Respiratory Flashcards
what are the landmarks for auscultation?
cardiac - between ribs 3 and 6
lungs - cranioventral and caudo/dorsal thorax
what is a common area to hear aspiration pneumonia?
the cranioventral aspect of the lungs
what is the equipment needed to intubation?
endotracheal tubes and laryngoscope
what is the purpose of an endotracheal tube?
it permits air to pass freely to and from the lungs in order to ventilate the lungs; they provide artificial respiration; and they prevent aspiration of the GI contents for patient’s that have fasted prior to anesthesia
what are the two types of endotracheal tubes?
cuffed and uncuffed
what are the two types of laryngoscopes?
the miller, which is a straight blade, and the mcintosh, which is a curved blade
what kind of secondary injury can be sustained from intubation?
subcutaneous emphysema, pneumothorax, aspiration pneumonia
what is subcutaneous emphysema?
gas or air under the skin results when there is excess pressure of the endotracheal tube and there is improper manipulation of the tube during anesthesia
what is pneumothorax?
secondary to SQ emphysema, its an abnormal collection of air or gas in the pleural space that causes an uncoupling of the lung from the chest wall
what is aspiration pneumonia?
secondary to improper cuff inflation, subjecting the patient to aspiration
what is the equipment needed for anesthesia monitoring?
esophageal stethoscope, pulse oximeter, capnography, blood pressure monitor
what is an esophageal stethoscope?
a probe that goes into the chest until the heart and lungs can be ausculted
what is a pulse oximeter?
used to monitor HR and oxygen saturation, SpO2; best used on thin, un-pigmented tissue and it may give poor readings if a patient is hypothermic, CPR may make readings inaccurate due to the spontaneous circulation
what is oxygen saturation?
the fraction of oxygen-saturated hemoglobin relative to total hemoglobin (unsaturated + saturated) in the blood
what is capnography?
used to monitor HR, and also the monitoring of the concentration or partial pressure of carbon dioxide (CO. 2) in the respiratory gases; CPR does not interfere with readings, it can identify a circuit leak and also confirm patient intubation
what are the two different ways to monitor blood pressure?
manual and oscillometric
what is oscillometric blood pressure monitoring?
a patient cuff is attached to equipment that automatically reads systolic, mean, and average pressure in addition to HR by inflating and deflating the cuff at cyclical intervals
what is a doppler probe?
used for manual blood pressure monitoring, a probe is placed on the extremity of a patient, sound travel is facilitated by water soluble gel on skin where doppler probe is placed, the location of an artery is indicated by the doppler audio
what does manual blood pressure monitoring include?
a doppler probe, a blood pressure cuff, and a sphygmomanometer
where is a blood pressure cuff placed?
around a limb, proximal to where the doppler probe is on the pulse, the cuff tube should be adjacent to distally pointed cuff tube and the tubing is directed distally on the leg
where is the sphygmomanometer placed?
it is attached to the BP cuff; the cuff is inflated by the sphyg until the doppler audio disappears, pressure is then gradually released from the cuff, as the pulse returns, the pressure indicated on the sphyg as the pulse returns can be used to determine the patient’s average, systolic and diastolic BP