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NUR 250 > Final > Flashcards

Final Flashcards

1
Q

why is my vent alarming

A

dont be a dope
displacement
obstruciton
pneumothorax
equipment

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2
Q

difference btwn vent and respirator

A

vent- forcing air
respirator- neg pressure (like an iron lung)

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3
Q

mechanical vents

A

positive or neg pressure breathing device used for long term ventilation and o2 delivery
requires et intubation or trach

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4
Q

what is peep

A

positive end expiratory pressure

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5
Q

what is fio2

A

percent of o2 delivered btwn 21-100%

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6
Q

what is pressure support

A

delivered with vent or pt-initiated breaths

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7
Q

who adjusts settings on vents

A

resp therapists NOT nurses

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8
Q

what do you do if a low or high pressure alarm is going off

A

disocnnent from vent and bag the pt

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9
Q

causes of high pressure alarms

A

obstruction
intubation in r main stem bronchus
coughing, gagging, attemptingto talk
chest wall resistance
failure of high-pressure relief valve
bronchospasm
worsening disease

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10
Q

intervention for obstruction

A

unkink tubing
suciton
insert bite block
remove condensation from large bore tubing

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11
Q

intervention for coughing, gagging, attempting to talk

A

administer sedative or neuromuscular blocking agent as ordered

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12
Q

intervention for chest wall resistance

A

repostition pt

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13
Q

causes of low pressure vent alarms

A

et tube disconnected from vent
displaced tube
leaking cuff
vent malfxn
leak in vent circuit

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14
Q

what to know ab pal care and hospice

A

pal care is NOT hospice but hospice is ALWAYS pal care

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15
Q

what are goals of pal care

A

symptom management
not about curing disease
figure out pt goals
treat as person, not disease

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16
Q

what are goals of hospice

A

making pt most comfy
can still give 02
maybe blow a fan, sit them upright if they struggle to breathe
treat pain- not high doses
maintain patent airways

17
Q

what to give for death rattle

A

atropine- dries up secretions

18
Q

durable power of attorney

A

person steps in and makes decisions for you when you are unable to make deicions for yourself

19
Q

advance directivw

A

helps durable power of attorney make those decisions to meet oyur wishes
not legally binding

20
Q

what to know about dnr/dni

A

used for hospital only

21
Q

what does emergency med personnell need

A

POLST
cant respect dnr/dni
poslt must be with pt when they are being transported

22
Q

intervention for intubation into r main stem broncus

A

check tube position
call md if needed

23
Q

intervention for failure of high-pressure relief valve

A

replace faulty equipment

24
Q

intervention for broncospasm

A

assess for cause
report to md
treat pt as ordered

25
Q

intervention for worsening disease

A

assess lung sounds for consolidation, barotrauma, wheezing
call md

26
Q

intervention for et tube disconnected from vent

A

recconect tube

27
Q

intervention for displaced tube

A

check placement
if extubation or displacement has occurred, vent mannually and call md immediatley

28
Q

intervention for leaking cuff

A

listen for leak
assess cuff
if cuff pressure cant be maintained, call md

29
Q

intervention for vent malfxn

A

disconnect pt and vent mannually

30
Q

intervention for leak in vent circuit

A

check all connection
assess tubes and humidification jar for holes, cracks, and replace if needed

31
Q

how fast do we give tka

A

within 4 hrs

32
Q

risk factor for ishcmeic stroke

A

afib

33
Q

what is a part of advance directives

A

living will
proxy directive
durable power of attorney

34
Q

DNR must be written by who

A

a physician

35
Q

order of healthcare surrogates

A

gaurdian
spouse
adult son/daughter
parent
adult brother/sister
adult grandchild/relative
close friend
guardian of estate

36
Q

how often should polst be renewed

A

yearly

37
Q
A

NUR 250 (6 decks)

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