RSPT 1115 – EXAM I STUDY GUIDE

·  40 Multiple Choice, 5 ABGs and 5 EKGs.

o  Questions from PEs are fair game.

o  ABGs and EKGs are fill-in-the blank.

·  EKGs

o  Des Jardins – Chapter 6 (81 – 84).

o  Egan – Chapter 18.

o  Cardiac Anatomy.

§  Be able to correlate heart activity with ECG tracing.

o  Conduction System.

o  ECG Electrode placement.

o  Positive & Negative electrode of each lead.

o  Given an ECG tracing, determine heart rate.

o  How to determine ischemia, injury and infarction.

o  How to determine axis deviation and what would cause a change.

o  Types of artifact.

o  No AV blocks or pacemakers.

·  PFTs

o  Des Jardins – Chapter 3 (47 – 53).

o  Egan – Chapter 20.

o  Indications for a PFT.

o  Know the lung box.

o  Interpret results of a PFT.

o  Interpret results of pre-/post-bronchodilator test.

o  Determine % Predicted.

o  Bedside PFT evaluation.

§  How is each parameter measured?

§  What would cause a change in a measured parameter?

·  ABGs

o  Des Jardins – Chapter 4 & 5.

o  Egan – Chapter 14 & 19 (370 – 384, 387 - 388).

o  ABG.

§  Indications.

§  Sample sites.

·  Pros and Cons of each.

§  Anti-coagulants.

§  Equipment needed.

§  Describe Modified Allen’s Test and reason it is done.

§  Contraindications to puncture.

§  Complications of a puncture.

o  CBG.

§  Indications.

§  Site selection.

§  Equipment needed.

§  Capillary puncture.

§  Contraindications.

§  Complications.

o  Analysis and Classification.

§  Errors.

·  Pre-analytical.

·  Analytical.

·  Post-analytical.

§  How electrodes work.

§  How temperature affects results.

§  Given a barometric pressure and a gas concentration, calculate the partial pressure.

§  Differentiate between calibration, quality control, and proficiency testing.

§  Identify each of the following on a Levy-Jennings Chart.

·  In Control.

·  Trend.

·  Mean Shift.

·  Out of Control.

·  Random Error.

§  Classify an ABG.