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Advanced Mechanical Ventilation
List indications, contraindications, and advantages of HFNC and PRVC.
List the variable that may be controlled on a HFNC system.
List the components of a HFNC.
Given patient data, recommend interventions with HFNC, APRV, VS, and APRV.
Identify the approximate amount of CPAP generated by a HFNC system.
List settings differences between PRVC and PC-CMV.
Identify maximum PIP based on pressure setting in PRVC.
List the increment range for PIP changes in PRVC.
Identify the primary difference between PRVC and VS.
Identify settings that may be changed in APRV to adjust oxygenation and ventilation.
Describe the possible method(s) for determining the initial setting of Phigh in APRV.
Describe the basic function of NAVA.
Interpret the acid-base balance of ABG values.
Identify the method by which intrapleural pressure is estimated in NAVA.
Clinical Lab Studies
Define:
Hematocrit
Cytology
Histology
Culture and sensitivity
Unifocal PVC
Multifocal PVC
List normal values and ranges of:
RBCs (erythrocytes)
WBCs (leukocytes)
Thrombocytes
Reticulocytes
Glucose
Identify the lab test(s) that are used to measure liver function.
Identify the lab test(s) that are used to measure kidney function.
Identify the lab test(s) that are used to measure pancreatic function.
Identify the electrolyte that results in diaphragmatic weakness if that electrolyte’s value is too low.
ECG Interpretation
Identify the normal pacemaker of the heart.
Identify the electrical event that follows the following ECG waves:
P wave
QRS complex
T wave
Identify the variables measures by the vertical and horizontal axes of an ECG tracing.
Identify the feature that all sinus rhythms share.
Identify the following ECG rhythms when seen on an ECG tracing
Normal sinus rhythm
Sinus tachycardia
Sinus bradycardia
1st degree heart block
2nd degree heart block, Types I & II
3rd degree heart block
Atrial fibrillation
Atrial flutter
Ventricular tachycardia
Ventricular fibrillation (coarse and fine)
Asystole
Scores & Indices
Identify the use of and normal range for the following clinical scores.
a. HACOR
b. APGAR
c. ROX
d. Mallampati
e. Ballard
f. SOFA
g. APACHE
h. Apnea Test
i. RSBI
j. GCS
k. AHI
l. P/F ratio
Noninvasive Monitoring
Identify the place on an ETCO2 graph where the highest PETCO2 exists.
Describe the feature that make a monitoring route noninvasive.
Describe the effect of an increased COHb would have on SpO2.
Identify the process for minimizing the risk of skin burns when using transcutaneous gas monitoring.
Identify acceptable anatomic locations for SpO2 monitoring sensors.
Identify the patient population on whom the heel is an acceptable location for SpO2 monitoring.
Ventilator Graphics
Using ventilators graphics (scalars and loops), identify the following abnormalities.Overdistension
Air trapping
Circuit leak
The presence of airway secretions
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