Seminar 2 Flashcards

(38 cards)

1
Q

How is high flow oxygen measured

A

measured in % of O2 instead of L/min

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1
Q

does high flow O2 have to be humidified

A

Yes

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2
Q

how much do you titrate high flow oxygen

A

titrate it by 5-10% each time

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3
Q

How long can a person be on high flow oxygen

A

usually only left on for 7 days

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4
Q

what is the definition of high flow oxygen

A

when the flow rate is higher than the inspiratory rate of the patient so the patient doesn’t breath any room air

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5
Q

what info should be on the label of all oxygen equipment

A

always label with the pt’s name and the date

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6
Q

is optiflow or airvo considered an AGMP?

A

No since it only turns the water into vapor not an aerosol

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7
Q

how often should a nurse assess the settings flow temp and sterile water bag on optiflow or arivo system

A

should be accessed at least every 4 hours

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8
Q

for the first 24 hours a patient is on optiflow or airvo how often do you need to access patients resp status and VS

A

every 4 hours for the first 24 hours and then PRN after that

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9
Q

who is in charge of setting up titrating or discontinuing optiflow/airvo systems

A

resp therapist or CCN not an RN

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10
Q

how would you calculate how long a cylinder will supply o2 to a patient

A

(PSI x conversion factor)/ (L/min)
This will give you how many minutes is left in the tank at that specific flow rate

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11
Q

what is the conversion factor for E-class tanks

A

0.28

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12
Q

what are these called

A

oropharyngeal airways

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13
Q

how long can you use a Oropharyngeal Airway

A

very short term

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14
Q

how often do you have to remove and access an oropharyngeal airway

A

every 8 hours

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15
Q

how do you measure an oropharyngeal airway

A

from the mouth to the angle of the jaw or from the mouth to the earlobe

16
Q

if a person is using a nasopharyngeal airway how often do you have to reposition the airway to the other nare

A

switch nares every 8 hours

17
Q

how do you measure a nasal airway

A

measure from the earlobe to the tip of the nostril

18
Q

what are the three components of a trach tube

A

Outer canula
inner canula
obturator

19
Q

when caring for a patient with a chest tube what additional equipment should be at the bedside

A

-Two clamps
-Sterile dressing
-tape
-Bottle of sterile water

20
Q

where would a chest tube be inserted if someone had fluid in the pleural space

A

lower chest since the fluid would sit in the bottom of the pleural space

21
Q

where would a chest tube be inserted for a pneumothorax

A

in the upper chest since that is where the air would collect

22
Q

what is an empyema

A

when pus builds up in the pleural space

23
Q

what would you do if chest tube becomes disconnected from the drainage system

A

-clamp tube
-submerge in 2cm of sterile water
-clean ends and reconnect
-un clamp

24
what would you do if a chest tube is pulled out of the patient
-cover site with sterile gauze and tape -leave one side un taped so air can get out but not get back in
25
is it ever safe to try and milk the chest tube to get clots out
no causes a lot of pressure inside the pleural space
26
should you ever recap a used needle
NO should only cover it with a safety device
27
when should a sharps container be changed
when it is 2/3 full
28
how much liquid is typically injected intra dermally
usually only 0.1 mL
29
what should a syringe be labeled with if it has medication in it
-2 client identifiers -name of med -dose
30
what is the most common site for an ID injection
inner forearm or anywhere there is not a lot of sub q tissue
31
when administering an ID injection the needle should be inserted at what angle
should be inserted at 5-15 degrees
32
how far should you insert the needle into the patient
about 3mm into the skin
33
how long after administration is a TB skin test read
48-72 hours
34
how many mm is considered negative for a TB skin test
0-4 mm is considered negative
35
how many mm is considered positive in high risk populations for a TB skin test
5-10 mm is considered positive in high risk populations
36
how many mm is considered positive for all people in a TB skin test
anything over 10mm is positive for everyone
37