× Didn't find what you were looking for? Ask a question
Top Posters
Since Sunday
a
5
k
5
c
5
B
5
l
5
C
4
s
4
a
4
t
4
i
4
r
4
r
4
New Topic  
miguelb80 miguelb80
wrote...
Posts: 484
Rep: 0 0
6 years ago
The respiratory therapist is asked to recommend a medication to reduce afterload for a patient with cardiogenic pulmonary edema. The therapist could recommend all of the following EXCEPT:
 
  a. captopril.
  b. norepinephrine (Levophed).
  c. enalapril (Vasotec).
  d. nitroprusside (Nitropress).



Q. 2  All of the following may be causes of cardiogenic pulmonary edema EXCEPT:
 
  a. dysrhythmias.
  b. systemic hypertension.
  c. congenital heart defects.
  d. excessive fluid administration.
  e. pulmonary embolism.



Q. 3  During the physical exam of a neonate with early pulmonary air leak syndromes, what respiratory rate would be expected?
 
  a. <20 breaths>  b. 20 to 30 breaths/min
  c. 40 to 60 breaths/min
  d. >60 breaths/min



Q. 4  The respiratory therapist is asked to evaluate a patient with suspected congestive heart failure. Which of the following laboratory tests should the respiratory therapist recommend to evaluate the patient for possible congestive heart failure?
 
  a. Brain natriuretic peptide (BNP)
  b. Lactic dehydrogenase (LDH)
  c. Aspartate aminotransferase (AST)
  d. Alanine aminotransferase (ALT)



Q. 5  A neonate on mechanical ventilation developed pulmonary air leak syndrome. What change should the respiratory therapist now recommend?
 
  a. Initiate the bronchopulmonary hygiene therapy protocol.
  b. Decrease the oxygen percentage.
  c. Initiate high-frequency ventilation.
  d. Insert bilateral pleural chest tubes.



Q. 6  A patient has noncardiogenic pulmonary edema. What chest radiograph findings would be expected?
 
  1. Bat's wings pattern fluffy infiltrates
  2. Normal cardiac silhouette
  3. Fluffy densities near the hilum
  4. Pleural effusion
  a. 1
  b. 2, 3
  c. 3, 4
  d. 1, 2, 4
Read 26 times
3 Replies

Related Topics

Replies
wrote...
6 years ago
(Answer to Q. 1)  B
Afterload reducers include the following:
 captoprilprevents the conversion of angiotensin I to angiotensin II. It is a potent vasodilator. Afterload and cardiac output usually improve in 10 to 15 minutes.
 enalapril (Vasotec)is a competitive ACE inhibitor and reduces angiotensin II levels.
 nitroprusside (Nitropress)is a potent, direct smooth muscle-relaxing agent that primarily reduces afterload.
Norepinephrine (Levophed) may be used in the management of cardiogenic pulmonary edema; however, it is a positive inotropic agent, not an afterload reducer.

(Answer to Q. 2)  E
Pulmonary embolism may cause noncardiogenic pulmonary edema. All of the other listed options may cause cardiogenic pulmonary edema.

(Answer to Q. 3)  D
An infant with early pulmonary air leak syndromes would be expected to have an elevated respiratory rate exceeding 60 breaths/min.

(Answer to Q. 4)  A
The brain natriuretic peptide (BNP), also known as B-type natriuretic peptide or ventricular natriuretic peptide (still BNP) is an important biomarker used to help establish the diagnosis of congestive heart failure (CHF). The BNP hormone is produced by the heart and reflects how well the heart is functioning. Normally, only a low amount of BNP (<100 pg>

(Answer to Q. 5)  C
The respiratory therapist could recommend high-frequency ventilation, which has been effective in treating infants with pulmonary air leak syndromes.

(Answer to Q. 6)  B
A person with noncardiogenic pulmonary edema will have a normal cardiac silhouette and fluffy densities near the hilum. The chest radiograph of a person with cardiogenic pulmonary edema will show bat's wings pattern fluffy infiltrates and pleural effusion.
miguelb80 Author
wrote...
6 years ago
White Heavy Checkmark
wrote...
6 years ago
Don't forget to rate the answer too
New Topic      
Explore
Post your homework questions and get free online help from our incredible volunteers
  1124 People Browsing
Related Images
  
 240
  
 253
  
 921
Your Opinion
Which 'study break' activity do you find most distracting?
Votes: 741