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Interactive Respiratory Critical Care Case Scenario

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1.  Identify an example of an initial physiologic response to hypoxemia:
  1. Emesis
  2. Hyperventilation
  3. Metabolic process
  4. Poison ingestion
2.  A P/F ratio greater than 300 is consistent with which severity classification of ARDS?
  1. Normal
  2. Mild ARDS
  3. Moderate ARDS
  4. Severe ARDS
3.  Dyssynchrony is a common problem during mechanical ventilation, and the RT should critically think to:
  1. Make the ventilator fit the patient, NOT the patient fit the ventilator
  2. Have the ventilator give an inspiration that the patient does not want
  3. Have the patient expire when the ventilator is delivering a breath
  4. Set the ventilator to stop inspiratory support when the patient does not want to expire gas
4.  Which of the following criteria facilitates decision-making for ECMO de-cannulation?
  1. Blood pressure improves
  2. CXR improves
  3. Oxygenation and acidemia improves
  4. All of the above
5.  To identify patients that can be safely extubated, what is the recommended duration of a spontaneous breathing trial (SBT)?
  1. 15 minutes
  2. Until the patient gets tired
  3. All day
  4. 30 – 120 minutes

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