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544 Complex > Intubation: Critical Care PPTx ✅ > Flashcards

Intubation: Critical Care PPTx ✅ Flashcards

(59 cards)

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1
Q

what equipment is needed for intubation? (4)

A

1) Laryngoscope
2) Stylet
3) ETT
4) Bag valve mask (Ambu bag)

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2
Q

what are the 2 types of blades that can be on a laryngoscope?

A

Macintosh or Miller

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3
Q

what is important to note about using ETT and stylet?

A

The stylet provides stability & then is removed when tube is inserted

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4
Q

Under their role during intubation, the nurse must explain to the patient what is happening. What do we NOT say?

A

We do NOT say “just relax”

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5
Q

Under their role during intubation, the nurse administers _______ and then assesses after it is given

A

sedation

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6
Q

Under their role during intubation, the nurse listens for what?

A

bilateral breath sounds

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7
Q

Under their role during intubation, the nurse must be certain that what is done?

A

chest x-ray

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8
Q

Under their role during intubation, the nurse must maintain what?

A

cuff volume & tube patency

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9
Q

Under their role during intubation, the nurse must perform proper ____ ____

A

oral care

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10
Q

Under their role during intubation, the nurse must initiate ______ ________

A

aspiration precautions

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11
Q

what are the meds used with intubation? (6)

A

1) Propofol
2) Etomidate
3) Benzodiazepines
4) Ketamine
5) Fentanyl
6) Dexmedetomidine (Precedex)

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12
Q

what med is safe for those with ICP?

A

Etomidate

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13
Q

what med allows the pt to obey simple instructions?

A

Dexmedetomidine (Precedex)

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14
Q

what med is used mostly in kids?

A

Ketamine

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15
Q

what intubation med crosses the blood brain barrier?

A

Propofol

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16
Q

what kind of med is Midazolam?

A

Benzodiazepine

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17
Q

what med is safe for those with hypotension?

A

Etomidate

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18
Q

Propofol takes effect after how long?

A

44 seconds

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19
Q

how long does Propofol last for?

A

6 mins

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20
Q

how long can Midazolam last for?

A

15-30 mins

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21
Q

what med allows for easy arousal?

A

Dexmedetomidine (Precedex)

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22
Q

what med causes amnesia?

A

Ketamine

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23
Q

does Propofol provide analgesia?

A

no, it does not provide pain relief

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24
Q

Propofol can be used for _____ ______ _________

Study These Flashcards
A

long term sedation

25
Ketamine maintains ________ _______
respiratory drive
26
what med causes spontaneous movement?
**Dexmedetomidine (Precedex)**
27
does Etomidate provide analgesia?
no, it does not provide pain relief
28
what med can be used in cardioversions & peds cases?
Propofol
29
onset of Etomidate?
rapid onset
30
Benzodiazepines can be combined with what?
fentanyl
31
does Ketamine provide analgesia?
yes
32
Ketamine can be combined with what?
Propofol
33
what does Fentanyl do?
provides pain relief
34
**Dexmedetomidine (Precedex) provides sedation with preserved what?**
**preserved muscle tone & respiratory effort**
35
**If a patient is on Dexmedetomidine (Precedex) for sedation and we are concerned about any neuro changes, what is important to know?**
**we do NOT have to think that the sedation is causing it**
36
**how should Dexmedetomidine (Precedex) be given?**
**as an infusion**
37
**Dexmedetomidine (Precedex) is usually well tolerated but can cause what?**
Not frequent but **hypotension & bradycardia**
38
what is ETCO2?
**End tidal CO2 monitoring**
39
what does End tidal CO2 (ETCO2) monitoring provide valuable information on?
CO2 clearance
40
ETCO2 is typically how much lower than CO2?
2-5 mm lower
41
what is gold standard to assess ETT placement? what else is used?
Chest xray is gold standard End tidal CO2 (ETCO2) is also used
42
End tidal CO2 (ETCO2) can indicate early signs of what?
compromise
43
End tidal CO2 (ETCO2) monitoring provides ________ status
ventilatory
44
in what acute situations is End tidal CO2 (ETCO2) monitoring used?
CPR or if the pt is coding
45
when is ventilatory acquired pneumonia considered?
after the pt has been intubated for 48-72 hrs
46
what nursing intervention is extremely important to prevent ventilatory acquired pneumonia?
**Hand hygiene!!!**
47
to prevent ventilatory acquired pneumonia, the HOB should be elevated to what?
**30-45 degrees**
48
to prevent ventilatory acquired pneumonia, how can the nurse manage oral secretions?
**suction secretions in the oral cavity**
49
to prevent ventilatory acquired pneumonia, the nurse should drain what?
**drain water collecting in the tubing**
50
to prevent ventilatory acquired pneumonia, what should the nurse **regularly perform**?
**mouth & oral care**
51
to prevent ventilatory acquired pneumonia, what should be done regarding sedation?
**sedation vacation**
52
to prevent ventilatory acquired pneumonia, the nurse should perform a **daily assessment of** what?
**readiness for extubation**
53
to prevent ventilatory acquired pneumonia, what prophylaxis should be done?
**peptic ulcer prophylaxis** **DVT prophylaxis**
54
those requiring prolonged ventilatory care have a _____% of mortality in one year when should this discussion begin?
50-60% begin discussion around day 10
55
who benefits best from tracheostomy?
**Evidence is NOT clear who benefits best**
56
with a tracheostomy, there is a high likelihood for _______
survival
57
What pts seem to do better with a trach?
neurologic injury
58
**the decision for trach depends on what?**
**depends on each person**
59
when pts are discharged on ventilators, what is required?
Discharging patients on ventilators → long term care → home care

544 Complex (10 decks)

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