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Nursing Essentials: Spring > Oxygenation > Flashcards

Oxygenation Flashcards

1
Q

What is room air

A

21% O2

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2
Q

What is O2 considered

A

A medication

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3
Q

What should you do if your in an O2 emergency

A

Just give it and get an ORDER later

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4
Q

What are the two low flow systems

A

NC, SIMPLE face mask
VARIBLE performance

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5
Q

What are the high-slow systems

A

Rebreather masks, venturi
FIXED performance

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6
Q

Tell me about the flow meter

A

Attaches to the WALL, CHRISTMAS TREE, TIP goes DOWN, read the ball from the MIDDLE

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7
Q

Which way should NC prongs go

A

Point DOWN

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8
Q

What is the flow rate of NC

A

1-6

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9
Q

What do you need for 4L or more on NC

A

Humidifier

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10
Q

What do you hook up the O2 to

A

GREEN not yellow

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11
Q

What are the pros to NC

A

Pt can TALK and EAT, SAFE, SIMPLE, 85-90% O2, LONG-TERM use

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12
Q

What are the disadvangetes of NC

A

Can’t use with nasal obstruction, DISLODGE, DRYNESS

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13
Q

What is the flow rate for simple face mask

A

6-10

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14
Q

Tell me about the simple face mask

A

AIR holes, lets OUTSIDE air inWha

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15
Q

t to use a simple face mask

A

80%, not is distress, 2-3hrs

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16
Q

What are the advantages of simple face mask

A

EXHALE air, still TALK

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17
Q

What are the cons of the simple face mask

A

Can’t EAT, STRAP can cause irritation

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18
Q

What is the flow rate of the partial rebreather

A

6-15

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19
Q

Tell me about the ratial rebreather

A

TWO way VALVES, reservoir BAG

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20
Q

What are the pros of a partial rebreather

A

Inhale room air

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21
Q

What are the cons of a partial rebreather

A

Claustrophobia, can’t TALK or EAT

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22
Q

What is the flow rate of a non-rebreather

A

10-15, 100% O2

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23
Q

Tell me about the non-rebreather

A

ONE way valves, reservoir BAG

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24
Q

What are the advantages of a non-rebreather

A

Highest concentration of O2

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25
Q

What are the cons of a non-rebreather

A

Claustrophobia, can’t EAT or TALK, malfunction can cause CO2 BUILDUP

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26
Q

What is the flow rate of the venturi mask

A

4-12

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27
Q

Tell me about the ventrui mask

A

ACCURATE O2 concentration

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28
Q

What are the pros of the venturi mask

A

COPD, doesn’t DRY

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29
Q

What are the cons of the venturi mask

A

Uncomfy, skin IRRITATION

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30
Q

What is the difference between a BIPAP and CPAP

A

BIPAP- 2 pressure settings
CPAP- Same amount of pressure

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31
Q

What do you use for COPD, SEVERE sleep apnea, more SERIOUS episodes, trying to prevent INTUABATION

A

BIPAP

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32
Q

What do you use for obstructive sleep apnea, newborns, everynight use

A

CPAP

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33
Q

Should you place a PAP on a pt complaining of nausea

A

NO

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34
Q

What is O2 toxicity

A

Lung damage from breathing too much O2

35
Q

What are the symptoms of O2 toxicity

A

Coughing, dyspnea, chest APIN, substernal HEAVINESS

36
Q

How can you prevent O2 toxicity

A

Correct O2 DEVICE, TITRATING O2

37
Q

What is intubation

A

Endotracheal tube (ETT, ET)

38
Q

What is the most common typr of artficial airway

39
Q

When do you use ETT

A

General anestesia, REST the respiraory muscles, MECHANICAL ventilation

40
Q

What are the nursing responsibilites for ETT

A

SUCTIONING PRN, ORAL care Q2hrs, HOB>30

41
Q

How do you measure an oropharyngeal

A

Corner of mouth to angle of jaw.
Too big- blocked
Too small- does not open

42
Q

When to use an oropharyngeal

A

UNCONSCIOUS (gag reflex), prevent TONGUE from covering epiglottis

43
Q

What is a nasal trumpet

A

Nasophryngeal

44
Q

How do you measure a nasopharyngeal

A

Tip of nose to tragus

45
Q

What is nasopharyngeal good for

A

SUCTIONING

46
Q

When to use a nasopharyngeal

A

Better over mouth one, Obstruction of UPPER airway, MOUTH trauma

47
Q

When to not use a nose airway

A

Severe HEAD or FACIAL injury

48
Q

Are tracheostomies perment or tempoarary

49
Q

When is a tracheostomy placed

A

When a patient can’t keep thier own airway open

50
Q

What are the two most common reasons why a trach is used

A

Proonged dependence on a VENTILATOR (chronic), bypass an OBSTRUCTED upper airway (acute illness)

51
Q

What are some examples of why a pt would have prolonged dependence on a vent

A

Fuilian-Barre syndrome, Multiple sclerosis, COPD

52
Q

What are the examples of why a pt may need a trach to bypass an obstructed upper airway

A

Prevent vent DEPENDENCY, FACIAL truama

53
Q

What is the nurses job of trachs

A

Cleaning and replacement

54
Q

What can a trach be

A

Cuffed or uncuffed, fenestrated or non-fenestrated

55
Q

Tell me about a cuffed trach

A

SHORT term, OCCLIDES, PRESSURE, NECROSIS

56
Q

What can the flange do

A

Skin breakdown

57
Q

Tell me about the inner cannula

A

Disposable or non-disposable

58
Q

What does an obturtator do

A

Helps INSERT

59
Q

What is the top nursing priority with a new trach

A

Maintaining a patent aiway 72 hours POSTOP

60
Q

At minimum what should you assess every shift

A

Trach site and patency

61
Q

What are you observing for the trach site

A

Inflammation, edema, ulceration, signs of infection

62
Q

What to know about trach care

A

DAILY, STERILE, clean TIES with STERILE saline, pre-cut gauze, OPENING facing UP

63
Q

Tell me about trach suctioning

A

STERILE, don’t suction going IN, no longer than 10 SECD, 30-60 IN-BETWEEN, INTERMITTENT suction, CIRCULAR going OUT, 100% O2 IN-BETWEEN

64
Q

What do you need at the bedside for trach care

A

BVM, Trach tube SAME and SMALLER size, insertion TRAY, OBTURATOR, STERILE OCCLUSIVE dressings

65
Q

What do you do if your pts trach comes out

A

STAY, call for HELP, SEMI-FOWLERS, STERILE OCCLUZIVE dressing on STOMA, BVM over NOSE and MOUTH

66
Q

What is a chest tube

A

Through RIB cage, into the PLEURAL space, connected to a drainage SYSTEM

67
Q

What is a chest tube used for

A

REMOVE AIR, FLUIDS, or BLOOD from the pleural space, reestablish intrapleural PRESSURE

68
Q

What is a pneumothorax, hemothorax, and pleural effusion

A

AIR, BLOOD, FLUID

69
Q

What is the brainage chamber

A

Fluid is collected EXECPT for a pneumothorax

70
Q

What is the water-seal chamber for

A

Allows air to be removed without OUTSIDE air entering

71
Q

What is tidaling

A

GOOD, the ball goes up and down with each breathe, lung has NOT re-expanded

72
Q

What can it mean if tidaling has stopped

A

Lung HAS re-expanded, KINK (CHECK)

73
Q

What can excessive coutinuous bubbling in the water seal chamber mean

74
Q

What is suction-control usally set to

75
Q

Where do you keep the chest tube drainage system

A

BELOW the patient’s chest

76
Q

What do you never do with a chest tube

A

STRIP or CLAMP the tubing

77
Q

What can clamping the chest tube do

A

Cause a TENSION pneumothorax

78
Q

What do you do when the doc is taking the chest tube out

A

VALSALVA maneuver, BEAR down

79
Q

What are you monitoring with chest tubes

A

CACO (every HOUR), sounds, site

80
Q

What must you report

A

BRIGHT red blood (dark is expected), >100mL/hr

81
Q

What do you do if the chest tube disconnects from the drainage system

A

Put the END in STERILE water

82
Q

What do you do if the chest tube is pulled out from the pt

A

Cover site with THREE sided STERILE gauze

83
Q

When do you use an occlusive dressing for chest tubes

A

When it’s pulled by the doc

Nursing Essentials: Spring (21 decks)

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