Exam One Flashcards
What is the liter flow and FIO2 of a simple mask?
6-10 LPM (Variable FIO2 of 0.35 to 0.5)
What are the two types of resevoir mask?
Partial rebreathing mask, Non rebreathing mask (flow of 6-15) provides almost 100% oxygen
Can the air-entrainment mask be considered high flow, low flow, or both?
Both, ranging from 24-50%
What are the ABG values to support <1500 grams premature infant to late term infant?
<1000 g premature infant (<28 weeks of GA): pH >7.25 paco2 45-55 pao2 45-65 HCO3 15-18
<1500 g premature infant to late term infant (28-40 weeks of GA): pH >7.25 paco2 45-55 pao2 50-70 HCO3 18-20
Term infant to toddler pH 7.30-7.40 paco2 30-40 pao2 80-100 HCO3 22-26
Uncuffed landmark data
For patients under 8 years old
Tube in the middle of the third of the trachea, about half way between the vocal cords and carina (T2-T4)
Cuffed landmark data
Cuff is below the vocal cords, placing the tip of the tube in the middle of the third of the trachea (2 cm above the carina or 4-5 or 3-5 be flexible)
Pre and post ductal spo2 measurements in regard to what occurs in the body pre and post
Preductal oxygen saturation reflects an infants blood state before the ductus arteriosus and before it has a chance to be mixed with deoxygenated blood
Postductal oxygen saturation is a measurement taken after the ductus arteriosus and has been mixed with deoxygenated blood from the pulmonary circulation
Difference- can reflect the degree of shunting, response to therapy and degree of intervention
Miller definition
Lift the epiglottis directly
Macintosh definition
Placed in the vallecula and the epiglottis is lifted indirectly
What is the sellick maneuver?
The Sellick Maneuver is performed by applying gentle pressure to the anterior neck (in a posterior direction) at the level of the Cricoid Cartilage. The Maneuver is most often used to help align the airway structures during endotracheal intubation.
Indicated if the larynx is not easily visualized
SPAG data
Ribavin (Virazole) Antiviral agent drug ONLY FOR RSV
RSV (Respiratory Synctial Virus)
Drug delivered 12-18 hrs per day for 3 days-1 week
Equipment Needed: Hood, O2 tent or face tent
SPAG reduces the 50 psi to 26 psi
Two flow meters that control flow to nebulizer and drying chamber
Flow nebulizer is adjusted to max of 7 LPM with total flow of 15 LPM
IPPB information
May be indicated if VC is less than 10mL/kg
VTE measured through wrights (12-15 hyperinflation 5-7 normal mL.kg)
Sensitvity- Too hard too easy to breathe. Nose clips and seal mean closed system
Airmix in get 100%
Normal chest excursion 3-5
Rate determines E time
With leak wont hit appropriate pressure
Identify upper lobes apical segment
Image A
Identify upper lobes posterior segment
Image B
CPAP is also known as…
Continuous Distending Pressure
What is the aneroid manometer used to obtain?
MEP or MIP
What is the difference between these PEP devices?
Blue for flow rates of <15 LPM
Green for flow rates of >15 LPM
Both prevent dynamic airway collapse and improves clearance of mucus (can give tx with this even in line)
What position is this x-ray displaying?
AP- Notice the scapulas are in the lung fields and the clavicals are horizontal
Give an example of a correct coffalator order
PIP- 15-25 peds can bleed in o2 and breath hold is 1-2 seconds
Example: +20 Inhalation 2.0 seconds, -20 Exhalation 2.0 seconds 4 sequences QID
What are some complications of airway clearance therapy?
Contraindications include: Frank hemoptysis, empyema, foreign body aspiration, and untreated pneumo
Complications: Trauma to ribs and skin, cold stress, trauma to airway during deep suctioning, hypoxemia is new borns
What is the reasoning for this x-ray?
Lateral decubitusThe downward side can be evaluated for presence of fluid, such as a mobile pleural effusion, and the upward side will demonstrate free air, such as in the case of a pneumothorax (air in the pleural cavity)
Identify the name of the exam and what it is used for
Forced expiratory Image used to evaluate the presence of a pneumo and foreign body aspiration
Use the image to identify the condition and treatment plan
Epiglottis- intubate immediately don’t do anything to mouth as it will close up immediately.
Use the image to identify the disease to support mark airway obstruction
Croup think stridor, administer racemic epinephrine 2.25% (0.5 mL) nebulized and heliox 80/20 via NRBM, dont forget coolmist if situation permits but DO NOT choose this for boards
