Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Interventions 1 (RESP 266) > Module 3 Manual Ventilation > Flashcards

Module 3 Manual Ventilation Flashcards

(62 cards)

Start Studying
1
Q

What is VAP?

A

A acquired disease from a ventilator

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How do we know the tubes/lines are in the right place?

A

If the chest or stomach rises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Why would you push against the cicrothryoid ligament?

A

to collapse the esophagus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What indicator is there when the endotrachial tube is too deep?

A

The right lung/side rises more than the left.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why do you want to keep 5cm of PEEP?

A

To keep lungs/airways/alveoli open.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

3 important factors for humidity

Edit

A

Ensure proper temperature control, maintain adequate humidity levels, and adhere to device maintenance and sterilization protocols.

  • humidity level is important to ensure that airways don’t get irritated
  • Adequate humidity levels help prevent the drying out of mucous membranes, reduce airway irritation, and improve mucus clearance. Insufficient humidity can lead to dry, crusted secretions and increased airway resistance.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

BLS Basics

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

2 types of respiratory failure

A

Type 1: oxygenation
Type 2: ventilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

6 Procedure steps when bagging (the process)

A
  1. Assess…alertness
  2. Position
  3. Assess…airway for patency
  4. Consider…oral or nasal airway
  5. Bag
  6. Consider…intubation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which inhalers are short acting and which reduce inflammation

A

Ventolin (open airways)

flovent falls into the beta agonist group (corticosteroid) to reduce inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

VSD vs Asthma…when can a person be taken off of puffers (for VSD)

A

Vocal chords shut causing us to hear strider

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what can help elevate a exasbaration (sob) when there is CHF

A

CPAP can help relieve exasbaration temporarily so that we can figure out what is happening.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Causes for: (7)
Hypoxemia Respiratory Failure Type 1

A

When things block oxygen from getting to blood.

  1. V/Q mismatch
  2. Shunt
  3. Alveolar Hypoventilation
  4. Diffusion Impairment
    5 Perfusion/diffusion impairment
  5. Decreased inspired O2
  6. Venous admixture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Cause of:
Hypercapnic Respiratory failure (Type II)

A

Impaired Resp. Control
Neurological disease
Increase WOB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

5 Therapy/treatment for Type 1 heart failure?

What are the most effective

A

Increasing FiO2 and PEEP are the most effective therapy methods.

FiO2 increases MAP - how does PEEP get involved?

TLDR; oxygenation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Treatment/therapy methods for Type 2 Failure?

A

you manage MV - manipulate rate or Vt.

Vt
Rate
MV
pH
PaCO2

TLDR: Ventilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Peak pressure must not exceed
(refer to slide 29)

A

30mmhg
what about Vt? (5-8)
humidity (no greater than 37)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

MR. SOPA mnemonic

A

M - mask
R - reposition
S - suction
O - obstruction
P - pressure
A - airway equipment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

PaCO2 greater than what value indicates that the patient needs ventilatory support ?

A

55

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Inadequate lung expansion value for Vt?

A

less than 5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Inadequate lung expansion value for vital capacity

A

less than 10

Normal vital capacity = 65-75

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Inadequate lung expansion value for RR?

A

greater than 35

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Inadequate muscle strength that indicates ventilatory support

edit later

A

-Increased WOB

-Maximum inspiratory pressure (MIP) greater than or equal to -20 (its normally a small number)

VC is needed for a good cough

-Normal VD = 2.2 ml/Kg

Minute ventilation (MV) = 100m x Kg increase due to amount of deadspace ventilation (swapping the use of negative pressure to positive pressure bc forcing air in)

Vt = 5-8ml/kg
= 6 (80 (bw)) = 480ml
= 8000/480ml = RR
->8000 = Mv (100 * kg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

MV is equal to what?

Aka how do you calculate

A

Vt x RR?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Respiratory failure is a life threatening impairment of Oxygenation, CO2 elimination, or both. What is it caused by (usually)?
Impaired gas exchange Decreased ventilation or both
26
Symptoms of respiratory failure?
(add dx and tx later)
27
Situations requiring airway control: emergencies
28
Situations requiring airway control: urgencies
29
What is the purpose of the Sniffling position?
Open airways
30
why is PEEP (on cpap) helpful for someone with CHF
Helps push fluid out of the lungs - Decreases the amount of fluid that backs up into the heart because of the changes in pressure
31
Crackles is a indicator of what?
Fluid in the lungs (or consolidation)
32
Suction pressure for Adults, Children, and infants?
Adult: 120-160 Children: 100-120 Infants: 80-100
33
Indicators for a partial obstruction
wob, strider, and snoring
34
Contraindications for OPA use
Conscious or semiconscious patient -gag reflex (opa) -vomiting -laryngeal spasm -trauma to oral cavity (OPA) -trauma to mandibular or maxillary areas of the skull
35
What does the acronym RODS tell us?
Difficult supraglottic device placement R: restricted mouth opening O: Obstruction (at or below glottis) D: distorted/ displaced airway radiation/ trauma S: stiff lungs,chest,neck etc.
36
what are some functions of oral pharyngeal airways (opa)
Relieving a soft tissue obstruction facilitate sunction prevents patient biting on the tube
37
Advantages of NPAs over OPAs?
patients are less likely to gag oral care on the patient is viable (like intubation) more comfortable via nose
38
How does sizing work for NPAs?
Tip of the nose to the tragus (ear)
39
What does the acronym MOANS indicate?
how hard it is to bag someone
40
MOANS acronym?
M: Mask seal O: Obstruction/obesity A: Age N: No teeth S: stiffness of snores
41
What does the acronym bones measure?
difficulty to bag a person
42
Safety checks for the bagger
The reservoir inflates If the valve moves If it holds pressure Does the bag re-inflate
43
What is a LMA?
Laryngeal mask airway *edit* refer to slide 60 on insertion
44
Why would LMA be used before a endotracheal tube?
if you can’t get it in, or… LMAS are more secure than an endotracheal tube.
45
Advantages of Laryngeal masks
easy to insert no special equipment
46
Disadvantages of Laryngeal mask?
Short term use - danger of aspiration (if they vomit it could go into their lungs) - **Low ventilation pressures only** - Not used on conscious or semi conscious patients due to gag reflex
47
Key points Manual ventilation: O2 delivery? *Edit*
48
Key points Manual ventilation: Rate? *Edit*
49
Key points Manual ventilation: volume? *Edit*
50
What would you do when there is low SpO2 but adequate chest rise?
Consider using PEEP -+5 cmH2O Increases the amount of time held under pressure aka inspiratory time.
51
what does Positive pressure ventilation cause when minute ventilation (MV) is low?
Increase deadspace. You want to keep MV high.
52
why would you intubate someone?
They can’t breath on their own (poor ventilation) or They have too many secretions that they can’t get out on their own (blockage)
53
Assessment of pt after suction (outcomes)
Improved breath sounds Removal of secretions Increase SpO2 Decreased WOB *monitor pt for changes*
54
What is type I resp. failure?
Hypoxemic resp. failure where oxygenation fails, causes could be: - V/Q mismatch - Shunt - Alveolar hypoventilation - perfusion/diffusion impairment - decreased inspired O2 - venous admixture
55
What is type II failure?
hypercapnic resp. failure, causes could be: - Impaired resp. control - Neurologic disease - Increased WOB
56
Key concepts that affect oxygenation (type I failure)
FiO2 PEEP MAP PaO2 (one more but slide cut if off, check later)
57
Factors that affect ventilation (type II failure)?
Vt Rate MV pH PaCO2
58
Indications to clear upper airways (suction)?
Auscultation -> crackles Visual WOB - Accessory muscle use - Indrawing - Stridor - Heart failure - RR
59
What do you want to improve from suction?
O2 saturation Color and perfusion effective cough
60
Suction settings (vacuum pressures) for adults?
120-160 mmHg
61
Suction settings (vacuum pressures) for children?
100-120mmHg
62
Suction settings (vacuum pressures) for infants?
80-100 mmHg

Interventions 1 (RESP 266) (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions