CC FINAL Flashcards
How does RR effect set i:e ratio?
it will increase, get longer
**the e time will also get longer
What are the two most common types of X rays used?
PA and Lateral
Conditions required for organ donation
PaO2 >100 and PaCO2 35-45
Preferred testing for brain death
When placing a trach on pt with an ETT
where should the ETT be?
Slightly retracted but do not pull out until trach is placed correctly
how do we assist in trach monitoring?”
lidocaine , auscultation, SpO2
What is the common cause of a tension pnuemo
positive pressure ventilation
what to do for a iatrogenic pnuemo
needle decompression
who is at risk for a spontaneous pnuemo
Very tall, thin, 15-35 years old
what does the middle bottle represent in the bottle system
it acts as a seal creating a one-way valve
Tests ran on fluid that is extracted from the pt
pH
glucose
LDH
MI tests
AST
CBK
Troponin
transudative effusion characteristics
<50% protein and <60%LDH
Most common transudative effusion
CHF
What is an empyema
contains pus, bacteria, and fibrin
procedure for osmeone with recurring PE
Pleurodesis - seals the lungs to the chest wall
which effusion has increased lymphatic fluid in the space?
Chylo
risks during thoracentesis procedure
artery laceration
pneumo
infection
correct placement of a trach
between 2nd and 3rd tracheal rings
between cricoid and first tracheal ring
water level fluctuating indicates what?
that the system is working well
continuous bubbling indicates what?
Broncho-pleural fistula
best positioning for x ray when looking for an effusion
sitting upright and lateral decubitus
pt being transported to CT and declines, what is the cause?
tube
what puts you at risk for re expansion pulmonary edema?
pulling off >1,000mL at a time
Thermal dilution evaluates what?
CO
Marked decrease in ETCO2 indicates what
Pulmonary Embolism
formula to assess food tolerating
Venous CO2/Venous O2 = 0.8
food tolerating question
answer is Impending resp failure
majority of fluid in the body
is found intracellular
Anion Gap
Na - (hco3 + Cl)= 9 to 14
A-a gradient
{(Pb-47)FiO2} - (PaCO2 x 1.25)
BiLevel ventilation is ideal for who?>
Acute lung injury or ARDS
In PVC if you increase the i time (making it longer), how will is effect TV?
increases the TV
Increasing RR will do what to TV
it will create a smaller tv
what can you use a radial arterial line for?
continuous BP monitoring and ABG samples
Chloride levels
96-110
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
how to fix overdistension/beaking appearance on waveform
Decrease the volume
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
what is the purpose of the first bottle in the bottle system?
Collection
If presented with elevated hemidiaphragm on same side you should suspect what?
atelectasis
plat pressure limit in ARDS
<30
In PCV with set i time, increasing the RR will do what?
decrease your e time
what will NOT cause a drop in both dynamic and static compliance?
bronchoconstriction
When is ETCO2 measured?
exhalation
Positive pressure breath effect on CVP
It will increase the CVP
when do you use the trendelenberg supine film
for a pt with Pleural Effusion
CVP value
2-6
PWCP value
4-12
