Ex 1: Cards

Question 1

VAP prevention methods

Answer 1

hand hygiene
suction as needed

HOB >30-45
turn q 2hrs

early mobilization
limit sedation w/SAT
daily SBT

Question 2

Alveolar HYPOventilation

DX

Answer 2

low Vt, RR, vent perfussion

Resp acidosis
secretions
air leak

Question 3

Alveolar HYPOventilation

TX

Answer 3

INCREASE: Vt, PEEP

mobilize pt 
turn q 2hrs
deep breath
cough 
suction

Question 4

Alveolar HYPERventilation

DX

Answer 4

Vt too high
hyperventilation
Resp Alkalosis

Question 5

Alveolar HYPERventilation

TX

Answer 5

verbally coach pt to breathe w/ventilator

manually ventilate –> BVM = vent synchrony

Question 6

VAP signs

Answer 6

fever
HIGH WBC
purulent sputum
crackles-wheezes
bilateral infiltrates

Question 7

VAP medication

Answer 7

ABX after cultures (gram neg)

Question 8

High Pressure alarm

TX

Answer 8

clear secretions
increase sedation
remove vent water
bronchodilators
adjust ETT

Question 9

Low Pressure alarm

TX

Answer 9

check connection
confirm Vt
tube position w/CXR

Question 10

Apnea alram

TX

Answer 10

LOWER sedation

confirm ETT placement

Question 11

High Vt or RR alarm

TX

Answer 11

obtain ABGS
Tx pain
remove secretions

Question 12

Low Vt or Ve alarm

TX

Answer 12

assess resp and vent settings

Question 13

AMC and SIMV

nursing considerations

Answer 13

• hyperventilation
• sedation limits span breathes
• muscle fatigue

Question 14

PSV considerations

Answer 14

increases vent synchrony
decreases workload
monitor HYPERcapnia

Question 15

PE-IRV considerations

Answer 15

requires sedation

monitor AIR trapping

Question 16

AP RV considerations

Answer 16

monitor HYPERcpania

Question 17

Vent normal ranges

F (RR)
Vt
FiO2
PEEP

Answer 17

12-20

6-8 , ARDS= 4-8

21-100% –> maintain PaCO@ >60
SaO2 >92
PEEP = 5-20

Question 18

Vent normal ranges

inspiratory rate
sensitivity
high pressure limit

Answer 18

40-80

0.5-1.5

10-20 cm H2O