PART 3 Flashcards
A normal WBC is
5,000 to 10,000/mm3
When the FEV1/FVC is decreased it is always what kind of disease
An obstructive disease
Static compliance equals
exhaled tidal volume(VT)/(Pplat-PEEP)
Dynamic compliance equals
exhaled tidal volume (VT)/(PIP-PEEP)
Bronchial breath sounds are commonly heard over the lower lobes in patients with what disease process
Pneumonia
Bronchial breath sounds in the low lobes usually means what
Consolidation
What is the first step befor terminating the breathing trial if the patient’s RR is increasing to high
Apply 5-10cm of pressure support to CPAP
When a patient is hyperventilating on mechanical ventilation what can you do to the setting to help
Decrease the tidal volume or decrease the rate
What medication is a benzodiazepine that is used to provide sedation for patients receiving mechanical ventilation
Lorazepam (Ativan)
What are 4 other medications used to provide sedation for patients receiving mechanical ventilation besides Ativan
Xanax
Valium
Diprivan
Midazolam versed
The best way to evaluate a patients ability to breath is
Drawing an ABG
If there is blunting of the costophrenic angle on a chest xray there is always a what present?
Pleural effusion
Furosemid is another name for
Lasix
Any time a patient is given diuretic there ____level will go up
Potassium level
Inspiratory stridor is a sign of
post-extubation laryngeal edema
After extubation if the patient has a sore throat you can recommend what?
cool mist aerosol and racemic epinephrine
For a patient on the ventilator that is briefly removed for suctioning, whenever possible, you should always do what instead of removing them from the ventilator?
For a patient on the ventilator, whenever possible, you should
always try to use a closed-system or in-line suctioning catheter
Acetylcystein (Mucomyst) is a drug typically given for
retained secretions
The best way intervention for clearing secretions if patient cant is?
Nasotracheal suctioning
Most common problem with assist control mechanical ventilation
Hyperventilation
The high pressure alarm limit should be set how much above the PIP setting
10-15cmH20
For a mild asthma attack you expect to see what kind of ABG result
respiratory alkalosis with hypoxemia
If a patients FVC is low they have what kind of disease
Restrictive disease
the tidal volume setting is based off of qhat formula
5-10ml/kg of IBW
