FINAL BS

Question 1

What does VC measure?

Answer 1

Vital Capacity refers to how well the pt can tap into their reserve volumes under stress. (Ability for pt to perform ADLs off the vent)

Question 2

mild hypoxemia

Answer 2

60-79

Question 3

moderate hypoxemia

Answer 3

40-59

Question 4

If the pH is within 735-745 it will always be what?

Answer 4

Compensated/in homeostasis

Question 5

What is a combined ABG

Answer 5

all values will be outside the normal range and all be either acidic or alkalotic.
***pH must be outside normal limits as well

Question 6

Super imposed ABG usually appears as what?

Answer 6

compensated or partially comp metabolic alkalosis

Question 7

ABG of someone on IPPV

Answer 7

PaO2 increases, PaCO2 decreases, pH normal or increased

Question 8

How does the Bird Mark 7 cycle from insp to exp?

Answer 8

Once the set pressure is met, the inspiration cycles to expiration

Question 9

How do you assess what size OPA you will need?

Answer 9

Measure from the corner of the mouth to the jaw

Question 10

what are the two ways to confirm placement of an ETT tube?

Answer 10

1. Assessing chest rise and auscultation

2. Chest x-ray

Question 11

What frequency will orders for oral suctioning be?

Answer 11

Suction orders are always PRN

Question 12

Indications to perform oral suctioning on a pt

Answer 12

slowly increasing PiPs

Question 13

If someone needs to be suctioned will there be increased or decreased fremitus?

Answer 13

Increased

Question 14

vacuum ranges for infants/children/adults

Answer 14

infant -80 -100 children -100 -120 adults -120 -150

Question 15

What is the time frame to start and end suctioning

Answer 15

15 seconds

Question 16

What do you do after inserting the suction catheter to resistance?

Answer 16

pull back 1-2cm and then apply suction while twisting the catheter as you withdraw

Question 17

What do you always do first before suctioning someone?

Answer 17

Always hyperoxygenate for two minutes

Question 18

You hear expiratory wheezing post-suction, what probabbly caused this?

Answer 18

Bronchospasm

Question 19

Where is the location for a tracheostomy

Answer 19

below the larynx, 1 finger below cricoid cartilage, through the 2nd-3rd cart ring

Question 20

What does the decannulation plug/cap

Answer 20

Keeps the stoma opening patent

Question 21

What is the purpose of the obturator?

Answer 21

Helps place the outter canula into the stoma, and also decreases damage to the tissue.
**Is then removed and inner cannula is placed

Question 22

Which cannula has a hole located in the curve of it?

Answer 22

Fenestrated, the hole is designed to allow for faster weaning and ability to pass air through the upper airway

Question 23

How does someone with a fenestrated trach attempt to vocalize?

Answer 23

remove the inner cannula and then DEFLATE the cuff. place plug/cap in stoma so that air will pass into upper airway

Question 24

Partial vs total laryngectomy

Answer 24

Partial allows for access to the upper airway while the total has no upper airway access

Question 25

PSV

Answer 25

Pressure support ventilation is when

Question 26

Which dz do you want to use the Ramp flow pattern on the vent?

Answer 26

Asthma and CF