Oxygenation

Question 1

Nasal cannula

Answer 1

Oxygen delivery
-good starting place: 2-3L/min
-1st choice (safe, simple, increased mobility)
-can dry membrane, skin breakdown

Question 2

Oxygen toxicity

Answer 2

-can occur when a person breathes 100% oxygen for > 12 hours
-goal is to wean pt off oxygen!!

Question 3

Anaphylaxis

Answer 3

-most severe allergic reaction
-loss of consciousness
-hives
-swelling of tongue (can’t swallow)
-swelling of throat tissues

Question 4

Hemoglobin

Answer 4

molecule in blood that carries oxygen

Question 5

Lower O2 sat =

Answer 5

Lower brain function

Question 6

Hypoxia

Answer 6

low levels of oxygen in the tissues and organs
*restlessness!!

Question 7

Causes of hyperventilation

Answer 7

-exercise
-pain
-anxiety

Question 8

When are wheezes more likely heard?

Answer 8

on expiration

Question 9

Hyperventilation

Answer 9

-breathing is too rapid/deep
-HYPOCAPNIC: blowing off too much CO2

Question 10

Causes of hypoventilation

Answer 10

-decreased LOC
-medications (narcotics)
-respiratory depression
-sleep
-pain

Question 11

Brochoscopy

Answer 11

Used to view airways and check for any abnormalities

Question 12

Promotion of lung expansion

Answer 12

-position changes frequently (every 2hrs)
-keep upright
-increase daily activities
-ensure adequate hydration
-coughing exercises
-deep breathing

Question 13

Ventilation

Answer 13

Act of exchanging oxygen for carbon dioxide

Question 14

Clinical manifestations of respiratory alterations

Answer 14

-cough
-dyspnea: short of breath
-chest pain
-abnormal sputum
-hemoptysis: coughing up blood
-altered breathing patterns
-cyanosis
-fever

Question 15

Signs/symptoms of oxygen toxicity

Answer 15

-pallor, sweating, nausea, and vomiting
-seizures, vertigo, muscle twitching
-hallucinations, visual changes, anxiety
-chest pain, dyspnea

Question 16

Hypoxemia

Answer 16

-low level of oxygen in the blood

Question 17

Assessing patients on oxygen therapy

Answer 17

-equipment
-correct oxygen delivery device
-flow rate is correct
-respiratory assessment (vital signs, o2 sat, LOC, skin)

Question 18

FiO2

Answer 18

Percent of oxygen a person is inhaling
-room air FiO2 is 21%

Question 19

Oxygen saturation

Answer 19

Can be used to assess oxygen level

Question 20

SpO2

Answer 20

Measure of how saturated hemoglobin are with oxygen (pulse ox)

Question 21

Aspiration

Answer 21

-passage of gastric contents (fluid or solid) into the lungs
-can cause aspiration pneumonia

Question 22

Prevention of Atelectasis

Answer 22

-early ambulation
-turn, cough, deep breath
-incentive spirometry

Question 23

Hypoventilation

Answer 23

-breathing too shallow or slow
-HYPERCAPNIC: building up CO2

Question 24

Cyanosis is best assessed in

Answer 24

-fingertips
-mucous membranes of face

Question 25

Oxygen safety

Answer 25

-do not smoke
-do not use aerosol sprays
-do not use any petroleum products

Question 26

Atelectasis

Answer 26

Collapsed air sacs

Question 27

Poor oxygenation

Answer 27

Decreased oxygen level in blodd

Question 28

Orthopnea

Answer 28

Dyspnea when laying down

Question 29

Quick intervention for orthopnea?

Answer 29

Prop patient up to sitting position

Question 30

COPD

Answer 30

Chronic obstructive pulmonary disease
-obstruction in lungs

Question 31

Alveoli

Answer 31

Air sacs

Question 32

Signs/symptoms of poor oxygenation

Answer 32

-RESTLESSNESS/confusion
-decreased blood pressure
-cool extremities
-pallor or cyanosis of extremities
-slow capillary refill

Question 33

Incentive spirometry

Answer 33

-helps prevent post-op pulmonary complications (Atelectasis)
-provides voluntary deep breathing
-have patient do at least 10 breaths every 2 hours