Part 4

Question 1

Pulmonary hygiene programs include

administering prescribed drugs;

Answer 1

humidifying in haled air; medication therapy via nebulizer, DPI or MDI chest physoitherapy and breathing excercises

Question 2

Tapping
Clapping and vibrating techniques are primary used for

Many time do they do postural drainage

Answer 2

Cystic fibrosis to dislodge mucus plug so that they can cough easily. And
different lying positions on page 327

Only one time and in the morning

Question 3

Low flow system supplement O2 needs

Room air contains

Nasal cannula w low flow

Answer 3

Boy do not deliver the total amount of O2 needed by the body

21%o2

Should not exceed 5L/min man is 6l/min

Question 4

What provides humidifier o2 high

The machine sends the oxygen to the pt at high flow rate using the compressed air

Answer 4

High flow o2

Question 5

Short term o2 therapy is administered of o2to treat

For COPD the goal is

What is the most reliable indicator for hypoxia

Answer 5

Hypoxemia goal is of Spo2 is between 94 And and 98

88%and 92%

Blood gas analysis

Question 6

Long term O2 therapy fire pt w asthma or Copd

Answer 6

Relieve hypoxemia

Reverse tissue hypoxia and it’s s/s

Allows the pt to function better mentally and physically thereby increasing self-reliance

Question 7

Is needed when the pt cannot main adequate ventilation because of respiratory
Neurological
Or neuromuscular problem or trauma

Answer 7

Mechanical ventilation

Question 8

These deliver air into lungs up to a preset pressure. The babybird and Siemens Servo are examples of this type. These are mainly used for infants and childeren.

Answer 8

Pressure-cycled ventilators

Question 9

deliver a preset volume of gas with preset pressure limits.
Adequate tidal volumes will be delivered even when airway resistance is great .
If the ventilator meets too much pressure an alarm sounds to indicate that the correct tidal volume is not being delivered.
This is commonly caused by excessive secretions in the lungs and suctioning is needed

Answer 9

volume cycled ventilators

Question 10

provides good ventilation with use of relatively small tidel volumes at very high respiratory rates.
The oxygenation and ventilation rather than a high flow of gas.
Because the intrathoracic pressures needed for this type of ventilation are much lower, there are fewer complications than with other types of ventilation

Answer 10

High-frequency jet ventilation

Question 11

this ventilation the machine is set to deliver a fixed number of breaths per minute at a set volume
Does not allow for spontaneous respiration

this is used during times of central nervous system depression, such as during anesthesia sedation and drug overdose

Answer 11

controlled-mode

Question 12

ventilation decreases the work of breathing for the patient. When the patient takes a breath the machine delivers a set tidal volume.

Answer 12

Assist-mode

Question 13

these are found in ICUs these allow the pt to breath normally and yet provide a preset number of ventilator breaths at a preset tidal volume to ensure adequate ventilation without muscle fatigue.
One advantage

Answer 13

Intermittent mandatory ventilation(IMV)
synchronized intermittent mandatory ventilation(SIMV)

Is that the pt respiratory muscle are at work during spontaneous breathing keeping the muscle tone

Question 14

_______ is used for ARDS and respiratory failure

Airway never falls below a certain level

Answer 14

PEEP

Question 15

the patient breathes normally but this decreases the work of drawing gases through the ventilator tubing, decreasing patient fatigue, this has proven very beneficial during weaning from IMV

Answer 15

Pressure support ventilation

Question 16

Clapping should not be used on what type of pt what should be used instead

Answer 16

Osteoporosis

Vibrating techniques

Question 17

Patient teaching 328

Answer 17

328

Question 18

Can be used for pt who are breathing spontaneously but are staying signs of hypoxemia

Used on infant w mild respiratory distress syndrome and did adult in the early stage of respiratory failure

Answer 18

Continuous positive airway pressure CPAP and

Bilevel positive airway pressure

Question 19

Is used in the hospital and in home to provide ventilation assistance for pt who need help w oxygenation or air movement

May be used to improve oxygenation and ventilation so that endotracheal intubation is not needed

Answer 19

Noninvasive positive pressure ventilation

Question 20

When caring for a patient on mechanical ventilation, the nurse should

Why is it used

Answer 20

Check the physician’s order each shift and then check the ventilator for the proper settings.

Check alarms to see that they are turned on.

Keep tubing clear of pooled water; empty the water into an appropriate receptacle as needed.

Check VS hypo&hyper ventilation
Measure I&O

Short-term therapy or chronic support

Question 21

What should the pt monitor w mechanical ventilation

Answer 21

S/s of complications
Gastric distention
Pneumonthorax
And impaired cardiac output

Monitor ABG

Question 22

How do you prevent ventilator acquired pneumonia

Answer 22

Regular oral care w chlorhexidine

Continuous removal of subglottic secretion

Change of ventilator circuits only if visible soiled Or malfunctioning

Selective oral or digestive decontamination

Prophylactic probiotic