Artificial Airways Flashcards
Prior to inserting ETT teach
may feel gagging, feeling of suffocation, speech not possible
Assess etCO2
actually in lung instead of esophagus
amount of CO2 exhaled.
Keep suction duration
(< or =15 secs.)
Only suction when
withdrawing catheter
S/S Suction not tolerated
↓in SpO2, ↑in BP, sustained cough, dysrhythmias
Action of Propofol
rapidly acting hypnotic, proceduces amnesia
decreased vascular resistance
Contraindications of Propofol
allergy to glycerol, soybean oil, egg products
pregnancy, lactation
Onset for Propofol
40 seconds
Dosage of Propofol
5-50mcg/kg/min;
Propofol use should not be used more than
72h (3 days)
Adverse SE Propofol
↓BP,HR, CO dysrhythmias HA, seizure, w/d rx acidosis during weaning infection, fever flushing green urine
Propofol Compatible Solutions
D5W/LR,
D5 1/2NS
LR
Awake: Responds to commands only–>Ramsey Score
Ramsey Score 3
Asleep: Brisk response to light glabellar tap, tactile stimuli or loud auditory stimulus
Ramsey Score 4
Asleep: no response to lt glab. Tap, tactile stimulis or loud stimulus
Ramsey Score 6
Nimbex C
non-depolarizing neuromuscular blocking agent
FIO2
Fraction of inspired oxygen
(VE):
Minute Ventilation
RR*Vt
(VE): Minute Ventilation
Epoprostenol (Flolan) does not effect
on SVR
Propofol turns your urine
green
On AC Set
Vt (Min 500)
RR
PEEP
Inspiratory time
On PS pt determines
Vt, RR, & Inspiratory Times
(If pt experience apnea for extended period of time, machine will kick in and assist)
highest pressure measured in the lungs upon inspiration
Peak Airway Pressure/Peak Inspiratory Pressure
want it to be
(VE) RR x tidal vol
Minute Ventilation
>10L not tolerating weaning
Onset propofol
40 sec
own line
change bottle/ tubing q12
Nibex Dosage
2-16 mcg/kg/min max 10
