Deck 42: Near Drowning

Question 1

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
PEFR

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Answer 1

Normal

Question 2

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
FRC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Answer 2

Decreases

Question 3

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
FEF _25%-75%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Answer 3

Normal or decreased

Question 4

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with near drowning.
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario

A)YES-This is associated with near drowning.
B)NO-This is not associated with near drowning.

Question 5

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
MVV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 6

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with near drowning.
Distal Airway and Alveolar Weakening Clinical Scenario

A)YES-This is associated with near drowning.
B)NO-This is not associated with near drowning.

Question 7

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with near drowning.
Atelectasis Clinical Scenario

A)YES-This is associated with near drowning.
B)NO-This is not associated with near drowning.

Question 8

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
TLC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 9

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
FVC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 10

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with near drowning.
Bronchospasm Clinical Scenario

A)YES-This is associated with near drowning.
B)NO-This is not associated with near drowning.

Question 11

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with near drowning.
Alveolar Consolidation Clinical Scenario

A)YES-This is associated with near drowning.
B)NO-This is not associated with near drowning.

Question 12

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
IC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 13

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
ERV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 14

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
FEF_50%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 15

MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with near drowning.
Excessive Bronchial Secretions Clinical Scenario

A)YES-This is associated with near drowning.
B)NO-This is not associated with near drowning.

Question 16

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
V_T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 17

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
VC

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 18

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
FEF _200-1200

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 19

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
FEV_T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 20

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
RV

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 21

Match what develops in the oxygen indices of the patient who has nearly drowned to the items listed below. Items may be used once, more than once, or not at all.
DO₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 22

Match what develops in the oxygen indices of the patient who has nearly drowned to the items listed below. Items may be used once, more than once, or not at all.
SVO₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 23

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
FEV_1%

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 24

Next to the pulmonary function studies, match the findings listed below that typically develop in patients who have nearly drowned. Items may be used once, more than once, or not at all.
RV/TLC %

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 25

Match the arterial blood gas changes that occur during early and advanced stages of near drowning to the items listed below. Items may be used once, more than once, or not at all.
PaCO₂

A)Increases
B)Decreases
C)Normal

Question 26

Match what develops in the oxygen indices of the patient who has nearly drowned to the items listed below. Items may be used once, more than once, or not at all.
O₂ER

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 27

Frothy, pink secretions are commonly seen in the near-drowning victim.

Question 28

In wet drowning, the glottis prevents water from flowing into the tracheobronchial tree and alveoli.

Question 29

Match what develops in the oxygen indices of the patient who has nearly drowned to the items listed below. Items may be used once, more than once, or not at all.
_S/ _T

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 30

Children under the age of 5 account for about 40% of the drowning deaths in the United States each year.

Question 31

Match what develops in the oxygen indices of the patient who has nearly drowned to the items listed below. Items may be used once, more than once, or not at all.
C(a-v)

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 32

Match the arterial blood gas changes that occur during early and advanced stages of near drowning to the items listed below. Items may be used once, more than once, or not at all.
HCO₃^-

A)Increases
B)Decreases
C)Normal

Question 33

Match what develops in the oxygen indices of the patient who has nearly drowned to the items listed below. Items may be used once, more than once, or not at all.
O₂

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased

Question 34

A pneumothorax often occurs in near-drowning s when the patient is on ventilator support.

Question 35

A favorable prognostic factor in cold-water near-drowning s is the colder the water, the better.

Question 36

Match the arterial blood gas changes that occur during early and advanced stages of near drowning to the items listed below. Items may be used once, more than once, or not at all.
pH

A)Increases
B)Decreases
C)Normal