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Pediatric ICU Exam Questions & Answers (Grade A+)
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#1 medical dx seen in PICU - correct answer ✅acute respiratory distress syndrome (ARDS) and acute respiratory failure common medical diagnoses in PICU - correct answer ✅ARDS and acute respiratory failure Brain injury SCI Transverse myelitis GB Post-op status epilepticus/asthmaticus poly-trauma
hematology-oncology infection/sepsis machine moves breathable air into/out of lungs to deliver breaths to a patient who is physically unable to breathe or a pt who is breathing insufficiently - correct answer ✅mechanical ventilation FiO2 - correct answer ✅fraction of inspired O percentage of O2 in air mixture FiO2 = normal O2 in air is _____%; _______% is high - correct answer ✅21% is normal >60% is high PEEP stands for - correct answer ✅positive end expiratory pressure
used to reduce barotrauma when conventional ventilation settings are too high blood is removed from the body, run through a machine that removes CO2 and adds O2, then blood is pumped back into body - correct answer ✅extra-corporal membrane oxygenation (ECMO) indications for ECMO - correct answer ✅veno-arterial: heart AND lungs need rest veno-venous: lungs need rest non-responsive respiratory failure bridge to transplant cardiac arrest
artificial device that partially or completely replaces pump action of a failing heart - correct answer ✅ventricular assist device (VAD) indications for VAD - correct answer ✅myocarditis cardiomyopathy congenital heart disease (single ventricle) bridge to transplant surgical procedure where incision is made on neck through anterior trachea and tube is inserted into opening to create direct airway to trachea - correct answer ✅tracheostomy indications for tracheostomy - correct answer ✅failure to wean from vent and anticipate need for prolonged ventilatory support
part of skull removed to allow a swelling brain room to expand without compression/herniation - correct answer ✅decompressive craniectomy indications for decompressive craniectomy - correct answer ✅acute swelling due to TBI or hemorrhagic stroke extracorporal circuit that removes excess water, solutes, toxins from the body; takes the place of kidneys - correct answer ✅continuous renal replacement therapy (CRRT) indications for CRRT - correct answer ✅acute kidney injury hemodynamically unstable pt thin, flexible line placed directly in artery for BP monitoring - correct answer ✅arterial line
indications for arterial line - correct answer ✅need for continuous BP monitoring collection of routine ABGs sequelae of critical illness and mobility - pulmonary - correct answer ✅decrease vital capacity pneumonia, PE, ARDS atelectasis risk sequelae of critical illness and mobility - CV - correct answer ✅orthostasis hypotension DVT sequelae of critical illness and mobility - GI/GU - correct answer ✅decreased peristalsis
common impairments seen in PICU - correct answer ✅gross weakness and deconditioning postural deficits neurological deficits contractures pt is at increased risk of myopathy and polyneuropathy if they are receiving these 3 things - correct answer ✅mechanical ventilation + corticosteroids + paralytics (ex. asthma and sepsis) myopathy vs neuropathy - correct answer ✅myopathy: symmetric weakness, proximal mm, intact sensation
neuropathy: weakness mainly in LEs, distal mm, sensation and reflex loss main goal of PT in PICU - correct answer ✅reduce preventable complications