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RCP 214 > TEST 2 > Flashcards

TEST 2 Flashcards

1
Q

what is the positioning called when the image is from back to front (taken with board placed in front of Pt)

A

Posteroanterior (PA)

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2
Q

Right lateral decubitus and oblique (turned) positions are mainly used in

A

children

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3
Q

in kids and adults, X Rays are the GOLD standard for determining what?

A

Et tube placement

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4
Q

What disease process does widened intercostal spaces and flattened diaphragm indicate

A

Asthma

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5
Q

Inspiratory pauses allow for

A

Better image/evaluation of the lungs in an x-ray, (especially in infants)

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6
Q

besides ETT, chest x rays are used as a diagnostic tool to assess the placement of

A

lines, drains, and tubes

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7
Q

what three things can you identify on a lateral decubitus x-ray

A

air, fluid or foreign body aspiration in the pleural space

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8
Q

on X-rays, kids oblique positioning is mainly for determining what

A

Rib fractures

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9
Q

Any head flexion of pt can cause ____ to move and migrate into the __

A

ETT, trachea and the tip is positioned at carina or within bronchus

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10
Q

the ETT will appear deeper with

A

any variation of pt neck placement

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11
Q

For head extension, you should place the ET tube:

A

superiorly and place tip of tube above the thoracic inlet

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12
Q

tips of lines/drains should be seen where on an xray

A

In the stomach, below the left hemidiaphragm

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13
Q

UVC are used for

A

giving fluid and medicines

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14
Q

UVA is used for

A

drawing blood in babies, can get ABG

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15
Q

a central venous catheter (PICC line) rests in

A

the right atrium of the heart

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16
Q

If any central venous line/PICC line migrates it can cause

A

Arrhythmias/SVTs

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17
Q

MRI has no risk of any

A

Ionizing radiation

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18
Q

You can administer medications through

A

PICC line

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19
Q

finger probe has two sides of independent LED light source, they are

A

One is red and the other infrared

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20
Q

to get the fastest/most reliable SpO2 reading, you should put it on the

A

Right hand

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21
Q

a factor that affects the accuracy of the probe is

A

Poor skin integrity

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22
Q

what does Co2/capnometry measure on a patient? what is it useful in

A

Ventilation; resuscitation/ROSC

23
Q

capnometry measures a patients

A

PetCO2 (partial pressure of end tidal co2)

24
Q

where does the eTCO2 go? [pressure waveform graph labeled A. B. C. D. E.].

A

eTCO2 goes with D.

25
Q

what is indicated when you have periods of apnea and no more end tidal readings?

A

a dislodged ET tube

26
Q

what type of monitoring is useful when monitoring changes in CO2 while using nonconventional ventilation

A

Transcutaneous Monitoring (TCM)

27
Q

two hazards of ABG analysis in kids include

A

Thromboses and arterial spasm

28
Q

where is the best procedure site for an abg on infant/neonate, and should you warm or cool it first?

A

heel of foot, warm the heel (pro tip: use 2 warmers)

29
Q

what is capillary blood gas analysis’ disadvantage compared to ABG

A

Oxygenation status varies

30
Q

what is one hazard/complication of Peripheral Artery Catheter’s

A

Thrombosis

31
Q

Transcutaneous monitoring of is very useful for monitoring any changes in

A

Co2 with non conventional ventilation

32
Q

Below heart

A

post ductal

33
Q

CAP gasses will not correlate with

A

O2, because it is basically a venous gas

34
Q

umbilical artery catheters (UAC) are placed in

A

newborns umbilicus

35
Q

Complications of UAC’s include

A

Thrombosis and infection

36
Q

what are some complications of central lines

A

pneumothorax, arrhythmias, thrombosis

37
Q

what type of ETT’s are used in kids <8yrs

A

uncuffed

38
Q

what is the primary parameter for selecting ETT

A

age is the primary parameter
kids >2; round down

39
Q

can head flexion or extension cause the tip of the ETT to move, even if secured

A

yes

40
Q

suction pressures

A

neonates 60-80
infants 80-100
kids 100-120
adults 100-150

41
Q

an infants trachea bifurcates at the carina @T4-T6, and gets intubated between which vertabrae

A

T4-T6 vertebrae (T4 - neonates, T6 infants); anywhere else causes hyperinflation of the R lung

42
Q

impedance pneumography device

A

monitors changes in breathing activity, disadvantage: accuracy issues

43
Q

on monitor in ICU what does the RED waveform show? Yellow waveform?

A

BP - red
CVC - Yellow

44
Q

Swan Ganz catheter

A

used in critically ill PTs to monitor hemodynamics on the LEFT side, can increase PEEP

45
Q

what can’t a pulse ox measure

A

ventilation

46
Q

pre-ductal on R hand on babies, when?

A

after birth

47
Q

how high above the carina should the ETT be kept

A

4cm

48
Q

above heart

A

pre-ductal

49
Q

when assessing a PT for a P.E (kids/babies) on an xray

A

R lateral decubitus

50
Q

Anterior oblique (45*) positioning for chest X-rays is used for taking xrays of

A

babies

51
Q

can a MRI show soft tissue

A

yes

52
Q

Endobronchial intubation is also called

A

R mainstem intubation

53
Q

best ABG access site for neonates

A

behind knee (post-tibial)

RCP 214 (1 decks)

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