Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

respiratory > therapeutic procedures > Flashcards

therapeutic procedures Flashcards

tic

1
Q

ideal breathing is what?

A

slow and deep inspiration, inspiration pause, then slow passive exhalation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

proper breathing position for CHF patient

A

fowlers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

proper breathing position for ARDS

A

prone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

proper breathing position for obsese pt

A

lateral fowlers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

“good lung down” is the position for what?

A

unilateral lung disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

a technique that aims to improve function of resp muscles through specific exercise

A

inspiratory muscle training

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

a technique to treat and prevent atelectasis

A

IS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how often is IS performed?

A

10 times per hour if pt is awake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

a treatment modality to treat or prevent atelectasis for pt who is unable to take deep breaths

A

IPPB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

prevents or decreases pulmonary edema in COPD pt

A

IPPB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

most common IPPB machine used that is pneumatically powered and pressure cycled

A

Bird mark 7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

with IPPB you would increase what to increase the volume?

A

pressure

*pressure and volume are directly related

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

with IPPB if you decrease the flow what will happen with the volume?

A

increase the volume

*volume and flow are inversely related

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

with IPPB if you decrease the flow the i time ____?

A

i time increases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

with IPPB if you increase the flow the i time will ___

A

i time will decrease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

if their is a leak in the IPPB machine what will happen to the cycle off?

A

it will not cycle off

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

if theirs a leak in the IPPB around the mouthpiece how can you improve it??

A

use a bennet seal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

if you increase the pressure will this give you a smaller or bigger VT?

A

bigger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

if a patient needs a faster breath on IPPB what should you do to the flow?

A

increase the flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

improves and supports oxygenation at lower fio2

A

CPAP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

CPAP is used when the patients Co2 level is normal but hypoxemia is presented. if cpap doesnt improve hypoxemia what should you do?

A

mechanical ventilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

bronchial hygiene is used with what 2 types of patients?

A

cystic fibrosis and bronchiastasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

the purpose of this is to mechanically dislodge secretions often combined with postural drainage

A

chest percussion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

contradiction of chest percussions

A

pneumothorax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

move the secretions into the large airways

A

vibrations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

method to remove secretions involving a deep breath followed by a forced exhalation

A

coughing techniques

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

type of coughing technique that opens glottis

A

hough cough

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

type of coughing technique that prevents increased ICP

A

hough cough

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

common in post op patients to press a pillow over incision area to enhance a better cough

A

splinting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

type of cough that the RT applies pressure to the its abdomen during exhalation

A

quad cough

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

face down position

A

prone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

on your back position

A

supine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

best position for hypoxic dyspean and post op pt

A

fowlers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

position for pt with low BP

A

trendelenburg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

position for obese pt

A

lateral fowlers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

best position to prevent aspiration

A

lateral flat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

if a patient aspirates what do you do before placing them in the opposite position for postural drainage

A

suction before moving patient to another position

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

type of drainage that utilizes controlled expiratory airflow to mobilize secretions

A

autogenic drainage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

external percussive device or “the vest” is used for what types of patients that can’t tolerate any other forms of bronchial hygiene

A

cystic fibrosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

type of percussive ventilation that allows aerosol to help past the obstruction into distal airways

A

intrapulmonary percussive ventilation (IPV)

41
Q

type of humidity used to compensate for a humidity deficit and prevent mucosal crusting

A

humidity therapy

42
Q

if a proper humidity of ____ is not obtained then secretions will become very thick and more difficult to manage

A

44mg/ L or 47mmhg

43
Q

type of humidifier used for only low flow devices

A

bubble humidifier

44
Q

to check a bubble humidifier for proper functioning you should pinch the tubing and hear what?

A

whistling sound

45
Q

if a bubble humidifier is whistling without tubing being pinched this indicates what?

A

flow is set too high

46
Q

type of system that can heat and humidify oxygen up to 40L/min and provides 100% body humidity

A

membrane cartridge system

47
Q

HME is located between ___ and the patient

A

y piece

48
Q

type of humidifier that can deliver 100% body humidity

A

heated wick

49
Q

HME may become obstructed, which will cause an increase in peak pressure. If this occurs then you should replace it with what?

A

heated wick humidifier

50
Q

type of circuit used in tandem with a humidification system to minimize amount of condensation in the circuit

A

heated wire circuit

51
Q

type of neb to deliver small dosages of meds

A

SVN

52
Q

how do you instruct pt to use a SVN

A

have them breathe normally followed by a 1-3 second hold

53
Q

meds given in a SVN

A

short acting, anticholingeric, corticosteroid, mucolytic, antibiotic

54
Q

used to deliver bland aerosols to the upper airways

A

LVN

55
Q

if their is condensation in tubing connected to LVN this will cause what to increase?

A

Fio2

56
Q

designed to specifically to administer RIbavirin (virazole) to treat RSV

A

SPAG

57
Q

recommended for its with thick secretions because it has the highest output range of all the nebulizers without heat

A

ultrasonic nebulizer

58
Q

an electrically powered nebulize which produces the smallest aerosol so pt will actually receive more of the medication compared to an SVN

A

vibrating mesh nebulizer

59
Q

if a nebulizer system has water condensation in the tubing what will increase?

A

inspired oxygen percentage

60
Q

what causes the condensation in tubing to increase the inspired oxygen percentage?

A

the back pressure of the jet and air entrainment ports prevent room air from being drained from the system

61
Q

type of inhaler primarily used to treat asthma and COPD

A

MDI

62
Q

steps of administering a MDI

A

1) take cap off and shake
2) prime inhaler by spraying one puff into the room
3) have pt breathe out completely
4) hold MDI 1-2 inches away from mouth
5) start slow inhalation with deep breath
6) hold 10 seconds the exhale normal

**wait 1 minute to take next dose if you’re taking a quick relief med

63
Q

meds given through an MDI1

A

1) short acting (albuterol, levalburterol)
2) long acting (salmeterol, fomerotol)
3) anticholingeric (ipatropium bromide, tiotropium bromide)
4) corticosteroid (fluticason, budesonide)
5) mast cell stabilizer (cromlyn sodium, nedocromil sodium)

64
Q

if at the patient is having hand eye coordination issues when administering an MDI, what should they use?

A

spacer or holding chamber

65
Q

similar to an MDI except much easier to use and medicine is in powder form

A

DPI

66
Q

steps to administering a DPI

A

1) have pt exhale completely
2) place inhaler to your lips and inhale RAPIDLY
3) exhale normally

**do not exhale back into inhaler

67
Q

meds given through DPI

A

long acting & steroids

68
Q

for really thick secretions always use what neb?

A

ultrasonic neb

69
Q

if a pt starts hyperventilation during an SVN treatment and pt becomes dizzy lightheaded or tingling in the fingers what should you instruct patient to do?

A

have them take breath more slowly rather than more deeply

70
Q

proper fio2 range for COPD, therapeutic, and Emergency situations

A

COPD=24-28%
therapeutic=30-60%
Emergency= always 100%

71
Q

oxygen device where only a portion of the total inspired volume is delivered

A

low flow oxygen devices

72
Q

types of low flow oxygen devices

A

nasal cannula, simple mask, partial rebreather

73
Q

how much fio2 does a nasal cannula provide and at what Liter flows?

A

24-45% at 1-6L

74
Q

how much fio2 does a simple mask deliver and at what liter flows?

A

40-55% at 6-10L

75
Q

how much fio2 does a partial rebreather mask deliver and at what liter flows?

A

60-65% at 6-10L

76
Q

To estimate Fio2, increase by how many % for every L

A

4%

77
Q

this mask has no one way valve

A

partial rebreather

78
Q

provides pt with the entire inspired volume

A

high flow devices

79
Q

how much fio2 does a nonrebreather deliver?

A

21-100%

80
Q

oxygen device used to emergencies to deliver 100% oxygen

A

non-rebreather

**has 3 valves

81
Q

if the reservoir bag collapses during inspiration what do you do to correct the issue?

A

increase the flow

82
Q

oxygen device that delivers precise fio2 and is the ideal choice for the patient with irregular VT, rate, or pattern

A

venturi mask or air entrainment mask

83
Q

how much fio2 is delivers with a t-piece or briggs adaptor

A

21-100% depending on the aerosol source

84
Q

the purpose of this is to maintain the desired fio2

A

reservoir bag

85
Q

if the reservoir bag is removed what will happen to the fio2?

A

it will decrease due to the entrained room air

86
Q

if aerosol decreases what do you do?

A

increase the flow

87
Q

what 3 makes deliver 21-100% fio2 depending on the aerosol source and nebulizer output

A

aerosal mask, trach collar, face tent

88
Q

a clear plastic device that fits over the head of an infant or small child for administration of oxygen and humidity

A

oxyhood

89
Q

what are the flow ranges for an oxyhood

A

7-14L

*to prevent co2 buildup and maintain the proper fio2 without feeling the patients neck around the hood

90
Q

provides controlled temps, humidity, and oxygen levels for a premature baby

A

incubator or isolette

91
Q

these are ideal for unstable newborns who require constant care. they provide neutrothermal environments but will not decrease the insensible water loss that occurs due to evaporation in premature infants

A

radiant warmer

92
Q

helps attach the flowmeter to the cylinder.

A

regulator

93
Q

an instrument used to measure for of oxygen

A

flowmeter

94
Q

calculate the duration of the cylinder

A

gauge pressure x factor / liter flow

ex) 2200 x 0.3 / 5

95
Q

used to control the mixing of oxygen and air in order to get a specific fio2

A

blender

96
Q

is able to provide a compressed gas source without using a cylinder

A

compressor

97
Q

always choose what type of flowmeter?

A

back pressure compensated flowmeter

DO NOT PICK THIS DURING TRANSPORTS

98
Q

what types of flowmeter are used during transports?

A

burden gauge

99
Q

for sputum to be cultured it must come from where?

A

lower respiratory tract

can not be saliva

respiratory (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions