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RTT > Terminology/ special procedures > Flashcards

Terminology/ special procedures Flashcards

1
Q

ethylene oxide

A

sterilizes (Bird Mark , flowmeter, or non-disposable resuscitation bag)

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2
Q

Alkaline glutaraldehyde

Cidex

A

disinfection or sterilization of reusable plastics (mouthpiece, tubing ,nebs, humidifiers)

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3
Q

Fiberoptic Bronchoscope is sterilized with …

A

Alkaline gluteraldehyde

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4
Q

6 or 12 min walk test can determin

A

if patient develops cardia arrhytmias, angine, or excessive hypoximia

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5
Q

Pseudomonas aeruginosa
&
Serratia

A

infectious agents transmitted by aerosol devices

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6
Q

def

gamma rays are used to sterilize pre-packaged equipment

A

irradiation

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7
Q

Dosage of Inhaled nitric oxide

A

20-40 ppm

should not exceed 80 ppm

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8
Q

Thoracentesis

This type of fluid would be associated with CHF

A

Transudate fluid

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9
Q

Thoracentesis

As more cells are added to the fluid, the fluid tends to get cloudy or opaque and is referred to as an

A

exudate

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10
Q

Analysis of Pleiural fluid

yellow or milky exudate fluid

what does it mean?

A

infection

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11
Q

Analysis of Pleiural fluid

bloody effusions

what does it mean

A

malignancy or cancer

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12
Q

Analysis of Pleiural fluid

containing lymphatic exudative fluid

A

chyle

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13
Q

To drain Air from the pleural space, the chest tube is placed in …

A

the second intercostal space in the midclavicular line

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14
Q

To drain Fluid from the pleural space, the chest tube is placed….

A

in the 5th to 7th intercostal space in the midaxillary line

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15
Q

Thoracentesis

needle is inserted in the….

A

7th or 8th intercostal space just above the rib at the site of maximal dullness

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16
Q

flat or dull percussion note, diminished breath sounds, tracheal shift away from the site

it’s a ?

A

pleural effusion

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17
Q

Hyperbaric Oxygen Therapy

purpose

A

means of increasing the PO2 by increaseing the barometric pressure

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18
Q

Helium/ Oxygen therapy

purpose

A

decreases wob by delivering low density gas that can easily maneuver around obstructions

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19
Q

Indications for He/O therapy

A

*severe asthma
*obstructive tumos
post extubation stridor
foreing object aspiration
partial voval cord paralysis

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20
Q

Analysis of pleural fluid

Purulent

A

pus filled exudate

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21
Q

Respiratory quotient (RQ)

A

the ratio of Co2 to O2 consumption

vco2/vo2

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22
Q

RQ for carbohydrates…Fats… Proteins

A

1.00…0.71…0.82

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23
Q

Normal RQ

A

0.67-1.3

24
Q

RQ >1.1 indicates?

A

overfeeding

25
Q

RQ <0.7 indicates?

A

underfeeding

26
Q

troubleshooting

Low pressure alarm

consider:

A
  1. patient disconnect
  2. leak in the circuit
  3. insufficient flow
  4. endotracheal/ trach cuff leak
27
Q

troubleshooting

High pressure alarm

consider:

A
  1. patient obstruction
  2. equipment obstruction
28
Q

occurs with metabolic alkalosis, excessive excretion, vomiting, FLATTENED T WAVES ON ECG

A

Hypokalemia

29
Q

kidney failure, SPIKED T WAVE, (metabolic acidosis)

A

Hyperkalemia

30
Q

fluid loss from diuretics, vomitting, diarrhea, fluid gain from CHF, IV therapy

A

Hyponatremia

31
Q

dehydration occurs with

A

hypernatremia

32
Q

metabolic alkalosis happens with

A

hypochloremia

33
Q

metabolic acidosis occurs with

A

HYPERCHLOREMIA

34
Q

refers to low K+

A

hypokalemia

35
Q

referst to high k+

A

Hyperkalemia

36
Q

refers to low Na+

A

Hyponatremia

37
Q

refers to high Na+

A

Hypernatremia

38
Q

excreted by the kidneys

A

creatinine

39
Q

apnea due to a loss of ventilation effort

A

central sleep apnea

40
Q

apnea due to blockage of upper airway

A

obstructive sleep apnea

41
Q

nasal apnea index

Mild
Moderate
Severe

calculated by #apneas/ #hours of sleep

A

5-15 mild
16-30 moderate
>30 severe

42
Q

Mini-BAL procedure

A

performed to obtain a distal lung speciment for diagnosis of ventilator asspcoate pneumonia VAP

43
Q

Factors for Helium/oxygen therapy
80/20
70/30

A

1.8
1.6

44
Q

indications for defibrillation

A

pulseless ventriculat tachy
ventricular fibrillation

45
Q

indications for He/O

A

post extubation
severe asthma
obstructive tumos
foreign onbject aspiration

46
Q

He/O

actual factor

A

indicated flow x factor

47
Q

iNO standard initial dose

A

20-40 ppm

48
Q

Thoracentesis: needle insertion

A

7th or 8th intercoscal space just above the rib at the site of maximal dullnes

49
Q

Chest tube placement for AIR

A

second intercostal spce in the midclavicular line

50
Q

Chest tube placement for Fluid

A

5th to 7th intercostal space in the midaxillary line

51
Q

sterilize IPPB with

A

ethylene oxide

52
Q

Nosocomial infections

A

an infection aquired at least 72 hours after admission to a hospital or other health care facility

53
Q

home oxygen delivery systems

non-eloectrical, portable units are easily filled for trips. Not used as a backup system

A

Liquid bulk oxygen systems

54
Q

oxygen concervation device:device senses th start of inspiration and delivers oxygen only during inspiration

A

Pulse-dose oxygen delivery systems

55
Q

home oxygen delivery systems

utilize a molecular seive that removes nitrogen and other gases from room air to concentrate the oxygen

A

oxygen concentrators
(o2 can be provides at 1-2 l/min)

RTT (12 decks)

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