acute care

Question 1

what are 3 benefits to HHHFNC

Answer 1

3 benefits to HHHFNC

Higher FiO2
Humidified
Some positive pressure (only with higher gas flows ~2L/kg/min)

Question 2

what conditions are responsive to HHHFNC (5)

Answer 2

bronchiolitis
pneumonia/pneumonitis
asthma
obstructive sleep apnea
heart failure

Question 3

what are the starting settings for HHHFNC

Answer 3

1-2L/kg/min

FiO2 50% (then titrate up or down)

Question 4

what are some contraindications to HHHFNC (3)

Answer 4

epistaxis
nasal obstruction
severe upper airway obstruction

Question 5

how does HHHFNC work?

Answer 5

Minimizes room air inspiration
“washes out” anatomic dead space (decreases work of breathing)
Reduces upper and lower airway resistance

Question 6

3 main issues leading to adverse events for patients:

Answer 6

Failure to plan
Failure to communicate
Failure to recognize a deteriorating patient

Question 7

what should be included in a rapid response system

Answer 7

Standards for vital signs monitoring
Calling criteria or early warning scores
A planned response arm
A quality monitoring process and administrative arm
Education on the early detection and management of deteriorating patients for front-line health care providers.

Question 8

what is a major component of successful team performance?

Answer 8

Optimizing education in the form of team training

Simulation-based team training, is a key educational supplement for existing standardized resuscitation courses.

Question 9

what are key factors in team training

Answer 9

Team Leader-
Situational awareness- Accurately perceiving and understanding the clinical picture helps a team to anticipate, prepare and predict aspects of future care
Resource allocation
Communication