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RESP 102, Adv Assessment & Care Cardiopulmonary > 102 Lab Homework Questions > Flashcards

102 Lab Homework Questions Flashcards

1
Q

List two indications for Positive Airway Pressure Adjuncts (PAP) also good for Aerobika

A
  1. Treat atelectasis
  2. Mobilize secretions
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2
Q

List two hazards for Positive Airway Pressure Adjuncts (PAP)
also good for Aerobika

A
  1. Barotrauma (Pulmonary)
  2. Increased ICP (Intracranial Pressure)
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3
Q

Positive Airway Pressure (PAP), ezPAP and AccuPAP
1. Pressure Manometer (Units measure and range)
2. AccuPAP initial settings
3. ezPAP initial settings
4. PAP Pressure Goal (Range)

A
  1. 0-60 cmH2O
  2. 8 LPM, 10 cmH2O
  3. 5 LPM, 10 cmH2O
  4. Between 10-20 cmH2O
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4
Q

List two indications for Chest Physical Therapy (CPT)

A
  1. Atelectasis from Mucus Plugging
  2. Mobilize secretions (>25 mL/day)
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5
Q

List two hazards for Chest Physical Therapy (CPT)

A
  1. Hypoxemia
  2. Vomiting and aspiration
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6
Q

List five contraindications for Chest Physical Therapy (CPT)

A
  1. Head and neck injury
  2. ICP > 20 mmHg
  3. Recent spinal surgery or acute spinal injury
  4. distended abdomen
  5. bronchospasms
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7
Q

When conducting CPT, what are some adverse reactions to monitor for? (5)

A
  1. Distress
  2. Discomfort
  3. Dyspnea
  4. Hemorrhage
  5. Hypoxemia
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8
Q

When performing CPT, how long do you PERCUSS and how long do you allow for DRAINAGE?

A
  1. Percuss: 3-5 minutes
  2. Drainage: 3-15 minutes
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9
Q

When assessing cuff pressure (Trach), what is the device name that you use? What is the pressure that the cuff needs to be at?

A
  1. Cuffulator
  2. 20-30 cmH2O
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10
Q

When does the first trach tube change happen

A

within 7-10 days

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11
Q

All the following supplies are needed for trach tube change except

Magill forceps, Trach tubes, sterile gloves, water-based lube

A

Magill forceps

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12
Q

List 2 indications for capnography

A
  1. Monitor Pt. during general anesthesia or monitor sedation as well as mechanical ventilation
  2. Used during Cardiopulmonary Resuscitation
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13
Q

What is the normal range for capnography?

% and mmHg

A
  1. 5% to 6%
  2. 35-43 mmHg
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14
Q

While interpreting capnography during CPR, what value indicates that you are providing good chest compressions?

A

PetCO2 > 10mmHg
End-tidal PCO2 greater than 10mmHg

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15
Q

List 3 indications for an Arterial Blood Gas (ABG)

A
  1. Evaluate PaCO2 and Acid-based balance
  2. Assess response to treatment
  3. Monitor severity of disease
  4. Recent shortness of breath
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16
Q

List 3 hazards for an Arterial Blood Gas (ABG)

A
  1. Ateriospasms
  2. Hemorrhage
  3. Trauma
  4. Pain, Infection
17
Q

List a reason why you would not attempt an ABG

A

If a patient fails a modified Allen’s test on both hands

18
Q

List 3 indications for Noninvasive Ventilation (NIV) BiPAP

A
  1. Avoid Intubation
  2. Relieve symptoms
  3. Improve gas exchange
  4. Improve quality of life
19
Q

List 3 Hazards for Noninvasive Ventilation (NIV) BiPAP

A
  1. Facial soreness
  2. Barotrauma from pressures
  3. Hypo/Hyperventilation
  4. Decreased VR, CO
20
Q

List 3 Contraindications for Noninvasive Ventilation (NIV) BiPAP

A
  1. Lack of patient cooperation/impaired consciousness
  2. Inability to protect airway/high aspiration risk
21
Q

The purpose of performing the sensitivity test on sputum samples is to.

A

Identify and analyze microorganisms present in a patient’s sputum and determine their susceptibility to specific antibiotics

22
Q

What is considered a good sputum sample?

A

Few Epithelial Cells
Many Pus Cells

23
Q

T or F, The purpose of sputum induction is to deliver a slightly irritating mist to increase the flow of bronchial secretions and stimulate a cough to produce a specimen adequate volume

A

True

24
Q

What is a hypertonic solution?
7.0%, 0.9%, 0.3%, 0.05%

A

7.0%

Concentrations greater than 0.9% are considered hypertonic

25
Q

What are some symptoms that suggest the need for an ECG?

A

Syncope, SOB w/palpitations, Chest Pain

26
Q

What is the proper location of V4?

A

It’s placed in the 5th Intercostal space in the Midclavicular line

27
Q

What is the proper location of V6?

A

It’s placed in the 5th Intercostal space in the Midaxillary line

28
Q

On the EKG Paper
Each large box represents _______ seconds
Each small box represents _______ seconds

A

Large = 0.20 sec
Small = 0.04 sec

29
Q

How do you obtain
Atrial Rate
Ventricular Rate

A

Atrial Rate: Count the number of P waves (6 sec strips) and multiply that number by 10. Ex. 7 pwaves (6sec) x 10 = HR 70 beat/min

Ventricular Rate: Count the number of QRS Complexes (6 sec strips) and multiply that number by 10. Ex. 7 QRS Complexes (6sec) x 10 = HR 70 beat/min

30
Q

What does the P wave and QRS Complex represent?

A

P Wave represents the depolarization occurring in the Atria

QRS Complex represents the depolarization occuring in the Ventricles

31
Q

List 3 indications for Pulmonary Function Test (PFT)

A
  1. To identify and quantify changes in pulmonary function
  2. To evaluate the need for and quantify therapeutic effectiveness
  3. To assess patients for post operative pulmonary complications
32
Q

List 3 contraindications for Pulmonary Function Test (PFT)

A
  1. Hemoptysis
  2. Pneumothorax
  3. Acute MI
33
Q

What percent increase in FEV1 is needed to be considered a reversibility of any airway obstruction

A

An increase >= 12% after bronchodilator administration indicates reversibility of airway obstruction

34
Q

List 3 techniques that are used to measure residual volume (RV)

A
  1. Helium dilution
  2. Nitrogen (N2) washout
  3. Body Plethysmography
35
Q

What is the severity of the pulmonary impairment, if the FEV1 is 52% of the predicted value?

A

Moderately Severe
50-59% Range

36
Q

Which of the following statements is FALSE regarding measurement of the patients Forced Vital Capacity (FVC)?
a. it is an effort-dependent test
b. the pt. can be sitting or standing
c. Accurate results can be obtained w/out pt. cooperation
d. nose clips help obtain accurate results

A

C

37
Q

When ensuring test reliability, the test results should not vary more than…

A

To ensure reliability, the largest FVC and second largest FVC from the acceptable trials should not vary by more than

0.15L

38
Q

Thoroughly explain the instructions for performing an FVC

A

RESP 102, Adv Assessment & Care Cardiopulmonary (9 decks)

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