pulmonary pt. 2 Flashcards

1
Q

how many liters can a nasal cannula deliver?

A

up to 6

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2
Q

how many liters can a high flow nasal cannula deliver?

A

1-60 L

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3
Q

intrapulmonary causes of resp failure

A

-lower airays
-alveoli
-pulmonary circulation
-alveolar capillary membrane

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4
Q

extrapulmonary causes of resp failure

A

-CNS injury
-neuromuscular disorders (MS, lou gehrig)
-thorax
-pleura
-upper airway disorder

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5
Q

device that provides pressure on both inspiration and expiration

A

BiPAP

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6
Q

continuous positive airway pressure

A

CPAP

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7
Q

describe difference between BiPAP and CPAP

A

BiPAP- has different inspiratory and expiratory pressures
CPAP- inspiratory/expiratory pressure is the same

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8
Q

where is the tube placed in intubation?

A

in trachea between vocal cords
2-3 CM ABOVE CARINA

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9
Q

what ensures correct placement of tube?

A

COLOR CHANGE (purple to yellow)
CXR
bilateral breath sounds

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10
Q

which vent settings are for PaCO2

A

rate
tidal volume
(pressure support settings)

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11
Q

which vent settings are for oxygenation

A

FiO2
PEEP

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12
Q

which vent setting is the size of each breath

A

tidal volume

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13
Q

what vent setting is the number of breaths per minute

A

rate

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14
Q

describe assist control vent mode (A/C)

A

has a set tidal volume and rate. can breathe over the rate, and get full set tidal volume with each spontaneous breath too.

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15
Q

describe synchronized intermittent mandatory ventilation setting (SIMV)

A

vent has a set tidal volume and rate. patient can breathe spontaneously in between set breaths, but tidal volume will be their own and not from the vent.

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16
Q

which vent setting is used as a weaning mode

A

SIMV

17
Q

which vent setting is used for breathing trials

A

pressure support

18
Q

describe pressure support vent mode

A

provides positive pressure to overcome airway resistance
no set rate/volume, used as a weaning mode

19
Q

positive pressure at end of expiration, prevents collapse of alveoli and maximizes alveoli availabke for oxygenation

A

PEEP

20
Q

if a patient has elevated PaCO2, what would you do to vent?
1) increase FiO2
2) increase PEEP
3) decrease TV
4) increase rate

A

4) increase rate

21
Q

ABG shows low PaO2, what do you do to the vent?
1) increase FiO2
2) decrease PEEP
3) decrease TV
4) increase rate

A

1) increase FiO2