Student Clinical Knowledge Evaluation 2 Flashcards
IPPB: Indications (3)
- To improve lung expansion (VC < 10 ml/kg, neuromuscular, atelectasis)
- Short term noninvasive vent support
- Deliver medications
IPPB: Hazards/Complications/Precautions (7)
- Hyperventilation and respiratory alkalosis
- Bronchospasms
- Barotrauma
- Discomfort (inadequate pain control)
- Fatigue
- Gastric Distention
- Hemodynamic compromise (CO, VR)
IPPB: Preliminary Settings/Instructions
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.
IPPB: Troubleshooting an IPPB Treatment (2)
- Sluggish needle (increase flow).
- Inspiratory does not terminate (Check for leaks).
EzPAP: Indications (4)
- Prevent or treat atelectasis
- Dec air trapping
- Mobilize secretions
- Optimize med delivery
EzPAP: Hazards/Complications/Precautions (7)
- Hyperventilation and respiratory alkalosis
- Bronchospasm
- Barotrauma
- Discomfort (Inadequate pain control)
- Fatigue
- Gastric Distention
- Hemodynamic Compromise (CO,VR)
CPT: Indications (4)
- Mobilize secretions (>25 ml/day)
- Remove soft foreign bodies
- Atelectasis from mucus plugging
- Improve V/Q by turning
CPT: Hazards/Complications/Precautions (4)
- Hypoxemia
- Vomiting and aspiration
- Pain/injury to ribs
- Increased ICP
BiPAP: Indications (4)
- Avoid intubation
- relieve symptoms
- Improve gas exchange
- Improve QOL
BiPAP: Hazards/Complications/Precautions (4)
- Barotrauma from pressures
- Facial soreness
- Decreased VR, CO
- Hypo/Hyperventilation
ABG: Indications (4)
- Evaluate PaCO2 and A/B balance
- Assess response to tx
- Monitor severity of disease
- Recent SOB
ABG: Hazards/Complications/Precautions (4)
- Arteriospasm
- Hemorrhage
- Trauma
- Pain, infection
ABG: List Normal Values (pH, CO2, O2, HCO3)
- pH = 7.35 - 7.45
- CO2 = 35 - 45
- O2 = 80 - 100
- HCO3 = 22-26