Exam 3: Key Terms & Objectives Flashcards Preview

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Flashcards in Exam 3: Key Terms & Objectives Deck (11):
1

What is one thing you should never do when transporting a patient with a chest tube?

clamp the tube......also, you SHOULD disconnect from suction

2

What type of ventilation will optimize lung function in COPD patients?

Controlled mechanical ventilation

-May not tolerate spontaneous ventilation without assistance

3

define bronchiectasis

Loss of airway wall integrity
--Destruction and widening of large airways

4

anesthetic concerns with ALS

High aspiration risk
Abnormal PFTs
No succ
Sensitive to nondepolarizing agents
Regional if possible

5

What are the normal values for lung compliance, thoracic compliance, and total compliance?

CL= 200 mL/cmH2O
CT= 200 mL/cmH2O
CLT= 100 mL/cmH2O**

6

What are the six risk factors that predispose patients to post operative pulmonary dysfunction?

1. Pre-existing pulmonary disease***
2. Thoracic or upper abdominal surgery
3. Smoking (major factor for developing COPD)
4. Obesity
5. Age > 60
6. Prolonged general anesthesia

7

Which induction agent depresses airway reflexes effectively?

propofol

8

exacerbating factors of asthma

Allergens
Pharmacologic agents
Infections
Exercise
Emotional stress

9

differences between myasthenia gravis and myasthenia syndrome

MG: Worse with activity
-Symptoms move from the top down
-Very sensitive to non-depolarizer's
-Treated with anti-cholinesterase drugs

MS: Improves with activity
-Symptoms start in the legs and move up
-Sensitive to both depolarizer's and non-depolarizer's
-Anti-cholinesterase drugs have no benefit

10

What are some of the exacerbating factors of myasthenia gravis?

Vaccinations
Infection
Stress
Pregnancy
Increased temperature

11

What type of respiratory rate is most efficient for COPD patients?

Slow respiratory rate provide sufficient time for complete exhalation