C-NPT: Pulmonary

A 12-kilogram child sustained a salt-water drowning and aspirated approximately 250 mL of fluid. Which of the following would NOT be a concern for potential problems?

A 12-year-old diagnosed with diabetic ketoacidosis (DKA) is being transported. They are 5’0” and weigh 56kg. While in the ED, they have been breathing at a rate of 38 breaths per minute, and they appear fatigued. The decision to made to intubate the patient and current ABGs are requested. They are as follows: pH 7.01, PaCO₂ 23, PaO₂ 280, HCO3^– 17. They are currently on a non-rebreather (NRB) at 15LPM. Which of the following plans would best suit this patient initially?

A 30-week gestation, 1.5kg, neonate delivered three hours prior is being transferred. The most recent chest x-ray demonstrates a ground glass appearance. Current vent settings: SIMV 26, PRVC, Vte 8, f 48, FiO₂ 0.21 and PEEP 5. Current ABG: pH 7.24, PaCO₂ 38, PaO₂ 40, HCO3^– 24.  What condition do you suspect?

A 32-week premature neonate is experiencing respiratory distress.  Which drug may be administered in preparation for transport?

A 4-year-old with a past medical history of asthma is in respiratory distress and appearing anxious. Current vitals: BP 80/32, HR 130, RR 38. Crackles are auscultated throughout the lungs. The patient is placed on the monitor, and sinus tachycardia is noted. Upon review of current arterial blood gas results, you would anticipate which of the following findings?

A 48-week post-conceptual age infant with a respiratory syncytial virus (RSV) is being transported. This infant is at increased risk of which of the following?

A child aspirated a coin, and their left lung is hyperinflated. Where is the coin?

A patient has a SpO₂ of 87%. What would the associated PaO₂ be?

A patient with a tension pneumothorax is best treated by needle decompression at the following site:

A patient being transported presents with minimal air movement despite having received two nebulized breathing treatments of albuterol and ipratropium.  The next action for this patient will be:

A pediatric status asthmaticus is being transferred. What finding indicates impending respiratory arrest?

A soft tissue neck x-ray reveals a “steeple sign.” What is the underlying concern for this finding?

Acute respiratory failure is defined as what?

For an infant with a respiratory syncytial virus (RSV), the best treatment combination is which of the following?

Identify the following chest x-ray of a 4-day-old infant presenting with decompensation:

Identify the following chest x-ray of a premature infant:

Identify the following chest x-ray:

Identify the following chest x-ray:

Identify the following x-ray:

Identify the following x-ray:

In a patient experiencing status asthmaticus, all of the following are expected findings EXCEPT for?

Indications for intubation of the asthmatic patient include which of the following?

Oxygen delivery (DO₂) is a product of what?

The proper depth of a 3.5 endotracheal tube (ETT) would be?

The purpose of a trachea hook during a surgical cricothyroidotomy is to:

The team is caring for a 60-kilogram ideal body weight (IBW) patient on a ventilator.  The patient is receiving a 300 mL tidal volume. The exhaled tidal volume is 285 mL. These settings and observations:

What is a standard central venous oxygen concentration (SvO₂)?

What is the appropriate depth of insertion for a 5.0 endotracheal tube (ETT)?

What is the appropriate un-cuffed endotracheal tube (ETT) size for a 4-year-old-patient?

What is the MOST appropriate I:E ratio setting for an asthmatic pediatric patient intubated for respiratory failure?

When administering Albuterol to a 4-year-old, which of the following changes would NOT be anticipated with the administration?

When evaluating a patient in acute respiratory failure, identify the most common finding.

When giving a neonate prostaglandin (PGE1), a potential complication to administration is?

When pre-oxygenating a 4-year-old rapid sequence intubation (RSI) patient, the strategy for doing so is?

Which medication causes a decrease in pulmonary vascular resistance?

Which medication is recommended for sedation in a patient with asthma?

Which of the following can be associated with a poor prognosis in a patient with acute respiratory distress syndrome (ARDS)?

Which of the following does not have bronchodilation effects?

Which type of cricothyrotomy is best performed in children that are less than eight years old?

You are transporting a 5 kg, 3-day-old neonate in severe sepsis and metabolic acidosis who is intubated and sedated. Before intubation, the patient’s initial respiratory rate was 44, with a corresponding EtCO₂ of 22. What would be the most appropriate vent setting for this patient?

You are treating two pediatric victims of a house fire. The patients are exhibiting increasing signs of respiratory distress and cough after high-flow O₂ is applied. What could be causing the patient’s symptoms?

You perform a needle thoracostomy on your neonate with a suspected “air leak.” After re-evaluating the neonate, which of the following would indicate that initial treatment was NOT successful?

Your patient is the victim of a near-drowning incident that occurred earlier today. They presented to the ED complaining of increasing shortness of breath. Upon assessment, they were found to be breathing at a rate of 42/min and crackles were auscultated in bilateral lower lobes as well as wheezing throughout the lungs. They were immediately placed on a non-rebreather (NRB), and ABGs obtained. Initial ABGs showed the following: pH 7.32, PaCO₂ 48 mmHg, PaO₂ 46 mmHg, and HCO3^– 20 mEq/L. What is the next best action?