⏳😅 Practice Exam-ARDS
Respiratory Therapists provide an important function in the assessment and treatment of patients with Acute Respiratory Distress Syndrome (ARDS).
Patients with ARDS represent some of the most challenging patients to manage on mechanical ventilation and require the greatest experience and expertise. Therefore an RT with advanced experience and expertise in the assessment, mechanical ventilation, management, and respiratory support of patients with ARDS is essential for the ICU team.
This Practice Exam will test your knowledge and skill in:
- ARDS lung pathology, injury, and altered gas exchange conditions
- effective oxygenation of the ARDS lung (in terms of PaO2 or SpO2)
- preventing VILI in the ARDS lung
initiation and maintenance of LPV (based on accurate IBW)
setting sufficient PEEP to exceed the Lower Inflection Point
managing ventilation modes to prioritize control of the VT
setting and managing I Time and I/E ratios appropriate to the ARDS lung
permissive hypercapnia and pH
- adjunctive therapies (eg., prone positioning, neuromuscular blockade)
other nonrespiratory measures of supportive care (eg., conservative fluid management, reduced sedation, early mobility)
pharmacologic therapies (eg., inhaled NO, surfactant)
- alternative or “rescue” therapies for severe, refractory hypoxemia (eg., APRV, HFV, and ECMO)
monitoring patients with ARDS
In the current environment of value-based care in which all health care providers must function at the “top of their license,” RTs are increasingly at the frontline of diagnosis and may be the first health care provider that
patients see in evaluation for dyspnea.