Part 7 Flashcards
If too much fluid is given through IV in a pulmonary edma patient this would cause what to increase
Increased pulmonary artery pressure (PAP) and Pulmonary capillary wedge pressure (PCWP)
A postoperative patient using a mouthpiece positive pressure ventilator has an inspiratory time that is prolonged, if the machine does not cycle off what should you do
Check for leaks in the circuit or mouthpiece
Simple spirometry cannot measure what value
Residual Volume
What can you add to a circuit as a method of treating hyperventilation?
Add mechanical deadspace
To increase the expiratory time on a volume controlled ventilator without altering the minute ventilation you would adjust what setting
The inspiratory flow
On a spirometry test if the TLC and RV are both above 120% the predicted value than that signifies what
significant air trapping
If the predicted values of FVC, FEF25, and FEV1/FVC ratio are lower than there predicted value is signifies what kind of disease
Obstructive disease
What would be used to disinfect respiratory care equipment at home
Acetic Acid (vinegar)
When a patient on ventilatory support in the SIMV mode needs more oxygen you should increase what first before if needed the PEEP
FiO2
If there is opacification on a chest xray there is either what two things
Consolidation or atelectasis
To improve an infants condition with IRDS you need to do what
administer exogenous surfactant
To decrease a patients CO2 on a High frequency oscillatory ventilator (HFOV) you need to do what? by increasing what setting?
increase the tidal volume by increasing the amplitude setting
Decreased forced expiratory flows are found most common in what kind of diseases
Obstructive diseases
What kind of medication is Triamicinolone
Corticosteroid
What kind of medication is pancurronium
A neuromuscular blocking agent
What kind of medication is cromolyn
mast cell stabilizer
What type of oxygen administration delivery equipment should be used for suspected carbon monoxide poisoning
Non rebreather
For a patient using a DPI for the first time you should instruct them to
inhale rapidly for 1-2 seconds
What would the EKG interpretation be if there were no identifiable p waves with a n irregular ventricular rhythm
Atrial fibrillation
What lung condition would cause decreasing lung compliance and fluid retention
cardiogenic pulmonary edema
To increase the PaCO2 for a ventilated patient you must do what
decrease the minute ventilation
The endotracheal tube tip should be positioned and located where
1-2 inches above the carina
For the administration of ribavirin via aerosol for an infant with RSV you should use what kind of delivery device
Small particle aerosol generator (SPAG)
Intrapulmonary shunting should be treated with..
PEEP
