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?

A

tube

24
Q

what puts you at risk for re expansion pulmonary edema?

A

pulling off >1,000mL at a time

25
Q

Thermal dilution evaluates what?

A

CO

26
Q

Marked decrease in ETCO2 indicates what

A

Pulmonary Embolism

27
Q

formula to assess food tolerating

A

Venous CO2/Venous O2 = 0.8

28
Q

food tolerating question

A

answer is Impending resp failure

29
Q

majority of fluid in the body

A

is found intracellular

30
Q

Anion Gap

A

Na - (hco3 + Cl)= 9 to 14

31
Q

A-a gradient

A

{(Pb-47)FiO2} - (PaCO2 x 1.25)

32
Q

BiLevel ventilation is ideal for who?>

A

Acute lung injury or ARDS

33
Q

In PVC if you increase the i time (making it longer), how will is effect TV?

A

increases the TV

34
Q

Increasing RR will do what to TV

A

it will create a smaller tv

35
Q

what can you use a radial arterial line for?

A

continuous BP monitoring and ABG samples

36
Q

Chloride levels

A

96-110

37
Q

If you have air-trapping, what settings can you change to fix it in VC vs PC

A

Increase the flow in VC
decrease i-time in PC

38
Q

how to fix overdistension/beaking appearance on waveform

A

Decrease the volume

39
Q

three ways to swap from VC to PC

A

using plat pressure from VC
Pip on VC - 5cmH2O
target 6-8ml/kg by starting at 10-15cmH20

40
Q

what is the purpose of the first bottle in the bottle system?

A

Collection

41
Q

If presented with elevated hemidiaphragm on same side you should suspect what?

A

atelectasis

42
Q

plat pressure limit in ARDS

A

<30

43
Q

In PCV with set i time, increasing the RR will do what?

A

decrease your e time

44
Q

what will NOT cause a drop in both dynamic and static compliance?

A

bronchoconstriction

45
Q

When is ETCO2 measured?

A

exhalation

46
Q

Positive pressure breath effect on CVP

A

It will increase the CVP

47
Q

when do you use the trendelenberg supine film

A

for a pt with Pleural Effusion

48
Q

CVP value

A

2-6

49
Q

PWCP value

A

4-12