ACCS Special Procedures II Flashcards
COPD diet: Shift calorie sources away from ___ and toward ___.
Away from carbohydrates and towards fats.
Why do you want COPD’ers to eat more fats and fewer carbohydrates?
Fats provide energy but less CO2. Carbohydrates produce the most CO2.
What is a reasonable target calorie intake?
25 kcal/kg/day
A healthy BMI is between ___ and ___.
___ is obese.
18 and 25.
30 is obese.
What kind of feeding utilizes an NG Tube or a J Tube?
Enteral Nutritional Support
Enteral feeding is more desirable than TPN because it’s healthier.
What kind of feeding utilizes a central line catheter?
Total Parenteral Nutrition (TPN)
TPN and enteral feeding has this risk factor.
Infection and resulting sepsis.
What procedure is used to estimate the patient’s respiratory quotient (RQ)?
What’s a normal RQ?
Indirect Calorimetry
Normal: 0.67-1.3
(Higher than 1.3 means you’re overfeeding the patient.)
ART line transducers must be at the same level as ___. If it’s too high, it will read falsely (high or low). If it’s too low, it will read falsely (high or low).
Same level as the heart or the catheter.
Too high, falsely low.
Too low, falsely high.
What is the first step in removing a chest tube?
Clamp the tube for 24 hours and observe for resp distress. (Unclamp if resp distress)
When you’re ready to remove a clamped chest tube, how do you remove it? (x3)
Get a CXR to determine if air or fluid has reaccumulated.
Ask pt to take a deep breath and bear down without exhaling (Valsalva maneuver)
Remove tube quickly! (Very painful!)
What should you do immediately after you remove a chest tube?
Place gauze with Vaseline over the opening.
Get a CXR.
What should you do with ventilator dependent patients if there’s a disaster?
Transfer them
What is the acronym for RACE?
Rescue
Alarm
Contain
Extinguish
What is the acronym for PASS?
Pull
Aim
Squeeze
Sweep
