BKATl Examl Reviewl (Latestl 2025/l 2026l Update)l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)
Q:l whatl arel recommendationsl forl preventingl ventilatorl associatedl pneumonia?
Answer:
-managel ventilatedl patientsl withoutl sedativesl wheneverl possible -interruptl sedationl oncel al dayl (spontaneousl breathingl trials) -providel earlyl exercisel andl mobility -providel regularl orall care -minimizel poolingl ofl secretionsl abovel thel ETl tubel cuff -usel ETl tubesl withl subglotticl secretionl drainagel forl patientsl likelyl tol requirel greaterl thanl 72l hoursl ofl intubation -keepl HOBl elevatedl 30-45l degress -changel ventilatorl circuitl onlyl ifl visiblyl soiledl orl malfunctioning
Q:l Whatl isl thel biggestl complicationl associatedl withl highl cervicall spinall cordl injuries?
Answer:
BREATHING--l thel diaphragml isl innervatedl byl C3-C5l levels
C4-diaphragm
willl likelyl needl mechanicall ventilationl mgmt
Q:l signsl andl symptomsl ofl increasedl intracraniall pressure?
Answer:
-alteredl LOC -headache -bradycardia -decreasedl respirations -acutel HTNl withl wideningl pulsel pressure -N/V -worseningl neurol deficits 1 / 3
-pupilsl thatl arel nonreactive
Q:l Whatl arel thel componentsl ofl al neurol exam?l (7)
Answer:
1.l LOC 2.l mentall statusl andl cognitivel function 3.l craniall nerves 4.l motor 5.l sensory 6.l coordination 7.l reflexes
Q:l Whatl arel thel threel componentsl ofl thel glasgowl comal scale?
Answer:
1.l eyel opening 2.l motor 3.l verbal
Q:l Whatl isl al negativel andl positivel babinskil reflex?l whatl dol eachl indicate?
Answer:
negativel (normal)l response:l toesl curll downward
positivel (pathologic)l response=l toesl curll upward
al positivel babinskil inl adultsl indicatesl dysfunctionl inl thel motorl pathwaysl ofl thel brainl orl spinall cord
Q:l whatl isl thel initiall dosingl ofl tpa?
Answer:
-0.9l mg/kg -10%l asl al bolusl overl 1l minutel andl 90%l asl continuousl infusionl overl 60l minutes
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Q:l Whatl arel thel requirementsl forl receivingl tpa?
Answer:
-onsetl ofl strokel wasl withinl 3-4.5l hours -CTl negativel forl bleedl orl lesion -glucosel >50
Q:l Duringl thel thrombolyticl infusionl ofl tpa,l neurosl needl tol bel assessedl everyl ___l minutes
Answer:
15
Q:l Whatl arel thel frequencyl ofl neurol checksl afterl receivingl thrombolyticl tpal infusion?
Answer:
-VSl andl neurol checksl everyl 15l minl forl 1l hour -everyl 30l minl forl 6l hours -thenl everyl hourl forl 16l hours
Q:l whatl arel possiblel complicationsl ofl rTPA?
Answer:
-signsl ofl ICHl orl ICPl -systemicl bleedingl (waitl 6l hoursl beforel insertingl devicesl likel foleys,l etc) -angioedemal ofl airway
Q:l forl patientsl receivingl rTPAl orl IAl therapy,l treatl prnl forl SBPl >l ____l mmHgl orl DBPl >l ____l mmHG
Answer:
treatl forl SBPl >180l orl DBPl >105l mmHG
wel wantl tol managel hypertension!!!
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