Final Exam Flashcards
1
Q
ABG
A
- Most common site for ABG stick & A-lines: Radial artery. Why -
- Near surface, easy to palpate, and stabilize
- Good collateral circulation from ulnar artery
- Artery isn’t by any large veins or nerves
- Not too Painful
2
Q
Allen’s Test
A
- Hand is clenched into a tight fist.
- Pressure is applied to radial & ulnar arteries. The hand is opened not fully extended (palm & fingers are blanched)
- Removal of pressure on ulnar artery: flushing of hand. Approx. 5-15 seconds means ulnar circulation is good. Positive Allen test; can do radial stick
3
Q
Measuring Raw
A
Peak (PIP) - Plateau/Flow x 60
- 0.6 - 2.4 cwp/L/sec Normal
- 2 - 6 cwp/L/sec ET
- 6 - 13 cwp/L/sec COPD
4
Q
Weaning Parameters
A
- LOC: Alert and oriented
- Ability to control airway: Lift head off pillow
- Initiating breaths on their own
- Consider weaning trial
5
Q
RSBI (Rapid shallow breathing index)
SBT
A
Respiratory Rate /Tidal Volume(L)
Needs to be less than 100
6
Q
Methods of Reducing Auto-PEEP
A
- Shorten I-time to lengthen E-time (Increase flow)
- Using smaller tidal volumes and decreased respiratory rate
- Allow as much spontaneous breathing as patient can tolerate
- Change partially obstructed expiratory filters
- Use larger ETTs
7
Q
Vent setting to correct for Auto PEEP
A
- Increasing set PEEP to just below auto PEEP level
- Must lower respiratory rate w/COPD & Asthma patients
8
Q
Vili
A
- Biotrauma (Volutrauma, Overdistension)
- Sheer Stress
- Atlectrauma
9
Q
Vali
A
- Barotrauma
- VAP
- Air trapping
- Vent Asynchrony
10
Q
Analgesics
A
- Fentanyl (Sublimaze) - Good for BP issues
- Morphine - Bad for BP issues
- Dilaudid (Hydromorphone)
11
Q
Paralytics
A
- Succinylcholine (Anectine) - Short acting
- Vecuronium (Norcuron) - Long acting
- Cistracurium (Nimbex) - Long acting
12
Q
Sedatives
A
- Precedex (Dexmedetomidine)
- Versed (Midazolam HCL)
- Propofol (Diprivan) - Non-barbiturate
13
Q
Antianxiety
A
- Precedex (Dexmedetomidine)
- Ativan (Lorazepam)
