CRITICAL CARE: OXYGEN/INTUBATION Flashcards
1
Q
Oxygen (1st drug of choice)
Assess: (3)
Interventions:
–Nasal cannual ___ to ___ L/mim (at _?__ add H20)
–NRB: at least ___ to ___ L/min FLUSH, make sure to ___?___
–Cpap
–BiPap
–Intubation
•Sedation and BVM
Ventilator
A
- Oxygen (1st drug of choice)
- Assess: color, 02Sat on RA, ABG’s
- Interventions:
- –Nasal cannual _1__ to _6__ L/mim (**at 4 liters **add H20)
- –NRB: at least 10 to 15 L/min FLUSH, make sure to INFLATE BAG
- –Cpap
- –BiPap
- –Intubation,
•Sedation and BVM- Ventilator
2
Q
NEW ACLS guidelines..
THE books are not caught up
- if oxygen saturation is ?, start oxygen at ?L/minute and ?
A
- Continually monitor vital signs and oxygen saturation;
- if oxygen saturation is <94%, start oxygen at 2-4 L/minute and titrate.
3
Q
Airway is everything
Reasons for Intubation (6)
A
- •Hypoxemia
- •Hypoventilation
- •Respiratory acidosis
- •Acute pulmonary edema
- •Asthma attack
- Neurologic disorders (MS, MG,GBS)
- •OSA
- •Surgery
- •Any condition requiring airway protection
- •Head injuries
4
Q
- Intubation: RN’s job
- Tube size for adult
- ? to inflate bulb
- ??? on hand?
A
Intubation:
- RN job make sure all supplies are ready
- #7 size for adults
- 10cc to inflate bulb
- Suction on hand
5
Q
Nursing Care after intubation (6)
A
- •Lung sounds assessed
- •Tube secured, “taped at the 23 mark”
- •End tidal C02 monitoring (35 – 45)
- •It patient getting oxygen… CHECK Sat !
- •What color is the patient
- •Is the patient sedated ?
6
Q
- Intubation: What is the Gold Standard…CO2 pressure?
- After intubation is done check for (2)
A
Etidal C02 GOLD STANDARD LOOK FOR 35-45 C02 PRESSURE
Is pt comfortable? Are they bucking the vent?
7
Q
AMBU Ventilation (4)
A
- •Bag-valve-mask: ensure proper seal (C + E) and chest rise
- •You can use room air…but connected to oxygen
- •Advanced airway
- •Don’t want to over-ventilate… one breath every *6-8 seconds
8
Q
Room Air has how much O2?
A
21%
