Skills COPY Flashcards
at what point during oxygen administration does humidification need to be attached?
if the ordered flow rate is greater than 4L/min, humidification needs to be attached
what position promotes lung expansion and can help with breathing?
high-fowler’s or semi-fowler’s
a patient with COPD is having trouble breathing. what position could help them breath better?
have them lean over a bedside table with arms propped up
what position decreases orthopnea?
- supine with head supported by two pillows.
- can also raise head of bed to 30 degrees
how to do controlled coughing
1) have pt sit up with arms wrapped around a pillow over abdomen
2) take two deep breaths
3) on last breath hold it for three seconds, then cough three times without taking in a breath
4) take another deep breath and cough two or three more times forcefully
how to huff cough
- take deep breath and make a HA sound three times
- have pt do this three times then attempt to cough
what is the usual initial C-PAP setting?
4-8cm H2O
what is the usual Bi-PAP setting?
Inspiratory pressure:
10-15cm H2O
Expiratory pressure:
4-10cm H2O
what is PEFR used for?
peak flow is used to assess airway management interventions and help the patient know when to seek help
how to use peak flow
- take deep and blow through meter as hard and fast as possible.
- do this three times and record highest reading
describe zones of peak flow assessment
green zone: 80%-100%/no symptoms
yellow zone: 50%-80% possible attack and need for treatment
red zone: <50%/ medical alert, immediate need for medication and contact provider
how far do you insert the suctioning tube for nasotracheal suctioning?
- Adult: 20 cm
- older children: 18-20 cm
- infants and younger children: 8-14 cm
how far do you insert suctioning tube for nasopharyngeal suctioning?
- 16cm (adults)
- 8 - 12 cm (older children)
- 4 - 7.5 cm (infants and older children)
how do you reach left and right broncus during nasotracheal suctioning?
have pt turn head.
- turning head to right will help you get to the left broncus
- turning head to the left will help you get to the right broncus
how many nasotracheal suctioning passes can you perform consecutively?
no more than 2
what is the flow range for a nasal cannula?
1 - 6 L/min
what is the flow range for a reservoir nasal cannula or oxymizer?
1 - 15L/min
what is the flow range for a venturi mask?
4 - 12L/min
what is the flow range for a partial nonrebreathing mask?
10 - 12L/min
what is the flow range on a NRB mask?
15L/min
what is the flow range for a face tent?
8 - 12L/min
how do you clean an IV site?
- use a chlorhexidine antiseptic swab and wipe the area that will be covered for 30 seconds
- allow to dry completely
- if using an alcohol swab, clean in a circular motion working outward from the insertion site.
when should you start preparing a refrigerated IV bag?
at least an hour before you hang it, so it is room temp
what is the difference between a micro drip set and a macro drip set?
micro drip set infuses 60 gtts/mL; recommended for infusion rates of less than 100mL/hr
macro drip set infuses 10-20gtts/mL; used for infusion rates of 100mL/hr or more
