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Flashcards in unit 1&2 Deck (102)
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1

4 signs after extubation that are not good

Stridor
Hoarseness
Change in vital signs
Low oxygen saturation

2

4 ventilator settings

FiO2 (usually starting around 50%)

Tidal Volume (VT)
-6 to 8 mL/kg (ideal weight)
-Adjusted according to peak and plateau pressures

Respiratory rate
-12-20 breaths initially

I:E ratio; normal 1:2

3

Treatment of ARDS

Positioning

Prone positioning/Continuous lateral rotation therapy

Weight of heart off of the lungs

4

Informed consent, refusal of consent, or withdrawal of consent for health care, unless stated in the advance directive.

Health care decision

5

Actions intended to benefit the patients or others

Beneficence

6

type of ventillator alarm that patients biting on tube, secretions blocking tube

High pressure alarm-

7

spontaneous breathing with ventilator on ‘flow by’ and PS=0 with PEEP=0

weaning trial

8

Delivery of positive-pressure ventilation (PPV) without artificial airway

-Nasal Continuous Positive Airway Pressure (CPAP)
-Bi-level Continuous Airway Pressure (BiPAP)

9

what is used for the reversal of opioids

naloxone

10

ROME=

respiratory opposite metabolic equal

11

deliver oxygen at 1L to 6L/min (24-44% FiO2)

Nasal Cannula

12

pH- 7.39 =
PaCO2- 50 ↑
PaO2- 60 ↓
HCO3- 30 ↑

is an example of ________ that is _____ compensated

respiratory acidosis that is fully compensated

(normal pH but more toward the acidic side)

13

Being fair or just to the wider community in terms of the consequences of an action. In health care, justice is described as the fair allocation or distribution of health care resources

Justice

14

normal pH value

7.35-7.45

15

if the HCO3 is ______, that means the body has more base

elevated

16

4 ways to verify placement of endotrachial tube placement

symmetrical chest rising
listen for bilateral lung sounds
end tidal co2 decector (change of color)
chest xray

17

A competent adult who has not been expressly designated to make health care decisions for an incapacitated person, but is authorized by state statute to make health care decisions for the person.

Proxy

18

room air is ____%

21 %

19

3 main adverse effects of benzodiazipines

respiratory depresion
lower bp (ortho hypo)
paradoxal agitation

20

With hyperventilation, the PaCO2 is ___ and a greater amount of___ is leaving the body

low
CO2

21

7 Symptoms of ARDS

Dyspnea and tachypnea
Hyperventilation with normal breath sounds
Respiratory alkalosis
Increased temperature and pulse
Worsening chest x-rays that progress to “white out”
Increased PIP on ventilation
Eventual severe hypoxemia

22

type of ventillator alarm that patients not breathing

Apnea alarm

23

An alternate term with less-negative connotations, but essentially meaning DNR.

Allow natural death

24

With hypoventilation, the PaCO2 is____

—the patient is not breathing adequately ( the respiratory rate may be fast but the depth of the respirations may be shallow, the respiratory rate may be slow which means not as much ventilation)

high

25

A ________ blood gas will have an abnormal pH and will have abnormal values for both the PaCO2 and the HCO3

partially compensated

26

7 most common reasons for Acute Respiratory Distress Syndrome (ARDS)

Sepsis
Aspiration
Trauma
Near drowning
Drug overdose
Oxygen toxicity
Fat embolism

27

Actions intended not to harm or bring harm to others

Nonmaleficence

28

3 main types of opioids

fentanyl
mopphine
hydromorphone

29

8 Late signs of hypoxia

confusion
stupor
bradypnea
bradycardia (an ominous sign)
hypotension
cyanotic skin
respiratory acidosis.
dysrthymias

30

Movement of gases into lungs through positive pressure

Positive Pressure Ventilation