Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

RST 422 > EXAM I > Flashcards

EXAM I Flashcards

1
Q

What settings would a non-rebreather mask be appropriate for? (Hospital or Home)

A

Hospital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How does a pulse dosed system deliver oxygen differently from a traditional system? (Be specific about the breath.)

A

This type of OCD is an electromechanical device that administers a pulse of oxygen or rather a small bolus at the beginning of a patient’s INSPIRATION.

Having a small bolus of oxygen, approximately 35mL, of oxygen delivered at the beginning of inspiration as opposed to a continuous flow results in a significant reduction in the amount of oxygen used.

*Most pulsed dose devices allow patient to switch to continuous flow if needed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Are suction catheters for mechanically ventilated patients reimbursed by Medicare? What kind of catheters? What is a common practice that home care patients do regarding suction catheter use that is not done in hospital setting?

A

Yes.

Standard and In-line suction catheters are reimbursed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Bonus

How frequently will Medicare reimburse for suction catheters?

A

?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are common problems to be addressed in a COPD patient’s care plan?

A
  1. Assess and monitor
  2. Reduce risk factors
  3. Manage stable COPD
  4. Managing exacerbations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is an ALTE? An ALTE is an indication for what home care device?

A

ALTE= Apparent Life-Threatening Event

Apnea Monitor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Is it permissible for “hospital-based” RCPS to instruct patients in home respiratory care procedures?

A

YES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Identify 5 members of the discharge planning team who should be involved with the discharge planning process for the home bound respiratory patient

A
  1. Case manager
  2. RT
  3. RN
  4. Physician
  5. Patient
  6. Family/Caregivers
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

If a patient is 65 years or older, home oxygen therapy is covered by what type of insurance?

A

Medicare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Is it acceptable for the home care RCP to monitor patients by telephone?

A

NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Are Durable Medical Equipment (DME) items covered by Medicaid?

A

YES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What part of Medicare (Part A or B) coverage reimburses for durable medical equipment ?

A

Part B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

When do most people get Medicare Part A coverage?

Part B?

A

Part A: People 65 or older–OR–younger than 65 and medically disabled or have end-stage renal disease.

Part B: Low income mothers and children, non elderly disabled, and low income disabled. (You must apply)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How is supplemental oxygen at home prescribed for most people? Are there any measurements needed?

A

Liter flow, device, interface, duration

Documented hypoxemia:

  • -In adults, children and infants older than 28 days
  • -PaO2 < or = 55torr OR SaO2 < or = 88% in subjects breathing room air
  • -PaO2 of 56-59 torr or SaO2 or SpO2 < or = 89% in association with specific clinical conditions (e.g., cor pulmonale, congestive heart failure, or with hematocrit >56)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Do pulse dosed oxygen systems allow patient o switch to continuous flow?

A

No, unless it is a hybrid system which switches to continuous flow when inspiration is not detected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Name 3 types of oxygen conserving devices or systems presently available.

A
  1. Reservoir cannula
  2. Pulse dose or demand flow systems
  3. Transtracheal oxygen systems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Nasal CPAP units are mainly used in the treatment for home care patients diagnosed with what?

A

Moderate to Severe Obstructive Sleep Apnea (OSA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

At minimum, oxygen concentrators should be able to provide an oxygen concentration of __________ percent at a flow rate of ____ L/min? In general, the O2% will be greater than ________ at 2 L/min.

A

> 85%

5 L/min

95%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Should patients wash equipment with Antimicrobial dishwashing detergent prior to disinfection?

A

YES

20
Q

Would it be appropriate to suggest to a patient that his/her upstairs bedroom should be relocated to a room on the main floor if possible?

A

YES

21
Q

The best product to use for home disinfection of equipment is ___________.

A

White vinegar/water mix (1:1)

22
Q

The least expensive way to give a respiratory home care patient receiving oxygen mobility around the home is a ______________.

A

Piece together enough oxygen tubing so that the patient will be able to walk freely around their home

23
Q

The non-physician member of the rehabilitation team best able to evaluate respiratory status by inspection, palpation, percussion, and auscultation is the _____________.

A

Occupational Therapist

24
Q

How do “pulse dosed” systems conserve oxygen?

A

Pulse dosed systems provide a bolus of oxygen at a relatively high flow rate, only during the first part of inspiration

25
Q

How does the transtracheal catheter benefit the patient?

A
  1. Improved compliance
  2. Increased mobility
  3. Less accidental disruption during sleep: improved sleep
  4. Less facial, nasal, and ear irritation (vs NC)
  5. May combine with a pulse dosed oxygen device
  6. More cosmetically appealing
  7. Reduces the amount of oxygen in use
  8. Sense of taste and smell not affected
26
Q

The mustache cannula may allow what benefit to the user?

A

Designed as a reservoir cannula, this oxygen-conserving device may allow the user to decrease the necessary flow rate to achieve a desired level of oxygen

  1. Less expensive to operate
  2. Reduces the amount of oxygen in use
27
Q

What is the “SCOOP” catheter?

A

Transtracheal Catheter

28
Q

What are the 3 major oxygen delivery systems used in the home setting?

A
  1. Compressed oxygen tanked
  2. Liquid oxygen (LOX)
  3. Oxygen concentrator
29
Q

With signs of right sided heart failure (cor pulmonale), long term continuous low-flow oxygen therapy is indicated with a PaO2 as high as __________ mmHg

A

56-59 mmHg.
OR
SpO2 = 89%

(requires secondary diagnosis of CHF; cor pulmonale)

30
Q

Without signs of cor pulmonale, the Medicare criteria for long-term continuous low-flow oxygen therapy is a saturation of _______% and a PaO2 of _______ mmHg

A

88%

55 mmHg

31
Q

In what cases would a venturi-mask be appropriate for home therapy?

A

Venturi-Masks are NOT appropriate for home care

32
Q

An oxygen concentrator can deliver oxygen through tubing up to _____ ft

A

50 feet

33
Q

Do people with end-stage renal disease qualify for Medicare home O2 coverage?

A
34
Q

List the aspects of the patient’s home environment that should be evaluated prior to the initiation of home respiratory care.

A
  1. Fire
  2. Electrical
  3. Safety
  4. Health
35
Q

What non-ventilator support (non invasive?) is appropriate for home care patients who develop nocturnal hypoventilation?

A

BiPAP

36
Q

Ideally, how long should patient teaching sessions be?

A

Limit training sessions to 30 minutes, if possible.

  • Present only necessary information
  • Use only one instructor
  • Keep outside stimuli to a minimum
  • Present information in simple terms
37
Q

What is typically performed in the physical assessment of a patient during the home visit?

A

Respiratory: Inspection, palpation, percussion, auscultation, related symptoms, sputum change, chest pain, pleuritic.

Cardiovascular: BP, HR, Rhythm, capillary refill, chest pain (angina), JVD, urine output

Fluid and electrolyte assessment
Neurological
Pyschosocial

38
Q

What criteria are there for discharging a patient from the care of a home care service?

A

Patient has chronic respiratory condition

  • Plus:
    1. Stable condition
    2. No longer requires acute/sub-acute care
    3. Home permits effective care
    4. Caregivers can safely and correctly administer prescribed care at home
39
Q

What are the goals of respiratory home care?

A 
Life Support (maintain longevity)
Quality of Life
Functional Performance
Reduce costs (to individual and society)
Minimize future hospitalizations
40
Q

What respiratory conditions are commonly treated through home care?

A

Patient who have:

  1. Chronic pulmonary disease
  2. Have repeated hospitalizations
  3. Require ongoing medical care after discharge
  4. Are technology dependent
  5. Have difficulty performing essential activities of daily life
41
Q

Describe how you would teach a patient to disinfect a small volume nebulizer at home and then verify their understanding.

A
  1. Explain procedure
  2. Demonstrate to them
  3. Have patient explain and demonstrate until they got it
42
Q

How would you determine if a patient is a candidate for stationary versus portable home oxygen? How would you determine if a patient is a candidate for an oxygen concentrator versus a liquid oxygen?

A
  1. If patient ambulates beyond 50 feet

2.

43
Q

According to the American Subacute Care Association, subacute care is a comprehensive, cost effective inpatient level of care for patients who:

A
  1. Had acute event resulting from injury, illness, or exacerbation of a disease process
  2. Have a determined course of treatment and though stable, require diagnostic/invasive procedures, but not acute level care
  3. Utillize case management/coordination of service
44
Q

List the key members of a typical sub-acute care facility.

A
  1. Patient
  2. Physician
  3. Nurse
  4. RT
  5. Physical therapist
  6. Speech therapist
  7. Dietician
  8. Social worker
45
Q

The USE Report described which key findings?

A

It cost 11% more to serve a non-RT treated patient

3-6 day shorter length of stay from RT treatment

Lower death rates

*Medicare beneficiaries treated by RTs had better outcomes than those not treated by RTs

46
Q

What is needed to qualify for hospice? What is the goal of hospice?

A

Life expectancy <6 months and two physicians agree

Reduce pain and make patient comfortable

RST 422 (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions