Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NRSG 202 > Week 2: Oxygenation > Flashcards

Week 2: Oxygenation Flashcards

1
Q

What is included in a standard respiratory assessment?

A

Difficulty breathing?
SOB at rest or ambulating?
Cough/sputum?
Nailbeds/Mucous membranes pink?
Breath sounds clear/equal?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is included in a focused resp assessment?

A

General appearance
color (central/peripheral)
RR/rhythm/depth
resp effort/dyspnea
tracheal position/thorax
chest expansion/symmetry
Cough/sputum production
Breath sounds
adventitious sounds
O2 Sat
O2 therapy/CT/CPAP/Trach

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Examples of adventitious sounds?

A

Crackles (rales)
Death Rattle
Pleural Friction Rub
Rhonchi/Sonourous wheeze
Stridor
Wheeze: sibilant/sonorous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Examples of abnormal respiratory patterns?

A

Cheye Stokes breathing
Kussmaul Breathing
Agonal or Guppy breathing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

High flow oxygen inspiratory flow

A

Met/exceeded

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

High flow oxygen ventilatory rate

A

does NOT affect FiO2 - more predictable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How is high flow Oxygen measured?

A

In % (titrate 5-10%)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Types of high flow oxygen devices?

A

Aerosol/Star Wars/Venturi/Trach Masks/Face Tent/T-piece/Airvo/Optiflow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Low flow inspiratory

A

Flow is not met

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Low flow oxygen ventilatory patterns

A

Influences FiO2 - more variable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How is low flow oxygen measured?

A

in L/min (titrate 1-2L)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Examples of low flow oxygen devices?

A

NP, Simple mask, Non rebreather mask

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How often does an AquaPak Humidified O2 system need to be changed?

A

Q7 Days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the air entrapment port for AquaPak Humidified O2 System?

A

28-98 FiO2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What does the aerosol mask do?

A

Administers a specific FiO2 (determined by air entrapment port)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does the corrugated tubing do in an aerosol mask?

A

collect moisture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What do exhalation ports do in an aerosol mask?

A

Allow air from the room if the oxygen were to be inadequate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is a Star Wars mask?

A

regular aerosol mask with two pieces of 6” corrugated tubing used a reservoirs on either side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What does the Star Wars mask generally require?

A

A double flow system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is a trach mask?

A

Placed around the neck and tracheostomy (or stoma) to ensure adequate oxygen and humidification delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the FiO2 with trach mask

A

imprecise (single or double flow)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the T - piece?

A

Attach to endotracheal tube or tracheostomy tube
- single or double flow
- PRECISE FiO2

23
Q

What is nursing care with oxygen devices?

A

Label equipment (name + date)
clean masks/prongs
assess straps
observe for pressure sores
resp/cardio assessment
adequate sterile water
assess tubing and empty excess water PRN

24
Q

What are some difficulties with the older styles of High Flow Oxygen?

A
  1. Transporting patients
  2. Eating
    - NP at 6L or mask in between bites
  3. Speaking
  4. Comfort
25
Q

What is an optiflow/airvo for?

A

Used for client with profound hypoxemia and/or mucociliary clearance difficulties

26
Q

What is the temp for gas with an optiflow?

A

Heated and humidified at 37 degrees

27
Q

Benefits of optiflow/airvo?

A

NOT an AGMP
more comfortable
pt can eat and drink
precise O2 concentration
decreased WOB
promotes ciliary movement and secretion clearance

28
Q

Airvo 2 flow range

A

2-60l/min

29
Q

Airvo 2 FiO2 range

A

0.21-1.0

30
Q

Optiflow flow range

A

10-60 L/min

31
Q

Optiflow FiO2 range

A

0.28-1.0

32
Q

How to calculate how long a cylinder will supply O2 to your patient

A

Psi x 0.28/ L/min

33
Q

What is PSI?

A

What’s left in the tank

34
Q

What patients is the oropharyngeal airway used on?

A

Only patients with altered LOC (stimulates gag reflex)

35
Q

How often is mouth care provided with oropharyngeal

A

Q2H or as per protocol (may need suctioning PRN)

36
Q

How often does oropharyngeal need to be pulled out and assessed?

A

Q8H

37
Q

How to measure the oral airway

A
  1. Center of mouth to angle of jaw
  2. from corner of mouth to earlobe
38
Q

Steps to insert oral airway?

A

INVERT, INSERT, ROTATE, LOCATE

39
Q

What patients get the nasopharyngeal route

A

more alert clients (tolerated better) - NOSY NANCY

40
Q

How often should the nato airway be repositioned If required?

A

Q8H

41
Q

How to measure nasal airway

A

clients earlobe to tip of nostril

42
Q

steps to insert nasal airway

A
  1. Done gloves
  2. Measure
  3. Lubricate
  4. Along nostril floor slight twist towards back of opposite eyeball
43
Q

What is a tracheostomy

A

An opening made for a tube via a surgical incision in the trachea just below the larynx

44
Q

Components of a trach tube?

A

Outer cannula with flange
inner cannula
obturator

45
Q

What is a cuffed trach

A

have inflatable cuff that provides airtight seal between tube and trachea

46
Q

Assessment pieces of a pt w a trach?

A

Focused resp
presence of drainage
appearance of stoma (redness, swelling, purulent, door)

47
Q

When are chest tubes indicated?

A
  1. Pressure on lung interferes with expansion
  2. when negative pressure needs to be restored
  3. when air or fluid needs to be drained
  4. maybe for chronic conditions
48
Q

Where are chest tubes generally inserted?

A

Upper anterior thorax for pneumothorax and lower lateral chest wall for fluid

49
Q

how often should chest tube site be assessed?

A

Q4H

50
Q

Safety beside equipment for chest tubes

A

2 clamps (non tooth)
sterile water
vaseline gauze
4x4 sterile dressing
waterproof tape

51
Q

What is sputum

A

Mucous secreted from the lungs, bronchi, and trachea

52
Q

What is cytology for sputum collection

A

identify origin, structure, function, and pathology of cells

53
Q

What is AFB for sputum

A

Acid Fast Bacillus: a type of bacteria that causes TB
requires serial collection often for 3 consecutive days (test for TB)

54
Q

What is FiO2?

A

The concentration of oxygen being inhaled by the patient

NRSG 202 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions