Final

Question 1

why is my vent alarming

Answer 1

dont be a dope
displacement
obstruciton
pneumothorax
equipment

Question 2

difference btwn vent and respirator

Answer 2

vent- forcing air
respirator- neg pressure (like an iron lung)

Question 3

mechanical vents

Answer 3

positive or neg pressure breathing device used for long term ventilation and o2 delivery
requires et intubation or trach

Question 4

what is peep

Answer 4

positive end expiratory pressure

Question 5

what is fio2

Answer 5

percent of o2 delivered btwn 21-100%

Question 6

what is pressure support

Answer 6

delivered with vent or pt-initiated breaths

Question 7

who adjusts settings on vents

Answer 7

resp therapists NOT nurses

Question 8

what do you do if a low or high pressure alarm is going off

Answer 8

disocnnent from vent and bag the pt

Question 9

causes of high pressure alarms

Answer 9

obstruction
intubation in r main stem bronchus
coughing, gagging, attemptingto talk
chest wall resistance
failure of high-pressure relief valve
bronchospasm
worsening disease

Question 10

intervention for obstruction

Answer 10

unkink tubing
suciton
insert bite block
remove condensation from large bore tubing

Question 11

intervention for coughing, gagging, attempting to talk

Answer 11

administer sedative or neuromuscular blocking agent as ordered

Question 12

intervention for chest wall resistance

Answer 12

repostition pt

Question 13

causes of low pressure vent alarms

Answer 13

et tube disconnected from vent
displaced tube
leaking cuff
vent malfxn
leak in vent circuit

Question 14

what to know ab pal care and hospice

Answer 14

pal care is NOT hospice but hospice is ALWAYS pal care

Question 15

what are goals of pal care

Answer 15

symptom management
not about curing disease
figure out pt goals
treat as person, not disease

Question 16

what are goals of hospice

Answer 16

making pt most comfy
can still give 02
maybe blow a fan, sit them upright if they struggle to breathe
treat pain- not high doses
maintain patent airways

Question 17

what to give for death rattle

Answer 17

atropine- dries up secretions

Question 18

durable power of attorney

Answer 18

person steps in and makes decisions for you when you are unable to make deicions for yourself

Question 19

advance directivw

Answer 19

helps durable power of attorney make those decisions to meet oyur wishes
not legally binding

Question 20

what to know about dnr/dni

Answer 20

used for hospital only

Question 21

what does emergency med personnell need

Answer 21

POLST
cant respect dnr/dni
poslt must be with pt when they are being transported

Question 22

intervention for intubation into r main stem broncus

Answer 22

check tube position
call md if needed

Question 23

intervention for failure of high-pressure relief valve

Answer 23

replace faulty equipment

Question 24

intervention for broncospasm

Answer 24

assess for cause
report to md
treat pt as ordered

Question 25

intervention for worsening disease

Answer 25

assess lung sounds for consolidation, barotrauma, wheezing call md

Question 26

intervention for et tube disconnected from vent

Answer 26

recconect tube

Question 27

intervention for displaced tube

Answer 27

check placement if extubation or displacement has occurred, vent mannually and call md immediatley

Question 28

intervention for leaking cuff

Answer 28

listen for leak assess cuff if cuff pressure cant be maintained, call md

Question 29

intervention for vent malfxn

Answer 29

disconnect pt and vent mannually

Question 30

intervention for leak in vent circuit

Answer 30

check all connection assess tubes and humidification jar for holes, cracks, and replace if needed

Question 31

how fast do we give tka

Answer 31

within 4 hrs

Question 32

risk factor for ishcmeic stroke

Answer 32

afib

Question 33

what is a part of advance directives

Answer 33

living will proxy directive durable power of attorney

Question 34

DNR must be written by who

Answer 34

a physician

Question 35

order of healthcare surrogates

Answer 35

gaurdian spouse adult son/daughter parent adult brother/sister adult grandchild/relative close friend guardian of estate

Question 36

how often should polst be renewed

Answer 36

yearly