102 Lab Homework Questions Flashcards
List two indications for Positive Airway Pressure Adjuncts (PAP) also good for Aerobika
- Treat atelectasis
- Mobilize secretions
List two hazards for Positive Airway Pressure Adjuncts (PAP)
also good for Aerobika
- Barotrauma (Pulmonary)
- Increased ICP (Intracranial Pressure)
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)
- 0-60 cmH2O
- 8 LPM, 10 cmH2O
- 5 LPM, 10 cmH2O
- Between 10-20 cmH2O
List two indications for Chest Physical Therapy (CPT)
- Atelectasis from Mucus Plugging
- Mobilize secretions (>25 mL/day)
List two hazards for Chest Physical Therapy (CPT)
- Hypoxemia
- Vomiting and aspiration
List five contraindications for Chest Physical Therapy (CPT)
- Head and neck injury
- ICP > 20 mmHg
- Recent spinal surgery or acute spinal injury
- distended abdomen
- bronchospasms
When conducting CPT, what are some adverse reactions to monitor for? (5)
- Distress
- Discomfort
- Dyspnea
- Hemorrhage
- Hypoxemia
When performing CPT, how long do you PERCUSS and how long do you allow for DRAINAGE?
- Percuss: 3-5 minutes
- Drainage: 3-15 minutes
When assessing cuff pressure (Trach), what is the device name that you use? What is the pressure that the cuff needs to be at?
- Cuffulator
- 20-30 cmH2O
When does the first trach tube change happen
within 7-10 days
All the following supplies are needed for trach tube change except
Magill forceps, Trach tubes, sterile gloves, water-based lube
Magill forceps
List 2 indications for capnography
- Monitor Pt. during general anesthesia or monitor sedation as well as mechanical ventilation
- Used during Cardiopulmonary Resuscitation
What is the normal range for capnography?
% and mmHg
- 5% to 6%
- 35-43 mmHg
While interpreting capnography during CPR, what value indicates that you are providing good chest compressions?
PetCO2 > 10mmHg
End-tidal PCO2 greater than 10mmHg
List 3 indications for an Arterial Blood Gas (ABG)
- Evaluate PaCO2 and Acid-based balance
- Assess response to treatment
- Monitor severity of disease
- Recent shortness of breath
List 3 hazards for an Arterial Blood Gas (ABG)
- Ateriospasms
- Hemorrhage
- Trauma
- Pain, Infection
List a reason why you would not attempt an ABG
If a patient fails a modified Allen’s test on both hands
List 3 indications for Noninvasive Ventilation (NIV) BiPAP
- Avoid Intubation
- Relieve symptoms
- Improve gas exchange
- Improve quality of life
List 3 Hazards for Noninvasive Ventilation (NIV) BiPAP
- Facial soreness
- Barotrauma from pressures
- Hypo/Hyperventilation
- Decreased VR, CO
List 3 Contraindications for Noninvasive Ventilation (NIV) BiPAP
- Lack of patient cooperation/impaired consciousness
- Inability to protect airway/high aspiration risk
The purpose of performing the sensitivity test on sputum samples is to.
Identify and analyze microorganisms present in a patient’s sputum and determine their susceptibility to specific antibiotics
What is considered a good sputum sample?
Few Epithelial Cells
Many Pus Cells
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
True
What is a hypertonic solution?
7.0%, 0.9%, 0.3%, 0.05%
7.0%
Concentrations greater than 0.9% are considered hypertonic
What are some symptoms that suggest the need for an EKG?
Syncope, SOB w/palpitations, Chest Pain
What is the proper location of V4?
It’s placed in the 5th Intercostal space in the Midclavicular line
What is the proper location of V6?
It’s placed in the 5th Intercostal space in the Midaxillary line
On the EKG Paper
Each large box represents _______ seconds
Each small box represents _______ seconds
Large = 0.20 sec
Small = 0.04 sec
How do you obtain
Atrial Rate
Ventricular Rate
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
What does the P wave and QRS Complex represent?
P Wave represents the depolarization occurring in the Atria
QRS Complex represents the depolarization occuring in the Ventricles
List 3 indications for Pulmonary Function Test (PFT)
- To identify and quantify changes in pulmonary function
- To evaluate the need for and quantify therapeutic effectiveness
- To assess patients for post operative pulmonary complications
List 3 contraindications for Pulmonary Function Test (PFT)
- Hemoptysis
- Pneumothorax
- Acute MI
What percent increase in FEV1 is needed to be considered a reversibility of any airway obstruction
An increase >= 12% after bronchodilator administration indicates reversibility of airway obstruction
List 3 techniques that are used to measure residual volume (RV)
- Helium dilution
- Nitrogen (N2) washout
- Body Plethysmography
What is the severity of the pulmonary impairment, if the FEV1 is 52% of the predicted value?
Moderately Severe
50-59% Range
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
C
When ensuring test reliability, the test results should not vary more than…
To ensure reliability, the largest FVC and second largest FVC from the acceptable trials should not vary by more than
0.15L
Thoroughly explain the instructions for performing an FVC
- Patient takes maximum deep breath in, to Total Lung Capacity (TLC).
- Once the patient is at TLC, without hesitation the patient will blow out as hard and as fast as they can for at least six seconds with maximum effort at all times.
