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Med Surg > Med Surg Exam 2 > Flashcards

Med Surg Exam 2 Flashcards

1
Q

What are the 3 pieces to set up am ABG

A

PH
PaCO2
HCO3

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2
Q

What test must you perform before obtaining an ABG blood gas?

A

Alan’s test

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3
Q

How do you perform the alans test?

A

occlude the radial and ulnar artery and let go of the ulnar to see if it can compensate blood for the radial.

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4
Q

What is a bronchoscopy?

A

scope of the lungs

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5
Q

T or F: a pt is sedated for a bronchoscopy

A

true

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6
Q

What are some hallmarks for a pneumothorax?

A

low O2
increased WOB
chest x-ray to determine
diminished breath sounds on 1 side

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7
Q

What diagnostic test do you use to find a pleural effusion and note the amount of fluid?

A

ultrasound

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8
Q

What does a chest tube do?

A

removes air, fluid, and blood from the lungs

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9
Q

What air do we breath?

A

negative

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10
Q

What air do you breath on a ventilator

A

postive

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11
Q

How does a chest tube maintain negative pressure

A

water seal of -20 (on chest tube box)
if you need more suction than that, you must use suction on the wall

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12
Q

What might be the cause of excessive bubbling in the tube?

A

air leak

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13
Q

What do you do if there is an air leak?

A

check connections
look for holes
check insertion site
check box
call resp
YOU can change out the system without an order

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14
Q

What mode is the “weaning mode” for a vent

A

SIMV

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15
Q

What mode will the vent be on if the pt has ARDS

A

CMV

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16
Q

What position will you keep the pt in with ARDS

A

prone

17
Q

What is ARDS

A

alveoli turn to concrete

18
Q

What must you maintain in the lungs with a pt with ARDS

A

peep

19
Q

What is the patient like on the vent with ARDS

A

sedated and paralysed

20
Q

What are the COPD hallmarks

A

cough
sputum
dyspnea

21
Q

What is COPD

A

CHRONIC
slowly progressive respiratory disease of airflow obstruction
-Chronic bronchitis and emphysema
-preventable and treatable but not reversible

22
Q

T or F: pts with chronic bronchitis are more susceptible to respiratory infection

A

true

23
Q

What will the chest look like with COPD

A

barrel chest
AP diameter of 1:1

24
Q

what are the diagnostics to diagnose COPD

A

-pulmonary function test
-spirometry
-ABG
-chest x-ray

25
Q

What are the S/S of asthma

A

-dry
-wheeze
-acute attacks
- normal ABG

26
Q

What is the first line Tx for Asthma

A

Beta 2
Albuterol
THEN corticosteriods

27
Q

What kind of ABG does a pt with COPD live with?

A

Compensated Respiratory acidosis

28
Q

What is the treatment for Acute respiratory failure

A

mechanical vent

29
Q

What does an ABG look like if a pt is in ARF

A

PH- <7.35
PaCO2 - >50
PaO2 - <60

Med Surg (2 decks)

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