PART 1 Flashcards
What is the normal values for cuff pressure
20-30cmH20
Patient has reduced chest expansion, a hyperresonant percussion note, and absent breath sounds on
the left side. Trachea is shifted to the right. What disease is this most likely to be.
Pneumothorax in left lung
What is the most common reason for a bubble humidifier to make a whistling noise
Obstruction to outflow of tube
If the FEV1 pre to post values increases by at least what % after bronchodilation therapy it is considered a reversable airway obstruction
12%
the patient has a dull percussion note on the left
side, a tracheal shift toward the left side, and absent breath sounds on the left side. What are these all signs for?
Atelectasis in left lung.
A 63-year-old female patient is intubated and receiving
mechanical ventilation in the pressure-controlled A/C mode. If the patient’s compliance were to decrease, what would happen to the patients delivered volume?
It would decrease.
Retained secretions in a patients endotracheal tube would do what to airway resistance and peak airway pressure?
Increase
If a patient was on pressure controlled ventilation what would you expect in delivered volume once secretions were cleared
An increase
What does a patient require immediately to treat a pneumothorax
insertion of a chest tube on affected side
What is often indicated for treatment of wheezing in CHF or pulmonary edema patients.
Diuretic like Lasix or NPPV with oxygen therapy
What drugs can be delivered down the ET tube
N-Narcan (Naloxone)
A-Atropine
V-Vasopressin
E-Epinephrine
L-Lidocaine
When directly instilling medications down the ET
tube you have to administer how many times more than normal dose for the medication for it to be effective
2-2.5 times more
What substance can be administered via direct instillation in
premature infants?
Exogenous surfactant
When a patient is blowing off too much CO2 they are
Hyperventilating
Hyperventilating and a flail chest would do what to the ph and SaO2
Increase PH and decrease SaO2
On a assist control ventilator Sensitivity uses what kind of pressure in order to help trigger a
breath
Negative pressure
What artificial airway is used only when unconscious or sedated and are often used during bag mask ventilation to facilitate effective ventilation
A Oropharyngeal airway
What artificial airway can be used in patients with an intact gag reflex, and they help facilitate ventilation and frequent nasal suctioning and also help to minimize mucosal trauma.
A nasopharyngeal airway
A premature infant receiving positive pressure ventilation appears to be in acute respiratory distress with signs of hypotension and asymmetrical chest movement. What do these signs indicate may be present?
A pneumothorax
During a transillumination if a halo sign shows up through the neonates chest wall that means
It is normal
During a transillumination if the chest wall lights up on the neonates chest what does that mean?
There is a pneumothorax
If the transillumination test does not reveal a pneumothorax, but the infant still exhibits signs of respiratory distress, you should recommend an immediate..
Chest xray
What disease process shows signs of poor body
development, malnourishment, and foul-smelling stools
Cystic Fibrosis
JVD is a sign of…
Right heart failure
