Other

Question 1

What is the best practice for thoracentesis to evaluate pleural effusion?

Answer 1

Ultrasound-guided thorscentesis because it decreases complications from pneumothorax and solid organ puncture.

Question 2

What supplement has been associated with an increased risk of lung CA in people who smoke?

Answer 2

Beta carotene

Question 3

Nasal canula

Answer 3

Can give 1-6 L of oxygen, 5 or more is uncomfortable
Depends of RR
Assoc with mucosa drying and epistaxis
Every L equals about an increase of 4% of FIO2

(Ambient FIO2 - 21%)

Question 4

What tes to do before doing a ABG test

Answer 4

Allen test
Pressing arterial and ulnar a until hand is white, the release one, press the other, release the other side.
To ensure enough blood supply in both artery

Question 5

Simple face mask

Answer 5

Delivers 5-10 L of oxygen
Better than nasal canula for mouth breathers
Can deliver humidified air

Question 6

Face tent oxygen supplementation

Answer 6

Delivers 5-15 L of O2

Question 7

Venturi oxygen mask

Answer 7

Delivers 2 - 15 L
Inidicated for pts with high oxygen requirements

Question 8

Nonrebreather mask for oxygen supplementation

Answer 8

Delivers 10-15
For high supplementation (trauma, carbon monoxide poisoning, smoke inhalation…)

Question 9

High flow nasal canula

Answer 9

Delivers 15-60 L
For respiratory failure
For pts critically hypoxemia who should not be intubated
May cause mucosa dryness and injury

Question 10

When do you say pt needs oxygen?

Answer 10

88% on sat
65 on ABG