PFT Flashcards

tmc

1
Q

a test done before the ABG punter used to asses for collateral circulation

A

modified allens test

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2
Q

steps of a modified allens test

A

1) have pt make a fist
2) obstruct both the radial and ulnar arteries by applying pressure with your thumb
3) have a patient open their hands and hand will turn white
4) release pressure from ulnar artery

  • hand should pink up in 1-2 seconds
  • if not collateral circulation isn’t good
  • use another site
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3
Q

never attempt to puncture an after on a patient with what t type of shunt?

A

dialysis shunt

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4
Q

hazards of an ABG

A

blood vessel trauma, hematoma, arterial clot formation, arteriospasm, and infected puncture site

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5
Q

heel sticks are used to obtain bag samples in infants this si called what?

A

capillary samples

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6
Q

how long do you wrap the site for a cap stick?

A

5-7 mins

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7
Q

what do you clean the heel with before chopstick?

A

alcohol

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8
Q

what do you use for puncture of a cap stick?

A

lancet

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9
Q

results of a cap still correlate with what?

A

ph and paco2

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10
Q

for accurate readings from an Aline the transducer should be placed at the mid chest. if it is too low the readings will be ___ and if it is too high the readings will be falsely ____

A

falsely high, falsely low

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11
Q

aline steps

A

1) withdrawal 3-5 ml of fluid from the catheter for the waste solution
2) attach the ABG syringe and collect sample
3) return the waster solution to the patient
4) close stopcock and flush the catheter tubing

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12
Q

which electrode measures ph?

A

sanz

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13
Q

which electrode measures po2?

A

clark

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14
Q

which electrode measures pco2?

A

severinghause

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15
Q

used to analyze data. it uses 2 standard deviation range and the values should remain with the 2 standard deviations of the mean

A

levey jennings charts

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16
Q

all the values are within the two standard deviation range

A

in control

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17
Q

only one value falls outside the tw o standard deviation range

A

random

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18
Q

values are progressively increasing or decreasing but they all still fall within normal range

A

trend

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19
Q

the plotted points are all within range, however the mean has shifted primarily towards one side

A

shift

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20
Q

a thread that moves outside of the standard deviation range this indicates that the electrode needs to replaced or recalibrate

A

out of control

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21
Q

cao2 range

A

17-20% vol

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22
Q

cvo2 range

A

12-16%

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23
Q

example of point of care testing

A

I stat

*done in 90 seconds

24
Q

if paco2 is in acceptable range what should your response be?

A

you should not put the patient on a ventilator or even change the vent settings

25
Q

if pt paco2 is greater than 45 what should you do?

A

initiate mechanical ventilation

*if pt is already own vent you need to help vent

26
Q

if pt paco2 is less than 35 you should do what?

A

don’t put patient on vent because pt is ventilating.

27
Q

normal ph of 7.35-7.45 is considered what?

A

compensated

*also known as chronic

28
Q

if ph is below 7.35 this is considered what?

A

uncompensated

*also known as acute

29
Q

how do you treat metabolic acidosis?

A

electrolytes

30
Q

occurs when all values are abnormal

A

parietal compensated

31
Q

how do you measure carbon dioxide poisoning and how do you treat it?

A

co-oxhemity

treat with 100% o2 and hyperbaric chamber

32
Q

low hemoglobin below 12g

A

anemia

33
Q

how is anemia treated?

A

02 and blood transfusion

34
Q

describes the relation between the partial pressure of oxygen (x axis) and the other oxygen saturation (y axis)

A

oxygen hemoglobin dissociaton curve

35
Q

what do you do with an accidental needle stick injury

A

1) wash the wound with soap and water
2) if the soap isn’t available use alcohol
3) notify your supervisor
4) go to doctor

36
Q

measures volumes and flows

A

spirometers

37
Q

measures flow

A

pneumotachometer

38
Q

measures flows and may display volume

A

wrights spirometer

39
Q

used to measure peak expiratory flow rate the its bed side

A

peak flow meter

40
Q

plethysmograph (body box) is based on what law?

A

boyles

41
Q

plethysmograph (body box) is used to measure what 2 things?

A

FRB and raw (airway resistance)

42
Q

flow calibration is done using what?

A

rotameter

*accuracy is +3.5%

43
Q

the fuel cell that does not have a battery

A

galvanic fuel cell

44
Q

if the galvanic fuel cell is not working properly what do you do?

A

change the fuel cell

45
Q

if you are unable to calibrate the polarographic fuel cell what do you do?

A

change battery

46
Q

an instrument used to identify the presence and concentration of helium in a mixture of gases

A

helium analyzer

47
Q

in the nitrogen analyzer what tube measures the percentage?

A

geissler tube ionizer

48
Q

used to assess if the patient is ready to wean from the vent

A

MIP

49
Q

good test to assess resp muscle function in patients with guilllain barre and myasthenia graves

A

MIP

50
Q

helps evaluate if pt is able to cough effectily, maintain an open airway and clear secretion on their own

A

MEP

51
Q

measurements of MEP less than 40cmh20 indicates what?

A

pt can’t clear airway

52
Q

what lung values add up to TLC

A

IRV+ERV+VT+RV

53
Q

what lung values add up to FRC

A

IRV+RV

54
Q

what lung values add up to IC

A
  • IRV+VT
55
Q

what lung values add up to VC

A
  • IRV+VT+ERV