PART 2 Flashcards
On a flow volume loop tracing if the loop appears short and wide it is what kind of disease
An obstructive disease
What are the 3 primary ways to perform an Spontaneous Breathing Trial
- Simple t-piece without ventilatory support
- CPAP mode with pressure support
- CPAP mode without pressure support
What way should you preform a SBT in which it can help the patient overcome the extra work of breathing that is imposed by the ET tube and also helps to increase tidal volumes and prevent
tachypnea.
CPAP mode with pressure support
Capillary blood correlates well with the pH and PaCO2 values of arterial blood. Therefore, it is useful ONLY when
For assessing acid base status
Capillary blood does not correlate well with what value? So you should never use a capillary sample to assess the infant’s oxygenation status.
PaO2
A diffusion defect is usually found in patients with what disease?
Pulmonary fibrosis
Alveolar Consolidation is usually associated with what disease?
Pneumonia
What is always recommended to treat or prevent atelectasis in
postoperative patients
Hyperinflation therapy (EX: incentive spirometry)
If a post operative patient cannot do the incentive spirometer what is an alternative solution to prevent atelectasis?
IPPB or mouthpiece positive pressure ventilator
according to the AARC, you should only break a ventilator circuit when…
The circuit is soild
For neuromuscular disorders such as Gullian Barre Syndrome you need to monitor inspiratory muscle strengths such as what 3 values
- Tidal volume (VT)
- Inspiratory Capacity (IC)
- Maximum Inspiratory Pressure (MIP)
For Gullian barre syndrome, if the patient’s inspiratory capacity were to drop too low what would be indicated
Intubation and mechanical ventilation
Pink frothy secretions indicates what?
Pulmonary edema
Pulmonary edema collapse the alveoli what would you need to provide on a patient with this?
Continuous positive airway pressure (CPAP)
When weaning a patient from mechanical ventilation it is normal for RR to increase but no more than a maximum of
30-35 breath/min
it’s acceptable for COPD patients to have a PaO2 in what range and an SpO2 in the 88-93%
range.
55-70 torr
So, immediately after intubation, you should first do what
Auscultate the lungs and abdomen
What does APGAR stand for in evaluating an infants condition right after birth
A- Appearance
P- Pulse
G- Grimace
A- Activity
R- Respirations
What is a normal APGAR score
7-10
What APGAR score is considered an emergency and requires resuscitation
less than 4
What is the first thing you should do if you don’t hear breath sounds in left lung after intubation
Withdraw the endotracheal tube by 1-2 cm
What type of breathing pattern is deep and fast
Kussmals breathing
What type of breathing pattern is ireegular patterns with deep, shallow, fast, and slow breathing
Biots breathing
What type of breathing pattern is periods of apnea and hyperventilation
Cheyne Stokes breathing
