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CardioPulmonary > Final BRTP > Flashcards

Final BRTP Flashcards

1
Q

Cylinder factors

A

E-0.28
G-2.41
H and K-3.14

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2
Q

Purpose of reserve O2 supply in hospital

A

Provides back-up O2 in case of emergency

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3
Q

Two types of safety connections in hospitals

A

ASSS and PISS (quick connection system is a subpart of PISS) and DISS? lol

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4
Q

How can you tell if a thorpe tube is compensated?

A

If you hold your finger over the outlet, the ball will drop to zero.

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5
Q

Which flow meter should be used when transporting a pt?

A

Bourdon gauge because it can be read accurately while being laid flat.

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6
Q

Thorpe tube has a ball that reacts to incoming pressure, how do you accurately read that pressure?

A

Read the location of the CENTER of the ball.

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7
Q

What is required to use an Oxygen blender?

A

TWO 50 psi gas sources

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8
Q

What will cause an Oxygen blender to alarm?

A

When a difference between the two gas sources are >10psi and also Not plugging in at the same time

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9
Q

Pursed lip breathing helps primarily treat what disease process?

A

COPD (keeps alveoli open bi increasing PEEP)

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10
Q

What are the 4 phases of a cough?

A

Irritation, inspiration, compression, expulsion

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11
Q

What is the most effective cough technique?

A

Spontaneous

If COPD= HUFF cough

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12
Q

What cough technique for someone prone to alveolar collapse? (COPD)

A

FET (forced expiratory technique) aka HUFF cough

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13
Q

When is the manually assisted cough used?

A

primarily for quadriplegics or other nueromuscular diseases

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14
Q

How to perform SMI with IS

A

After normal exhalation, inhale to maximum capacity and hold for 3-5 sec. (The breath hold is the SMI***)

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15
Q

What is needed for someone to perform IS?

A

Pt needs to be able to move 1/3 of their lung volume

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16
Q

Long term goal of IS found by what?

A

found referencing the Nomogram chart

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17
Q

Hypoxia is assessed by doing what?

A

Pulse ox?????**

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18
Q

Four major hypoxias

A

hypoxemia, anemic hypoxia, circulatory, and histotoxic

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19
Q

What is the only type of hypoxia that doesnt respond to O2 therapy?

A

Histotoxic

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20
Q

Chronic signs of hypoxia

A

Hb less than 12, Increased AP diameter, Cor pulmonale, clubbing, JVD present

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21
Q

Main cause of O2 toxicity?

A

Increased FiO2

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22
Q

how long and to what dose should a pt be limited to in order to avoid O2 toxicity?

A

Being on 50% O2 for longer than 24-48 hours

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23
Q

Normal value of oxygen in the air and CO2 in the air

A

PiO2 159mmHG PiCO2 0.23mmHg

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24
Q

PAO2 and PACO2 values

A

99-100mmHg and 40mmHG

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25
Q

PaCO2 and PaO2 values

A

35-45mmHg and 80-100mmHg

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26
Q

PvO2 and PvCO2 values

A

PvO2 40mmHg PvCO2 45mmHg

27
Q

CaO2 formula

A

(Hb x 1.34 x SaO2) + (PaO2 x .003)= total oxygen content.

28
Q

Normal CaO2

A

20.4%/100cc blood

29
Q

Alveolar air equation

A

PAO2= (760-47)FiO2 MINUS (PaCO2 x 1.25)

30
Q

Normal A-a gradient is what?

A

5-10mmHg

31
Q

Liter flow and percentage ability of O2 NC

A

1-6lpm 24-44%

32
Q

Liter flow and O2 % of non-rebreather mask

A

8-10lpm 70%

33
Q

T tube lpm

A

8-10lpm

34
Q

Oxyhood lpm and O2%

A

7 or greater lpm 21-100%O2

35
Q

Venturi mask lpm and O2%

A

lpm varies, 24,28,35,50%

36
Q

What mask would you use for a COPD pt?

A

Venturi mask

37
Q

Main difference between humidifier and aerosol

A

Aerosol will contain particulate matter which can increase chance of infection

38
Q

If a nebulizer isn’t producing mist what should you do?

A

Increase the flow to the nebulizer

39
Q

What arrythmia is associated with acute hypoxia? what about severe?

A

tachycardia/bradycardia that leads to asystole

40
Q

What arrythmia is associated with acute hypoxia? what about severe?

A

tachycardia/bradycardia that leads to asystole

41
Q

Life threatening/needs immediate intervention (EKG)

A

V Fib and V tach, asystole, and PEA

42
Q

What diseases create fine crackles?

A

atelectasis and pulmonary edema

43
Q

Coarse crackles aka rhonchi are heard with which diseases?

A

bronchitis/severe pneumonia

44
Q

In regards to a pt LOC, what would indicate that they are stuporous?

A

they only respond to pain stimuli

45
Q

JVP can be a sign of what?

A

chronic hypoxia and right sided heart failure aka cor pulmonale

46
Q

Normal PaO2 (arterial)

A

80-100mmHg

47
Q

What will cause a decrease in oxygen percentage with a manual resuscitator?

A

Increased rate, decreased refill time, increased SV

48
Q

What do you do if someone has RR of 8?

A

Bag them, turning up O2 wont help their rate of breathing

49
Q

absorption atelectasis is a result of what?

A

collapsing of the alveoli

50
Q

Does DPI include a propellant?

A

No

51
Q

air in your ABG sample will what?

A

increase pH, decrease CO2, and increase PO2

52
Q

Nasal Cannula can be given at what flow rates

A

1-6 lpm (24-44%)

53
Q

What is the minimum pulse ox value before O2 therapy is needed?

A

90% for normal, down to 80% for COPD

54
Q

During CPT, when is vibration performed?

A

on expiration

55
Q

How much sputum is acceptable before CPT is indicated?

A

25-30mL

56
Q

Which diseases will move the trachea AWAY

A

pnuemothorax and pleural effusion

57
Q

Which diseases will move the trachea towards the injury?

A

Atelectasis and lung tumor

58
Q

capillary refill greater than 3 seconds indicates what?

A

‘marked’ vasoconstriction causing poor perfusion to extremities and vital organs

59
Q

Normal temp

A

97.6-99 / 36.4-37.2

60
Q

yellow sputum represents what?

A

older infection while green sputum represents a current infection

61
Q

In emergency situation what do you use for an unresponsive pt in regards to LOC

A

Use the AVPU (alert, verbal, painful, unresponsive)

**Alert is the only ‘normal’ condition

62
Q

What devices create molecular moisture vs particulate matter?

A

Humidifier/Aerosol

63
Q

How long is postural drainage done for?

A

3-15min

CardioPulmonary (24 decks)

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