Respiratory Flashcards
define splinting
post chest surgery difficulty breathing due to pain
Why use an incentive spirometer
INHALE FROM DEVICE measure how much they breathe in, helps incentivize coughing. do it ten times every hour or so. Set goal and do it slowly (keep it within range)
What is the O2 level of room air?
20-21%
what does the rising ball scale in the O2 wall mount mean?
litters of air per minute released
green vs. yellow wall air indicators mean
green is O2, yellow is room air. Use room air for nebulizer.
is oxygen a drug?
yes
what is the nursing process
assessment, nursing dx, planning, implementation, evaluation
which way do the prongs go on a nasal cannula?
downwards
what is the max amount of O2 you can put in a nasal cannula?
6 litrs
1 ltr O2 generally improves pulse ox by…
3-4% increase
when do you NEED to use humidification
pt is on greater than 4 ltrs
what do you use next if your patient needs more than 6ltrs?
high flow nasal cannula. Respt therapist delivers and checks on patients. Used for progressive/end of life care
what value do you use instead of LPM when using a face mask?
percentage of oxygen
what specifal things can you do with a face mask
screw on albuterol, mix room air with o2,
why would you use a face tent over a face mask?
if your patient is claustrophobic
how do you attach the humifier to O2?
take off the “christmas tree” and scree humidifier on
when do you use a nonrebreather mask?
when a patient quickly de-stats. Use in an emergency
how many ltrs for a nonrebreather
15ltrs (100%). Be sure to cover air exit to fill up air balloon
how many ltrs for a nonrebreather
15ltrs (100%). Be sure to cover air exit to fill up air balloon. Don’t keep patient on for a long time. KEEP AWAY FROM COPD pt’s
oropharyngeal airway
used to keep tongue away from obstructing airway. Also used to make sure they don’t bite down on breathing tube. Use w/ BVM
nasopharyngeal airway
provide another airway
What is a BVM
Bag valve mask, Use when they need assistance breathing
define CTA
clear to auscultation
How do you calculate pack years?
years that the patient smoked x #
packs of cigarettes per day
What type of questions are included in a symptom analysis?
Onset
Location
Duration
Characterization
Aggravation factors
Related symptoms
Treatments
Severity
What is Cheyene-stokes breathing?
varying periods of increasing depth interspersed with apnea
What is Kussmaul
rapid, deep, labored
What is biot
irregularly interspersed periods of apnea in a disorganized sequence of breaths
What is ataxic
Significant disorganization with irregular and varying depths of respiration
Hyperventilation is
faster than 20 breaths per minute
Bradypnea is
slower than 12 breaths per minute
what should ribcage look like
ribs should be 45 degree angle to spine
Where do you auscultate the lungs?
Auscultate posterior and lateral thorax for breath sounds.
What are the three types of normal breath sounds for adults?
Bronchial (tracheal or tubular)
Bronchovesicular
Vesicular
Note the normal location of the 3 types of breath
sounds on the chest wall.
Define Adventitious sounds
crackles (also called rales),
wheezing, rhonchi (also called sonorous
wheeze) or a pleural friction rub.
How do you note adventitious sounds?
LUL, LLL, RUL, RML, RLL, BUL, BLL, THROUGHOUT
How do you measure thoracic expansion?
Butterfly hands at lower back hands should be drawn apart for norm value. May be different for older adults
Define tactile fremitus
When you can feel the vibrations of talking
Define resonance
low-pitched, clear, hollow sound that
predominates in healthy lung tissue in adult
