basic patient assessment Flashcards

1
Q

what can be viewed from the door

A
color
rr
breathing pattern
use of accessory muscles
chest movement
easily heard breath sounds
wob
loc
and monitor displays
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2
Q

when would you see an increase temp w/o infection

A

could be seen in post op patients with atelectasis

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3
Q

what are the top reasons a machine will not cycle

A

sensitivity set to low
auto-peep
high bias flow
abdominal paradox

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4
Q

what is total consolidation

A

a shunt

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5
Q

what are examples of physiological deadspace

A

pulmonary embolism, decrease in CMO, interstiial edema

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6
Q

if a pts co2 changes but ME didn’t change then what was the cause

A

body physiological change

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7
Q

what is normal deadspace

A

150

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8
Q

why would it be impossible to get a plateau pressure

A

bc some patients have to high rr and they can’t hold their breath

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9
Q

why is plateau pressure higher than map

A

bc plateau pressure doesn’t’ include the expiatory phase

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10
Q

what pressures does map measure

A

insp and exp phase

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11
Q

what is the 5 step protocol

A

to minimize over inflation leading to tracheal necrosis

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12
Q

if a high volume low pressure cuff requires more than 5ml for inflation what does that mean

A

the tube is prob to small

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13
Q

if steps 1-4 cant’ be maintained for the cuff pressure protocol what should be done

A

follow up evaluation of the patient for tracheal stenosis should be performed for at least 1 year after discharge

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14
Q

based off of a pressure volume curve would there be a change in compliance or resistance for a patient with a pulmonary emboli

A

no

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15
Q

based off of a pressure volume curve would there be a change for a pt with mucus plugging and bronchospasm

A

large change in pressure and small change in volume

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16
Q

with atelectasis and pneumothorax what changes would be seen in a pressure volume curve

A

both pressure and volume would be reduced