Respiratory Therapy: Oxygen Therapy Devices and Administration, Exams of Medicine

Download Respiratory Therapy: Oxygen Therapy Devices and Administration and more Exams Medicine in PDF only on Docsity! Test 1 Module 1 +NBRC RRT Questions and Answers. What are the RESPIRATORY identifiable symptoms of hypoxia/hypoxemia? - \-Increased RR (tachypnea) -Dyspnea (perceived SOB) -Paleness (cyanosis=severe) What are the CARDIOVASCULAR identifiable symptoms of hypoxia/hypoxia? - \-Mild hypertension (secondary to vasoconstriction) *if severe, leads to eventual hypotension. What are the NEUROLOGIC identifiable symptoms of hypoxia/hypoxemia? - \-Restlessness -Disorientation -Headaches -Severe case lead to (distressed appearance, confusion, blurred vision, loss of coordination, slow reaction time, somnolence, coma) Patient need of 02 based on LAB DOCUMENTATION. - \-Pa02 is <60mmHg -Sp02 is less than 90% on RA. Patient need of 02 based on CLINICAL findings at bedside. - \-Tachycardia -Tachypnea -Confusion Patient need of 02 via Non-rebreather based on SPECIAL CONSIDERATIONS. - \-Pneumothorax -CO/ cyanide poisoning -Acute myocardial infarction (MI) Patient need of 02 via Simple Mask based on SPECIAL CONSIDERATIONS. - \-Post anesthesia What are the LOW FLOW devices? (Hint: There are 7) - \-Nasal Cannula -Nasal Catheter -Transtracheal Catheter -Reservoir Cannula -Simple Mask -Partial Rebreather -Non Rebreather What is the flow rate for a NASAL CANNULA? - \1/4-6L/min What is the Fi02 rate for a NASAL CANNULA? - \24-44% What is the flow rate for a SIMPLE MASK? - \5-10L/min What is the Fi02 range for a SIMPLE MASK? - \35%-50% What is the flow rate for a NON RE-BREATHER? - \10L/min-inflation of the bag-15L What is the Fi02 rate for a NON RE-BREATHER? - \60-80% What is the conversion factor for an E tank? - \0.28 What is the conversion factor for an H tank? - \3.14 What is Patient Demand? - \When you provide all of the 02 the patient is inspiring and no RA is allowed in. (Minute Ventilation) x 3. What factors are needed to calculate a Pts demand? - \RR (Respiratory rate) x Vt (Tidal Volume)= Ve (Minute Ventilation) x 3= Patient Demand What type of relationship does the size of the jet to the Fi02 have? - \Direct. The size of the jet increases, the Fi02 increases. What type of relationship does the size of the entrainment port to the Fi02 have? - \Indirect. The size of the port increases, the Fi02 decreases. When do you need to increase the flow? - \When the applied L/min is not causing the Sp02 to return to normal. Sp02 for normal patient= 95% and above COPD patient= low 90%s What is the total output for a venturi with the Fi02 of .35? - \5:1 \ACCS (Adult Critical Care Specialty Credential) After graduation which exam will you be sitting for? - \CRT (Certified Respiratory Therapist) What does CPFT stand for? - \Certification Examination for Entry-Level Pulmonary Function Technologists What does NPS stand for? - \Neonatal/Pediatric Respiratory Care Specialty Examination What does RPFT stand for? - \Registry Examination for Advanced Pulmonary Function Technologists What does RRT stand for? - \Registered Respiratory Therapist What does SDS stand for? - \Sleep Disorders Specialty How many questions will there be for the CRT? - \160 How many questions are scored on the CRT? - \140 What is the time limit for the CRT? - \3 hours How much does it cost to take it for new applicants? - \$190 How much does it cost for repeat applicants? - \$150 What do the cut scores mean? - \There will be two established cut scores for the Therapist Multiple-Choice Examination. If a candidate achieves the lower cut score, they will earn the CRT credential. If a candidate achieves the higher cut score, they will earn the CRT credential AND become eligible for the Clinical Simulation Examination (provided that those eligibility requirements are met and the candidate is eligible to earn the RRT credential). How do you earn a CRT credential? - \Earn a score of atleast 88 How do you earn a RRT credential? - \Need to get in the high cut of 94 What is the RRT exam (Clinical Sims Exam)? - \The clinical setting and patient situation for each problem are designed to simulate reality and be relevant to the clinical practice of respiratory care. Candidates will be given four hours to complete the CSE. How many clinical simulations will you be confronted with at the CSE? - \22 problems (20 scored items and 2 pretest items). What is the time limit for the CSE? - \4 hours How much does it cost to take the CSE for new applicants? - \$200 How much does it cost to take CSE for repeat applicants? - \$200 When do you apply for a Respiratory License? - \After you secure the CRT credential. What is so important about a Respiratory License? - \The license is state specific so you will need a state license for each state you plan to work in. How much does it cost to obtain a Respiratory License? - \$100 Do you need to take an extra exam for a Respiratory License? - \No When do you need to renew your Respiratory License? - \Every 2 years When is the renewal deadline? - \Always October 31 of odd years (2013, 2015, 2017, etc) What is required of you to maintain your Respiratory License? - \To keep track of your continuing education hours. How many hours of continuing education is required to keep your Respiratory License? - \Illinois requires 24 hours for two-year period. Can you work without an active license? - \NO! Define Profession. - \A vocation or occupation requiring special, usually advanced, education, knowledge and skill. Define Professional. - \One engaged in one of the learned professions or in an occupation requiring a high level of training and proficiency. What are the standards you as a professional are being held to? - \-Render expert opinions and make sound decisions based on established standards of practice. -Function as leaders in specialized areas of expertise. -Place the needs of the patient over the needs of the group, achieving altruistic rather than material goals. -Commit to the profession. What are the Social Expectations required of you as a professional? - \-Professional credentials earned & maintained -Professional code of ethics followed -Standards of practice What are the professional credentials you are to earn and maintain? - \-CRT, RRT -License -Continuing education What are the standards of practice required of you? - \-Research -Peer-review What are the patient expectations of you as a professional? - \-High degree of personal integrity -Commitment to confidentiality -Appreciation for diversity -Strong work ethic -Expert knowledge and skills What are the Professional Educations Expectations of a professional? - \-General education -Technical education -Interpersonal skills (aka "bedside manner") -Teaching -Research & lifelong learning/improvement