Final Flashcards
why is my vent alarming
dont be a dope
displacement
obstruciton
pneumothorax
equipment
difference btwn vent and respirator
vent- forcing air
respirator- neg pressure (like an iron lung)
mechanical vents
positive or neg pressure breathing device used for long term ventilation and o2 delivery
requires et intubation or trach
what is peep
positive end expiratory pressure
what is fio2
percent of o2 delivered btwn 21-100%
what is pressure support
delivered with vent or pt-initiated breaths
who adjusts settings on vents
resp therapists NOT nurses
what do you do if a low or high pressure alarm is going off
disocnnent from vent and bag the pt
causes of high pressure alarms
obstruction
intubation in r main stem bronchus
coughing, gagging, attemptingto talk
chest wall resistance
failure of high-pressure relief valve
bronchospasm
worsening disease
intervention for obstruction
unkink tubing
suciton
insert bite block
remove condensation from large bore tubing
intervention for coughing, gagging, attempting to talk
administer sedative or neuromuscular blocking agent as ordered
intervention for chest wall resistance
repostition pt
causes of low pressure vent alarms
et tube disconnected from vent
displaced tube
leaking cuff
vent malfxn
leak in vent circuit
what to know ab pal care and hospice
pal care is NOT hospice but hospice is ALWAYS pal care
what are goals of pal care
symptom management
not about curing disease
figure out pt goals
treat as person, not disease
what are goals of hospice
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
what to give for death rattle
atropine- dries up secretions
durable power of attorney
person steps in and makes decisions for you when you are unable to make deicions for yourself
advance directivw
helps durable power of attorney make those decisions to meet oyur wishes
not legally binding
what to know about dnr/dni
used for hospital only
what does emergency med personnell need
POLST
cant respect dnr/dni
poslt must be with pt when they are being transported
intervention for intubation into r main stem broncus
check tube position
call md if needed
intervention for failure of high-pressure relief valve
replace faulty equipment
intervention for broncospasm
assess for cause
report to md
treat pt as ordered
intervention for worsening disease
assess lung sounds for consolidation, barotrauma, wheezing
call md
intervention for et tube disconnected from vent
recconect tube
intervention for displaced tube
check placement
if extubation or displacement has occurred, vent mannually and call md immediatley
intervention for leaking cuff
listen for leak
assess cuff
if cuff pressure cant be maintained, call md
intervention for vent malfxn
disconnect pt and vent mannually
intervention for leak in vent circuit
check all connection
assess tubes and humidification jar for holes, cracks, and replace if needed
how fast do we give tka
within 4 hrs
risk factor for ishcmeic stroke
afib
what is a part of advance directives
living will
proxy directive
durable power of attorney
DNR must be written by who
a physician
order of healthcare surrogates
gaurdian
spouse
adult son/daughter
parent
adult brother/sister
adult grandchild/relative
close friend
guardian of estate
how often should polst be renewed
yearly
