[LO 0219] FEBRUARY 2019 Sub. Code: 1218
B.Sc. CRITICAL CARE TECHNOLOGY
(New Syllabus 2014-2015 2015-2016)
SECOND YEAR
PAPER III ICU MONITORING I (BASIC) AND
BIOMEDICAL ENGINEERING
Q.P. Code: 801218
Time: Three Hours Maximum: 100 Marks
Answer all questions
I. Elaborate on: x 10 30)
1. A patient is admitted to ICU and is intubated for hypoxemia due to left side
lower lobe pneumonia. What is the position of choice for ventilation and
why? List the side effects of prone position.
2. What are indications for active cooling of a patient in ICU? List some side
effects of hypothermia.
3. What are risk factors for Pressure Sores? How can pressure sores be classified?
II. Write notes on: x 5 40)
1. Sites of measurement of temperature in ICU patients.
2. Need for maintenance of cuff pressure.
3. Oxygen dissociation curve.
4. Criteria for extubation.
5. Methods to confirm endotracheal intubation.
6. Monitoring CVP: advantages and disadvantages.
7. Neuro-protective strategies.
8. What is the advantages of ECG monitoring in ICU?
III. Short answers on: (10 x 3 30)
1. What are uses of capnography in ICU patients?
2. List parameters you will monitor in head injury patient.
3. List methods of assessing renal function in ICU.
4. Draw Pressure vs time scale for Volume control ventilation and label
Peask and plateau pressures.
5. List directly measured variables in an ABG.
6. List common reasons for self-extubation.
7. List three causes of high blood pressure in the ICU.
8. List three causes of low blood pressure in the ICU.
9. List disadvantages of NIBP monitoring.
10. List three causes of hypercapnoea (increased level of pCO2) in a blood gas.