Cardio pull ICUs Flashcards

0
Q

What is the hypoxia drive

A

When co2 is the stimuli for increasing RR and depth
This occurs when the co2 concentration is sensed by the brain. When a person is give O2 the periphery says that their is enough O2 and decreases RR &adepts

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1
Q

What is minute ventilation

A

Function of avolear ventilation and dead space

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2
Q

Where is the respiratory center of the brain

A

Pons and medulla

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3
Q

What are the direct (MD) ways to measure oxygenation

A

Aretial blood gas

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4
Q

What is normal O2 and co2 arterial pressure

A

O2- 80-100 mmHG

Co2- 35-45 mmHG

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5
Q

Saturated hgb absorbs what type of light?

A

Infrared

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6
Q

Desaturated hgb absorbs what type of light

A

Red

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7
Q

What does pulse of measure

A

The percentage of O2 saturated hgb

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8
Q

What doe chemoreceptors sense

A

Low O2

High co2

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9
Q

What do the pons and medulla primally sense

A

Changes in co2 and ph

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10
Q

What doe peripheral chemoreceptors sense

A

Oxygenation levels and ph

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11
Q

Peripheral chemoreceptors are primary for which population

A

COPD

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12
Q

What are the indications for O2 supplementation

A

Increased work of breathing

WOB 3mL/min or less 2% total metabolic rate

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13
Q

What are the two types of O2 delivery systems

A

Low flow

High flow

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14
Q

What are the characterizes of low flow O2

A

Enhances the person’s own oxygenation capabilities
Does not meet all of the persons O2 needs
Difficult to control the amount of o2supies

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15
Q

What does high flow provide

A

Meets all or most respiratory needs of a patient

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16
Q

What are the types of low flow

A

Nasal cannula
Face tent
Partial rebreather mask
Non rebreather mask

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17
Q

What are the types of high flow

A

Venturi mask
Tracheostomy collar
Ambu bag

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18
Q

What are the mechanical ventilation principals

A

Positve pressure from a vet pushes O2 into the lungs

19
Q

This cause ventilation to begin in mechanical ventilation

A

Trigger variable

20
Q

What is a limit variable

A

Pressure, volume or flow target that can’t be exceeded during inspiration

21
Q

What is cycling

A

What stops instruction by a ventilator. What a present pressure, volume, or time has been reached

22
Q

What is the normative pH value

23
Q

What is the normative PaCO2

24
what is the normative value of Pa02
80-100
25
what produces bicarb
kidneys
26
what is the normal range of H2CO3
22-26
27
increase in CO2 drives the education to the......
right
28
decrease in H+ drives the education to the.......
right
29
increase in CO3- drives the equation to the.....
left
30
more H+ makes the system..... and makes the pt
acidic hyperventilate
31
pH and C02 moving in the opposite directions
pulmonary issue
32
pH and bicarbonate moving in the same direction
metabolic issue
33
acid base in balance can result from what
pulmonary issue | metabolic issue
35
Acidosis
pH< 7.35 below normal pH co2 greater than 45 and low ph=resp origin
36
what is the normal range of MAP
70-110 MMHG
37
When do you terminate CR in terms of BP
MAP 180 | >20% drop SBP or DBP
38
when do you terminate rehab in terms of cognition
RASS < or equal to -3 | increasing agitation in session
39
when is it safe to mobilize in the ICU
vent is stable, PS < 20 cn h20, PEEP <10 assistance for lines telemetry safe
40
what are the normative values of artery catheter
``` SBP 15-21 DBP 4-13 MEAN 9-19 ALINE 100/75 NSR 100 NO ICP NEEDED ```
41
what us the goal ranges of INR
``` 2-3 2.5-3.5 FOR VALVE REPLACEMENT >4 risk of hemorrhage risk of bleeding between 4-6; low level activities > 6 PT IS HEALD ```
42
what is the purpose of a D- Dimer
rule out DVT and PE
43
what does BUN measure
kidney function
44
BNP
``` a hormone released by the heart low in health hearts high in failing hearts < 1000 no HF 300-600 mild HF 600-900 mod HF > 900 SEVERE hf` ``` NOT specific in healthy pt
45
WBC
assess infection 4,000-11,000 > 11,00- infection <4,000 imunosupressed
46
HCT
assess blood loss and fluid balance increased- polycythemia, dehydration decreased- anomia, acute blood loss, hemodilution females 37-47 males 42-52
47
platelets
150000, 450000 | < 50, ooo no strength training