Artificial Airways

Question 1

Prior to inserting ETT teach

Answer 1

may feel gagging, feeling of suffocation, speech not possible

Question 2

Assess etCO2

Answer 2

actually in lung instead of esophagus

amount of CO2 exhaled.

Question 3

Keep suction duration

Answer 3

(< or =15 secs.)

Question 4

Only suction when

Answer 4

withdrawing catheter

Question 5

S/S Suction not tolerated

Answer 5

↓in SpO2, ↑in BP, sustained cough, dysrhythmias

Question 6

Action of Propofol

Answer 6

rapidly acting hypnotic, proceduces amnesia

decreased vascular resistance

Question 7

Contraindications of Propofol

Answer 7

allergy to glycerol, soybean oil, egg products

pregnancy, lactation

Question 8

Onset for Propofol

Answer 8

40 seconds

Question 9

Dosage of Propofol

Answer 9

5-50mcg/kg/min;

Question 10

Propofol use should not be used more than

Answer 10

72h (3 days)

Question 11

Adverse SE Propofol

Answer 11

↓BP,HR, CO 
dysrhythmias
HA, seizure, w/d rx
acidosis during weaning
infection, fever 
flushing
green urine

Question 12

Propofol Compatible Solutions

Answer 12

D5W/LR,
D5 1/2NS
LR

Question 13

Awake: Responds to commands only–>Ramsey Score

Answer 13

Ramsey Score 3

Question 14

Asleep: Brisk response to light glabellar tap, tactile stimuli or loud auditory stimulus

Answer 14

Ramsey Score 4

Question 15

Asleep: no response to lt glab. Tap, tactile stimulis or loud stimulus

Answer 15

Ramsey Score 6

Question 16

Nimbex C

Answer 16

non-depolarizing neuromuscular blocking agent

Question 17

FIO2

Answer 17

Fraction of inspired oxygen

Question 18

(VE):

Answer 18

Minute Ventilation

Question 19

RR*Vt

Answer 19

(VE): Minute Ventilation

Question 20

Epoprostenol (Flolan) does not effect

Answer 20

on SVR

Question 21

Propofol turns your urine

Answer 21

green

Question 22

On AC Set

Answer 22

Vt (Min 500)
RR
PEEP
Inspiratory time

Question 23

On PS pt determines

Answer 23

Vt, RR, & Inspiratory Times

(If pt experience apnea for extended period of time, machine will kick in and assist)

Question 24

highest pressure measured in the lungs upon inspiration

Answer 24

Peak Airway Pressure/Peak Inspiratory Pressure

want it to be

Question 25

(VE) RR x tidal vol

Answer 25

Minute Ventilation

>10L not tolerating weaning

Question 26

Onset propofol

Answer 26

40 sec
own line
change bottle/ tubing q12

Question 27

Nibex Dosage

Answer 27

2-16 mcg/kg/min max 10