CC FINAL Flashcards

1
Q

How does RR effect set i:e ratio?

A

it will increase, get longer
**the e time will also get longer

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2
Q

What are the two most common types of X rays used?

A

PA and Lateral

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3
Q

Conditions required for organ donation

A

PaO2 >100 and PaCO2 35-45

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4
Q

Preferred testing for brain death

A
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5
Q

When placing a trach on pt with an ETT
where should the ETT be?

A

Slightly retracted but do not pull out until trach is placed correctly

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6
Q

how do we assist in trach monitoring?”

A

lidocaine , auscultation, SpO2

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7
Q

What is the common cause of a tension pnuemo

A

positive pressure ventilation

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8
Q

what to do for a iatrogenic pnuemo

A

needle decompression

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9
Q

who is at risk for a spontaneous pnuemo

A

Very tall, thin, 15-35 years old

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10
Q

what does the middle bottle represent in the bottle system

A

it acts as a seal creating a one-way valve

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11
Q

Tests ran on fluid that is extracted from the pt

A

pH
glucose
LDH

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12
Q

MI tests

A

AST
CBK
Troponin

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13
Q

transudative effusion characteristics

A

<50% protein and <60%LDH

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14
Q

Most common transudative effusion

A

CHF

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15
Q

What is an empyema

A

contains pus, bacteria, and fibrin

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16
Q

procedure for osmeone with recurring PE

A

Pleurodesis - seals the lungs to the chest wall

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17
Q

which effusion has increased lymphatic fluid in the space?

A

Chylo

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18
Q

risks during thoracentesis procedure

A

artery laceration
pneumo
infection

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19
Q

correct placement of a trach

A

between 2nd and 3rd tracheal rings
between cricoid and first tracheal ring

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20
Q

water level fluctuating indicates what?

A

that the system is working well

21
Q

continuous bubbling indicates what?

A

Broncho-pleural fistula

22
Q

best positioning for x ray when looking for an effusion

A

sitting upright and lateral decubitus

23
Q

pt being transported to CT and declines, what is the cause?

24
Q

what puts you at risk for re expansion pulmonary edema?

A

pulling off >1,000mL at a time

25
Thermal dilution evaluates what?
CO
26
Marked decrease in ETCO2 indicates what
Pulmonary Embolism
27
formula to assess food tolerating
Venous CO2/Venous O2 = 0.8
28
food tolerating question
answer is Impending resp failure
29
majority of fluid in the body
is found intracellular
30
Anion Gap
Na - (hco3 + Cl)= 9 to 14
31
A-a gradient
{(Pb-47)FiO2} - (PaCO2 x 1.25)
32
BiLevel ventilation is ideal for who?>
Acute lung injury or ARDS
33
In PVC if you increase the i time (making it longer), how will is effect TV?
increases the TV
34
Increasing RR will do what to TV
it will create a smaller tv
35
what can you use a radial arterial line for?
continuous BP monitoring and ABG samples
36
Chloride levels
96-110
37
If you have air-trapping, what settings can you change to fix it in VC vs PC
Increase the flow in VC decrease i-time in PC
38
how to fix overdistension/beaking appearance on waveform
Decrease the volume
39
three ways to swap from VC to PC
using plat pressure from VC Pip on VC - 5cmH2O target 6-8ml/kg by starting at 10-15cmH20
40
what is the purpose of the first bottle in the bottle system?
Collection
41
If presented with elevated hemidiaphragm on same side you should suspect what?
atelectasis
42
plat pressure limit in ARDS
<30
43
In PCV with set i time, increasing the RR will do what?
decrease your e time
44
what will NOT cause a drop in both dynamic and static compliance?
bronchoconstriction
45
When is ETCO2 measured?
exhalation
46
Positive pressure breath effect on CVP
It will increase the CVP
47
when do you use the trendelenberg supine film
for a pt with Pleural Effusion
48
CVP value
2-6
49
PWCP value
4-12