Ventilator Care Flashcards Preview

Advanced Med/Surg > Ventilator Care > Flashcards

Flashcards in Ventilator Care Deck (24):
1

Positive pressure applied at the end of expiration used w/ CV, A/C & SIMV to improve oxygenation by opening collapsed alveoli & keeping them from snapping shut during expiration allowing for more gas exchange (5-15 cm H2O)

PEEP (Positive End Expiratory Pressure)

2

How do you verify ET tube placement?

5 Point Auscultation = over the lung apices, the axillaes, and the stomach

3

What is normal End Tidal CO2 Level?

5-6% CO2 or 35-45 mmHg

4

How do you verify proper position of an ET tube?

X-Ray (2 cm above the carina)

5

What is the proper ET tube pressure?

25 cm H2O or less (preferably 20-25)

6

How often do you move the ET tube from one side of the mouth to the other?

Q 24 hours

7

Damage to the lungs caused by excess volume delivered to one lung or the other

Volutrauma

8

Damage to the lungs caused by positive pressure

Barotrauma

9

How often do you assess respiratory status in vent patient?

Q 4 hours for the first 24 hours then PRN

10

How often do you take V/S in ventilator patient?

Q 4 hours

11

How often do you assess placement of the ET tube?

Q 2 hours

12

The HOB should be at what degree for ventilated patient?

Above 30 degrees

13

How often should you check ventilator settings?

Q 8 hours

14

How often should you check the need for suctioning in the ventilated patient?

Q 2 hours

15

How often should you perform oral care in ventilated patient?

Q 2 hours

16

How often should you apply chlorohexadine on the lips of the ventilated patient?

Q 2 hours

17

How often should you perform tracheostomy care for the ventilated patient?

Q 8 hours

18

How often should you turn the ventilated patient?

Q 2 hours

19

What are the cardiac complications that can occure with the ventilated patient?

Fluid Retention & Hypotension

20

What are the GI problems associated with the ventilated patient?

Stress Ulcers, Paralytic Ileus & Malnutrition

21

What is the treatment for stress ulcers in the ventilated patient?

Antacids, Carafate, Protonix IV, Ranitidine

22

What is the treatment for malnutrition in the ventilated patient?

NG tube, TPN & lipids via a central line, and D5 fluid via a triple lumen cath

23

How do you decrease the risk of ventilator-associated pneumonia?

Perform oral care q 2 hours, chest physiotherapy, postural drainage, turn & position

24

inability to wean off the ventilator

mechanical ventilator dependence