jeopardy
DESCRIPTION
Jeopardy. Choose a category. You will be given the answer. You must give the correct question. Click to begin. Choose a point value. Choose a point value. Click here for Final Jeopardy. Physiology. Oxygen Calculations. Patient Cases. Decision Time. Potpourri. Cardiac Anatomy. - PowerPoint PPT PresentationTRANSCRIPT
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Choose a category. You will be given the answer.
You must give the correct question. Click to begin.
![Page 2: Jeopardy](https://reader035.vdocument.in/reader035/viewer/2022062315/56814eab550346895dbc5634/html5/thumbnails/2.jpg)
Click here for Final Jeopardy
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PhysiologyOxygen
CalculationsDecision
TimePotpourri
Cardiac Anatomy
10 Point
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20 Points 20 Points 20 Points 20 Points 20 Points
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PatientCases
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Respiratory Quotient
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What is the ratio of carbon dioxide
production to oxygen
consumption?
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The phenomenon of negative pressure inside the chest
causing blood to be sucked up toward the right atrium via
the vena cava from the lower extremities
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What is the intrathoracic pump?
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Poor humidity and high FiO2 impair function of these
structures which can lead to lower airway infection and mucous
plugging.
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What is the mucous layer and
cilia?
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Your patient has increased expiratory work and collapse of
small airways during forced exhalation
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What are problems due to increased
lung compliance?
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Alveoli that have both poor
ventilation and poor circulation.
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What are silent units?
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This formula is written as
(Hgb X 1.34 X SaO2) + (PaO2 x 0.003)
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What is Oxygen Content of Arterial
Blood?
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The formula for oxygen
consumption.
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What is
V02 = (CO)[(C(a-v)O2) x 10]
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Diagnostic criteria for ARDS is < 200
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What is the P/F Ratio?
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The amount (%) of oxygen normally extracted by the
body.
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What is 25%
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This is the portion of the cardiac output
that does NOT take part in gas exchange. Once the severity is established,
treatment plans can be made.
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What is the shunt equation?
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Your AM ABG shows a PaO2 of 165 torr on 55% O2. You
receive an order from Dr. Smith to reduce the FiO2 for a target
PaO2 of 80 torr. Your new FiO2 should be __________.
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Question 1c
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Your H1N1 patient has a PaO2 of 129 on a FiO2 of
50%. What is your assessment of oxygenation?
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What is Acute Lung Injury?
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Your patient comes into the emergency room with hypoxia.
List two methods used to differentiate between
hypoventilation and shunting.
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What are ABG and a/A gradient calculation?
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You receive a patient in the ER with the following ABG: pH 7.5, paCO2 32, paO2 76,
SaO2 65%, COHb 25%. The pulse ox is reading 92%. Interpret the ABG and recommend treatment.
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What is acute alveolar hyperventilation with severe
hypoxemia secondary to carbon monoxide poisoning?
Treat with 100% oxygen.
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A patient arrives in the ER sent directly from his physician's office. He is a 62 Y/O male with a 25 pack year smoking history. His ideal body weight is 182 lbs. He had severe dyspnea and a weak cough effort. Auscultation reveals course expiratory crackles and inspiratory crackles at the bases, aeration is faint. The patient has JVD and it is noted that he has dependent edema 2+. His respiratory rate is 22 and shallow.Vital signs are: 167/66, HR 125, Temp. 38.2 C, pulse oximeter = 86% on 2 liters per minute nasal cannula. CO is 8 lpm.
a.CXR – bilateral cloudy infiltrates with prominent vascularityb.ABG – 7.33 / 62 / 34, PaO2 – 52 torr and SaO2 – 83%c.CBC – WBC =18,000, H&H = 18/56d.Electrolytes – all within normal limits
1.What is the DO2?
2.What factors are contributing to the patient’s hypoxia?
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1. 2. hypoventilation, alveolar fluid, infiltrates, abnormal alveoli, possible COHb, altered cardiac function, increased oxygen consumption (fever, incr wob, tachycardia, stress, infection)
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Your patient is bleeding and has a
low CO. As a result, DO2 is
______.
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What is decreased?
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Your patient is anemic. The
O2ER is ________.
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What is increased?
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You have been bagging on 100% O2 and the PaO2 is now 300 torr
with a SpO2 of 100%. The SvO2 is ____.
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What is increased?
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Your patient has an increased VO2 and an
increased O2ER. A clinical example of this condition would be…
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What is fever or infection?
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Your patient has polycythemia due
to chronic hypoxia. The D(a-v)O2 is
_____.
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What is unchanged?
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The a/A ratio.
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What is a useful tool in titrating FiO2 with high
paO2s?
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A device used to open a blocked artery.
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What is a stent?
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A critical factor in coronary blood
flow.
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What is diastolic time?
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4 causes of increased oxygen
consumption.
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What areMetabolic Rate
Neurohormonal factorsStress /Pain/AnxietySome medications
Activity (baths/turning)Fever
Infection
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Three indications for oxygen therapy.
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What are decrease work of breathing,
decrease work of the heart, and increase
PaO2?
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The ____ valves are open during
diastole.
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What are mitral and tricuspid valves?
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These valves are open during
systole.
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What are pulmonic and
aortic?
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Pericardial Effusion
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What is fluid in the pericardial sac?
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The difference between a pericardial
effusion and tamponade.
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What is significant cardiac
compression causing
impairment?
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Stenosis
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What is narrowing of vessels?
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Make your wager
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The relation of pulmonary shunt
to myocardial blood supply.
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What is used myocardial blood dumping into the
coronary sinus causing a 3%-5% shunt?