Med Surg Exam 2 Flashcards
What are the 3 pieces to set up am ABG
PH
PaCO2
HCO3
What test must you perform before obtaining an ABG blood gas?
Alan’s test
How do you perform the alans test?
occlude the radial and ulnar artery and let go of the ulnar to see if it can compensate blood for the radial.
What is a bronchoscopy?
scope of the lungs
T or F: a pt is sedated for a bronchoscopy
true
What are some hallmarks for a pneumothorax?
low O2
increased WOB
chest x-ray to determine
diminished breath sounds on 1 side
What diagnostic test do you use to find a pleural effusion and note the amount of fluid?
ultrasound
What does a chest tube do?
removes air, fluid, and blood from the lungs
What air do we breath?
negative
What air do you breath on a ventilator
postive
How does a chest tube maintain negative pressure
water seal of -20 (on chest tube box)
if you need more suction than that, you must use suction on the wall
What might be the cause of excessive bubbling in the tube?
air leak
What do you do if there is an air leak?
check connections
look for holes
check insertion site
check box
call resp
YOU can change out the system without an order
What mode is the “weaning mode” for a vent
SIMV
What mode will the vent be on if the pt has ARDS
CMV
What position will you keep the pt in with ARDS
prone
What is ARDS
alveoli turn to concrete
What must you maintain in the lungs with a pt with ARDS
peep
What is the patient like on the vent with ARDS
sedated and paralysed
What are the COPD hallmarks
cough
sputum
dyspnea
What is COPD
CHRONIC
slowly progressive respiratory disease of airflow obstruction
-Chronic bronchitis and emphysema
-preventable and treatable but not reversible
T or F: pts with chronic bronchitis are more susceptible to respiratory infection
true
What will the chest look like with COPD
barrel chest
AP diameter of 1:1
what are the diagnostics to diagnose COPD
-pulmonary function test
-spirometry
-ABG
-chest x-ray
