reading, you should put it on the

Answer 20

Right hand

Question 21

a factor that affects the accuracy of the probe is

Answer 21

Poor skin integrity

Question 22

what does Co2/capnometry measure on a patient? what is it useful in

Answer 22

Ventilation; resuscitation/ROSC

Question 23

capnometry measures a patients

Answer 23

PetCO2 (partial pressure of end tidal co2)

Question 24

where does the eTCO2 go? [pressure waveform graph labeled A. B. C. D. E.].

Answer 24

eTCO2 goes with D.

Question 25

what is indicated when you have periods of apnea and no more end tidal readings?

Answer 25

a dislodged ET tube

Question 26

what type of monitoring is useful when monitoring changes in CO2 while using nonconventional ventilation

Answer 26

Transcutaneous Monitoring (TCM)

Question 27

two hazards of ABG analysis in kids include

Answer 27

Thromboses and arterial spasm

Question 28

where is the best procedure site for an abg on infant/neonate, and should you warm or cool it first?

Answer 28

heel of foot, warm the heel (pro tip: use 2 warmers)

Question 29

what is capillary blood gas analysis' disadvantage compared to ABG

Answer 29

Oxygenation status varies

Question 30

what is one hazard/complication of Peripheral Artery Catheter's

Answer 30

Thrombosis

Question 31

Transcutaneous monitoring of is very useful for monitoring any changes in

Answer 31

Co2 with non conventional ventilation

Question 32

Below heart

Answer 32

post ductal

Question 33

CAP gasses will not correlate with

Answer 33

O2, because it is basically a venous gas

Question 34

umbilical artery catheters (UAC) are placed in

Answer 34

newborns umbilicus

Question 35

Complications of UAC's include

Answer 35

Thrombosis and infection

Question 36

what are some complications of central lines

Answer 36

pneumothorax, arrhythmias, thrombosis

Question 37

what type of ETT's are used in kids <8yrs

Answer 37

uncuffed

Question 38

what is the primary parameter for selecting ETT

Answer 38

age is the primary parameter kids >2; round down

Question 39

can head flexion or extension cause the tip of the ETT to move, even if secured

Answer 39

yes

Question 40

suction pressures

Answer 40

neonates 60-80 infants 80-100 kids 100-120 adults 100-150

Question 41

an infants trachea bifurcates at the carina @T4-T6, and gets intubated between which vertabrae

Answer 41

T4-T6 vertebrae (T4 - neonates, T6 infants); anywhere else causes hyperinflation of the R lung

Question 42

impedance pneumography device

Answer 42

monitors changes in breathing activity, disadvantage: accuracy issues

Question 43

on monitor in ICU what does the RED waveform show? Yellow waveform?

Answer 43

BP - red CVC - Yellow

Question 44

Swan Ganz catheter

Answer 44

used in critically ill PTs to monitor hemodynamics on the LEFT side, can increase PEEP

Question 45

what can't a pulse ox measure

Answer 45

ventilation

Question 46

pre-ductal on R hand on babies, when?

Answer 46

after birth

Question 47

how high above the carina should the ETT be kept

Answer 47

4cm

Question 48

above heart

Answer 48

pre-ductal

Question 49

when assessing a PT for a P.E (kids/babies) on an xray

Answer 49

R lateral decubitus

Question 50

Anterior oblique (45*) positioning for chest X-rays is used for taking xrays of

Answer 50

babies

Question 51

can a MRI show soft tissue

Answer 51

yes

Question 52

Endobronchial intubation is also called

Answer 52

R mainstem intubation

Question 53

best ABG access site for neonates

Answer 53

behind knee (post-tibial)