Respiratory Software - Clinical Simulation Examination I

Respiratory Software

Self-Evaluation Clinical Simulation Examination I

Clinical Simulations in this program include:

Note: the clinical simulations in this program are the same simulations as the Individual Self-Evaluation Clinical Simulations 01 through 10 and Individual Self-Evaluation Clinical Simulation 31. The difference is that all eleven of these clinical simulations are in one program and fashioned in a manner similar to the actual credentialing examination.

Drug Overdose: This clinical simulation evolves around the management of a drug overdose patient who develops aspiration pneumonia. Decisions relative to clinical and laboratory assessment, chest x-ray interpretation, endotracheal intubation, initiation of mechanical ventilation, adjustment of ventilatory parameters, initiation of pressure support ventilation, extubation, and oxygen therapy are required.

COPD / Postoperative Management: This clinical simulation evolves around the management of a postoperative 72-year-old male COPD patient who develops a pulmonary infection. Decisions relative to interpreting an admission chest x-ray, assessing and evaluating clinical and laboratory data, administering and modifying aerosol therapy, and recommending procedures and medicines that will help resolve the patient's pulmonary infection are required. When the patient recovers from his acute infection, decisions relative to recommending and interpreting pulmonary function studies are required. Based on the results of the studies, decisions relative to an appropriate home care regimen are required.

Burn Patient: This clinical simulation evolves around the management of a burn patient. Decisions relative to clinical and laboratory assessment, endotracheal intubation, oxygen therapy, pharmacology, bronchoscopy, initiation of mechanical ventilation, and infection control are required.

Postoperative Cardiac Surgery: This clinical simulation evolves around the ventilator management of a coronary artery bypass patient. You are required to initiate mechanical ventilation and set initial ventilator parameters immediately following the patient's bypass. You make adjustments to the ventilator parameters based on arterial blood gas analysis, modify therapy based on patient's response to suctioning, perform ventilator-troubleshooting and initiate weaning and extubation. In addition, you are asked to identify an arrhythmia and recommend therapeutic intervention.

Pediatric / Toxic Ingestion: This clinical simulation evolves around the management of a pediatric patient who ingested a toxic cleaning product. Decisions relative to clinical and laboratory assessment, oxygen therapy, initiation and adjustment of CPAP, selection of an appropriately sized endotracheal tube, endotracheal intubation, and initiation of mechanical ventilation are required.

Flail Chest: This clinical simulation evolves around the management of an adult patient with flail chest. Decisions relative to clinical and laboratory assessment, selection of emergency equipment, oxygen therapy, endotracheal intubation, manual ventilation, pharmacology, initiation of mechanical ventilation, adjustment of ventilatory parameters, initiation of PEEP, ventilator troubleshooting, and pathophysiology are required.

COPD / Critical Care: This clinical simulation evolves around the management of a 67-year-old critically ill male patient who has a long-standing history of COPD who requires mechanical ventilation. Decisions relative to clinical and laboratory assessment, ventilator adjustments, arrhythmia recognition, and thoracentesis are required.

Neonatal / Delivery Room Management: This clinical simulation evolves around a neonatal patient requiring delivery room management with cardiopulmonary resuscitation.

Guillain-Barre Syndrome: This clinical simulation evolves around the management of an adult female patient with Guillain-Barre syndrome. Decisions relative to cardiopulmonary assessment, neuromuscular assessment, monitoring and assessing spontaneous ventilatory parameters, intubation, initiation and adjustment of mechanical ventilation, pharmacology, endotracheal suctioning, aerosol bronchodilator therapy, FIO2 titration, isolation precautions, and recommendation of a tracheostomy are required.

Sleep Apnea: This clinical simulation evolves around the management of a morbidly obese patient with obstructive sleep apnea. Decisions relative to clinical and laboratory assessment, initiation and adjustment of oxygen therapy, initiation and adjustment of aerosol therapy, performing a sleep apnea study, interpreting results of sleep apnea study, monitoring and assessing during a nasal CPAP titration trial, patient instructions toward reducing the severity of his condition, and pathophysiology are required.

Bronchogenic Carcinoma: This clinical simulation evolves around the management of a 58-year-old male patient that presents with a left lung mass. Decisions relative to clinical and laboratory assessment, chest x-ray interpretation, post-surgery ventilator management and adjustment, ECG rhythm interpretation, and ventilator troubleshooting are required.

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