Final Flashcards
(42 cards)
Negative vsntialtor.
Creat behave kc pressure externally to draw the chest out word and air into the lungs. Micks Norma breathing. Past wt neur issues. Latelral sclerosis. Polio. People who need sleep.
Peep
Bipap
Positive end expiration pressure. Prevents alveolar to collapse. And promotes oxygenation.
Biap given to pt who don’t need intubation but requir more Oxygen and give. Cpap. Continues positive airway pressure Used at night for apnea.
Peep increase intrthoracix pressure resulting in decrease in cardiac output while increasing the risk of barotrauma.
Positive pressure. Vent
Used more often. Pt wt acute Resp failure. They push air into lungs rather than drawif it out.
Cpap. Continuous positive. airway pressure.
Positive pressure to the airways who is breathing spontaneous. Used with intubation or face mask. They are client trigged. The breathih.
Help maintain open air way and alveoli decreasing the work of breathing.
Disoriented. To place time and person.
Stupor. Responds to painful stimuli.
Obtundation. Verbal or tactic stimuli. Lethegic. Somnolent.
Semicoma. Doenst move. Moaning with painful stimuli.
Coma. Unarousable. Doesn’t stair or moan. Non purpose movement.
Deep coma. Completely Unarousable. Absence of brain stem reflexes a
Locked in syndrome. Alert and fully aware of enviromwnt intact cong but palaryzwd. Cannt communicate.
Risk for brain attack
Age. Life style. Medical htn.
Race. Family history. Sex
Ischemia. Swelling tissue death and irreversible
Hemorrhagic stroke.
Increased Icp.
Suddwn bleeding into the brain tissue. Htn. Avm
Caused by smoking alcohol and diet and exercise.
Ischemic.
Thrombotic. Causes by atherosclerosis.
Embolitic caused by free flowing embolus from Af. cad.
Ischemic.
Tia.
Signs go away. Corarid plaque.
Resolved in 24 hours.
Left side. Responsive for
Language. Tlaking and understanding and readinf and writing so speech is affected in this case.
Righ side responsibwk for
Perception
Sense of what we see. Hear or touch. Spatial skills. Side speed distance and position.
Signs of brain attach
Swallowing problems.
Weakness. Paralysis. Dizziness. Unilateral sensory defficiet.
Headache. Slurred speech. Fatigue
Dysphasia. Receptive. Hard to understand what is being said. Left side damage.
Expressive Dysphagia. Finding words is difficult. Mostly left side.
High pressure alarm ventilator.
K
Low pressure alarm.
L
Risk for phothorax
Risks
Critical assessments.
Assemsnts.
Diminished breath sounds. Or Absent
Diagnostics. X-ray. Stay. Abg fio2
Chest tubes.
Tube. Local anesthetic. Antiseptics. Betadine. Sterlie gloves. Bottle of sterile water.
Suction chamber.
Higher the water. The higher the suction. The lower the water the lower the suction. Help remove air. By drowning it out.
Water seal. Continuous bubbling shows and confirms Persistant air leak
Connected to the collection chamber. Allows air to pass down though narrow tubes and bubble out through the boron of water seal. Prevents air from retuning to the pt.
Collection chamber.
Mark fluids each shift on the unit itself. And documented. And characteristics of the fluids.
Fluids drain from the pt directly to the this chamber. Plastic tube.
Chest tube maintaince. Know slide.
Take vitals. Water chamber control set. Suction control set. Ordersed.
Cardio assemsnts everj 4 hours.
Encourage cough and deep breath. Check insertions site evey 4 hours. Dressing change assess water levels. Correct fluids levels ordered.
Report any changes and complications immediately to the physican.
Check all tubing connections and retape even 4 hours. I and O marked on the collection unit. Monitor for air leaks. Coil tube on bed. Never allow tubing to dangle.
Collection unit never goes above chest level.
Never clamp a chest tube.
Check tube complications.
Air leak. Dislodgment and disconnection.
Subcutaneous emphysema. Collection of air leak or gas in the tissue under the skin.
Measure it and report to md. And documented.
Also by continuous bubbling in the water chamber. Bad. Bad. Bad.
Sources of air leaks.
Poor tubing connection.
Dislodgment of the tube
Cracked bedside collection unit.
Bed tube momentarily at various points along the tubing length.
If bubbling stops the air leak is btn the area bent. And the water seal.
Or a cracked collection chamber.
Dislodgment of chest tube
Cover the insertion side who Vaseline gaise at peak of pt inspiration.
Cover with 4 by4 tape on 3 side only. Notify provider. Stat.doc.