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RESP 102, Adv Assessment & Care Cardiopulmonary > Student Clinical Knowledge Evaluation 2 > Flashcards

Student Clinical Knowledge Evaluation 2 Flashcards

1
Q

IPPB: Indications (3)

A
  1. To improve lung expansion (VC < 10 ml/kg, neuromuscular, atelectasis)
  2. Short term noninvasive vent support
  3. Deliver medications
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2
Q

IPPB: Hazards/Complications/Precautions (7)

A
  1. Hyperventilation and respiratory alkalosis
  2. Bronchospasms
  3. Barotrauma
  4. Discomfort (inadequate pain control)
  5. Fatigue
  6. Gastric Distention
  7. Hemodynamic compromise (CO, VR)
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3
Q

IPPB: Preliminary Settings/Instructions

A

15-15-15 Verbalize instructions for passive treatment - Relax, place mouthpiece between your teeth, inhale just to trigger on the machine, relax and let the machine fill your lungs. Once your lungs are full hold your breath for 5 seconds. When the machine shuts off exhale normally.

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4
Q

IPPB: Troubleshooting an IPPB Treatment (2)

A
  1. Sluggish needle (increase flow).
  2. Inspiratory does not terminate (Check for leaks).
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5
Q

EzPAP: Indications (4)

A
  1. Prevent or treat atelectasis
  2. Dec air trapping
  3. Mobilize secretions
  4. Optimize med delivery
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6
Q

EzPAP: Hazards/Complications/Precautions (7)

A
  1. Hyperventilation and respiratory alkalosis
  2. Bronchospasm
  3. Barotrauma
  4. Discomfort (Inadequate pain control)
  5. Fatigue
  6. Gastric Distention
  7. Hemodynamic Compromise (CO,VR)
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7
Q

CPT: Indications (4)

A
  1. Mobilize secretions (>25 ml/day)
  2. Remove soft foreign bodies
  3. Atelectasis from mucus plugging
  4. Improve V/Q by turning
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8
Q

CPT: Hazards/Complications/Precautions (4)

A
  1. Hypoxemia
  2. Vomiting and aspiration
  3. Pain/injury to ribs
  4. Increased ICP
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9
Q

BiPAP: Indications (4)

A
  1. Avoid intubation
  2. relieve symptoms
  3. Improve gas exchange
  4. Improve QOL
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10
Q

BiPAP: Hazards/Complications/Precautions (4)

A
  1. Barotrauma from pressures
  2. Facial soreness
  3. Decreased VR, CO
  4. Hypo/Hyperventilation
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11
Q

ABG: Indications (4)

A
  1. Evaluate PaCO2 and A/B balance
  2. Assess response to tx
  3. Monitor severity of disease
  4. Recent SOB
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12
Q

ABG: Hazards/Complications/Precautions (4)

A
  1. Arteriospasm
  2. Hemorrhage
  3. Trauma
  4. Pain, infection
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13
Q

ABG: List Normal Values (pH, CO2, O2, HCO3)

A
  1. pH = 7.35 - 7.45
  2. CO2 = 35 - 45
  3. O2 = 80 - 100
  4. HCO3 = 22-26
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14
Q

Mechanical Ventilation: Indications (4)

A
  1. IVF (VC < 10mL/kg, MIP > 20cmH2O, RSBI > 105,
    VT < 5mL/kg, RR > 35, VE > 10L)
  2. AVF (pH < 7.20, PACO2 > 55, Apnea
  3. Prophylactic (CHI, Smoke Abd/Thoracic surg)
  4. Severe Oxygenation Issues (P/F < 200, P(A-a)O2 on 100% O2 > 350, PaO2 < 60 on > 50%)
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15
Q

Mechanical Ventilation: Hazards/Complications/Precautions (3)

A
  1. Decreased CO, VR, and urine output, decreased gastrointestinal and liver perfusion and function
  2. Increased ICP
  3. Barotrauma from pressures
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16
Q

Tidal Volume Settings: Normal and ARDS

A

Normal: Vt 6 -8 ml/kg
ARDS: Vt 4 -8 ml/kg

17
Q

Types of Ventilation/Presets and Varied

A
  1. Volume: Preset Volume & Rate, Pressures vary
  2. Pressure: Preset Pressure & Rate, Volumes vary
18
Q

Ventilation Terms
1. Trigger
2. Cycle
3. Limit

A
  1. Trigger: Initiates the breath
  2. Cycle: Ends the inspiratory breath - can be pressure, volume, flow, time
  3. Limit: Stops the inspiration early - can be pressure, volume, flow, time

RESP 102, Adv Assessment & Care Cardiopulmonary (9 decks)

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