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mski > S1_L5_Obj - 4-6 > Flashcards

S1_L5_Obj - 4-6 Flashcards

1
Q

elevated; within the boundaries of scar

A

hypertrophic

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2
Q

Beyond boundaries of scar

A

keloid

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3
Q

CHECK THE EXTREMITIES for _

A

limb swelling

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4
Q

Decreased amount of oxygen that’s why there’s swelling in the digits

A

digital clubbing

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5
Q

ATTACHMENTS: INVASIVE MONITORING
OR MEDICATION/FLUID ADMINISTRATION (4)

A

Arterial Line (A line)
Peripheral Intravenous Catheters (IV Line)
Central Line / Central Venous Catheter
Pulmonary Artery Balloon Flotation / Swan-Ganz Catheter

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6
Q

Commonly inserted on radial artery or femoral artery
as an invasive monitoring of BP

A

Arterial Line (A line)

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7
Q

arterial or a line is commonly inserted on _ or _ as an invasive
monitoring of BP

A

radial, femoral

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8
Q

Seen in patients in the ICU and if moved can
lead to inaccuracy in the BP monitoring

A

arterial line

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9
Q

Used for therapeutic purposes such as administration of
medications, fluids and/or blood products as well as blood sampling

A

Peripheral Intravenous Catheters (IV Line)

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10
Q

peripheral intravenous catheters is usually attached to the _

A

dorsal hand

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11
Q

Commonly inserted through subclavian or jugular vein;
direct monitoring of central venous pressure (CVP)
or right atrial pressure (RAP)

A

Central Line / Central Venous Catheter

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12
Q

Central Line / Central Venous Catheter is commonly inserted
through what vein

A

subclavian or jugular vein

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13
Q

central venous catheter is for direct monitoring of _ or _

A

central venous pressure (CVP)
or right atrial pressure (RAP)

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14
Q

CVP is seen in what part of the body

A

neck

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15
Q

Determines mixed venous oxygen saturation (SvO2)
& cardiac output (CO)

A

Pulmonary Artery Balloon Flotation / Swan-Ganz Catheter

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16
Q

swan ganz catheter indirectly measures what

A

Indirectly measures Left Atrial Pressure (LAP)

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17
Q

swan ganz cathete is the calculation of _ and _

A

Calculation of systemic and pulmonary vascular resistance

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18
Q

swan ganz Permits direct measurement of:

A

■ Right atrial pressure (RAP)
■ Pulmonary arterial pressure (PAP)

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19
Q

Swan-Ganz Catheter is introduced via _

A

internal jugular or subclavian vein

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20
Q

swan ganz catheter in the body:

A

internal jugular or subclavian vein →
vena cava →
R atrium →
tricuspid valve →
R ventricle →
pulmonary valve →
pulmonary artery

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21
Q

ATTACHMENTS: NON-INVASIVE LIFE SUPPORT (2)

A

Non-Invasive Positive-Pressure Ventilation (NPPV)
Oxygen Delivery Devices

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22
Q

Non-Invasive Positive-Pressure Ventilation (NPPV) (3)

A

Continuous Positive Airway Pressure (CPAP)
Bilevel Positive Airway Pressure (BiPAP)
Manual Resuscitators (Ambu Bag)

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23
Q

Oxygen Delivery Devices (4)

A

Nasal Cannula
Simple Mask
Aerosol Mask
Venturi Mask

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24
Q

Pt breathing through the mouth thru face piece at flow rates of 5-10 L/min

A

simple mask

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25
Q

Used for aerosolized medications or >10 L/min

A

aerosol mask

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26
Q

Allows room air through a side port

A

venturi mask

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27
Q

Used for the administration of medicines

A

aerosol mask

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28
Q

O2 flow between 1-6 L/min for adults & 1/16 L for
neonates; if >6 L = high-flow nasal cannula (HFNC)

A

Nasal Cannula

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29
Q

for nasal cannula o2 flow for adults is

A

1-6 L/min

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30
Q

for nasal cannula, o2 flow for neonates is

A

1/16 ;

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31
Q

if >6 L of airflow for nasal cannula this is called

A

high-flow nasal cannula (HFNC)

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32
Q

for simple mask what is the flow rates?

A

flow rates of 5-10 L/min

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33
Q

Side port in venturi mask allows _

A

exhalation

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34
Q

site port in venturi mask allows exhalation, but doesn’t allow air to go in
other than O2 t or f

A

t

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35
Q

mask for protection from infection

A

venturi mask

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36
Q

INVASIVE VENTILATORY DEVICES

A

Oropharyngeal airway/tube
Nasopharyngeal airway/tube
Endotracheal tube
Tracheostomy tube

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37
Q

Mouth to pharynx, just short

A

Oropharyngeal airway/tube

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38
Q

Nose to pharynx

A

Nasopharyngeal airway/tube

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39
Q

Oral or Nasal

A

endotracheal tube

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40
Q

endotracheal tube paths

A

mouth to trachea
nose to trachea

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41
Q

Tracheostomy tube is directly to _

A

trachea

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42
Q

tracheostomy has incision in the _

A

neck

43
Q

Used to be negative pressure but now uses positive pressure

A

mechanical ventilation

44
Q

mechanical ventilation used to be _ but now _

A

negative pressure, positive pressure

45
Q

be careful when we try to move the area is
there is chest tube thoracostomy t or f

A

t

46
Q

ATTACHMENTS: INVASIVE FEEDING DEVICES

A

Nasogastric Tube (NGT)

47
Q

Nose to gastric area (stomach)

A

Nasogastric Tube (NGT)

48
Q

For pt’s with difficulty swallowing, what tube to use

A

Nasogastric Tube (NGT)

49
Q

CHEST DEFORMITIES (4)

A

Barrel chest
Pectus carinatum / Pigeon chest
Pectus excavatum / Funnel chest
Flail chest

50
Q

Barrel chest is seen in

A

COPD like emphysema

51
Q

Barrel chest –>

A

○ Prominent chest forward
○ The entire diameter expanded
○ AP and mediolateral are enlarged

52
Q

sternum projects _ in pectus carinatum

A

forward

53
Q

pectus carinatum also called as _

A

pigeon chest

54
Q

Prominent projection of the sternum

A

pigeon chest

55
Q

Sternum projects backward in _

A

pectus excavatum

56
Q

depressed sternum

A

funnel chest

57
Q

pectus excavatum also called as _

A

funnel chest

58
Q

Flail chest positive finding

A

(+) hoover’s sign

59
Q

flail chest happens in the _

A

lower ribs

60
Q

normal rib position when we breathe

A

Normally when we inhale ribs go out then exhale ribs go
in

61
Q

when there is fx in ribs, when inhaling, ribs go _
and when exhaling ribs go _

A

inside, outside

62
Q

paradoxical movement of the chest;
hyperinflated

A

Hoover sign

63
Q

in fx of ribs, what pulls the ribs inward

A

diaphragm

64
Q

indentation that will retain is called _

A

pitting edeema

65
Q

no indentation in

A

non pitting edema

66
Q

Extra water inside: what edema

A

pitting edeema

67
Q

Indication that it’s not just fluid, there might be
proteins found there in what edema

A

non pitting edema

68
Q

tenderness gradings:

A

0
1
2
3
4

69
Q

tenderness gradings: 0

A

no tenderness

70
Q

tenderness gradings: 1

A

tender to palpation; no grimace

71
Q

tenderness gradings: 2

A

pain with grimace

72
Q

tenderness gradings: 3

A

withdrawal; (+) jump sign

73
Q

tenderness gradings: 4

A

touch me not

74
Q

t or f PERIPHERAL PULSES can be documented under palp or
cardio pulmo ax

A

t

75
Q

BREATHING PATTERNS can also be documented under _

A

vital signs, cardiopulmo ax

76
Q

Take note of (4) in breathing patterns

A

○ Character
○ Rate
○ Rhythm
○ Amplitude

77
Q

Eupnea

A

Normal=12-20cpm

78
Q

Apnea with concomitant mouth opening & Closing

A

fishmouth

79
Q

Apnea, rate depth rhythm?

A
  • rate, - depth, - rhythm
80
Q

Bradypnea, rate depth rhythm?

A

dec rate, N or S depth, R rhythm

81
Q

Tachypnea, rate depth rhythm?

A

inc rate, shallow depth, regular rhythm

82
Q

Hyperventilation (kussmaul), rate depth rhythm?

A

inc rate, deep depth, regular rhythm

83
Q

Hyperpnea, rate depth rhythm?

A

normal rate, deep depth, regular rhythm

84
Q

Apneusis, rate depth rhythm?

A

dec rate, deep depth, irregular rhythm

85
Q

Biot (Meningitis), rate depth rhythm?

A

dec rate, shallow depth, irregular rhythm

86
Q

Cheyne-Stokes (Periodic) (Critically-ill), rate depth rhythm?

A

variable rate, variable depth, regular rhythm

87
Q

Doorstop, rate depth rhythm?

A

normal rate, no depth, normal rhythm

88
Q

Absence of breathing

A

apnea

89
Q

Issue with respiratory rate

A

bradypnea

90
Q

Medical emergency; critically ill

A

cheyne stokes

91
Q

○ respiration suddenly stops d/t pain
○ Seen in post-op pts

A

doorstop

92
Q

“Buntong hininga”

A

fishmouth

93
Q

N rate, S depth, R rhythm

A

dyspnea

94
Q

dyspnea is associated with _

A

accessory muscle activity

95
Q

Prolonged Expiration associated with _

A

COPD

96
Q

Fast inspiration, Slow and prolonged expiration
yet normal rate, depth and rhythm

A

prolonged expiration

97
Q

N rate, regular intervals of sighing; associated with
anxiety

A

Psychogenic Dyspnea

98
Q

psychogenic dyspnea associated with _

A

annxiety

99
Q

Art of listening to sounds produced by the body, especially on chest:

A

auscultation

100
Q

Breath sounds classified as (3)

A

normal, abnormal, adventitious

101
Q

Extrapulmonary sounds classified as (2)

A

pleural or friction rubs

102
Q

Voice sounds (3)

A

egophony, bronchophony, whispered pectoriloquy

103
Q

Heart sounds (2)

A

normal or abnormal

mski (28 decks)

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