Ventilator Care Flashcards

1
Q

Positive pressure applied at the end of expiration used w/ CV, A/C & SIMV to improve oxygenation by opening collapsed alveoli & keeping them from snapping shut during expiration allowing for more gas exchange (5-15 cm H2O)

A

PEEP (Positive End Expiratory Pressure)

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2
Q

How do you verify ET tube placement?

A

5 Point Auscultation = over the lung apices, the axillaes, and the stomach

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3
Q

What is normal End Tidal CO2 Level?

A

5-6% CO2 or 35-45 mmHg

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4
Q

How do you verify proper position of an ET tube?

A

X-Ray (2 cm above the carina)

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5
Q

What is the proper ET tube pressure?

A

25 cm H2O or less (preferably 20-25)

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6
Q

How often do you move the ET tube from one side of the mouth to the other?

A

Q 24 hours

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7
Q

Damage to the lungs caused by excess volume delivered to one lung or the other

A

Volutrauma

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8
Q

Damage to the lungs caused by positive pressure

A

Barotrauma

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9
Q

How often do you assess respiratory status in vent patient?

A

Q 4 hours for the first 24 hours then PRN

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10
Q

How often do you take V/S in ventilator patient?

A

Q 4 hours

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11
Q

How often do you assess placement of the ET tube?

A

Q 2 hours

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12
Q

The HOB should be at what degree for ventilated patient?

A

Above 30 degrees

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13
Q

How often should you check ventilator settings?

A

Q 8 hours

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14
Q

How often should you check the need for suctioning in the ventilated patient?

A

Q 2 hours

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15
Q

How often should you perform oral care in ventilated patient?

A

Q 2 hours

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16
Q

How often should you apply chlorohexadine on the lips of the ventilated patient?

A

Q 2 hours

17
Q

How often should you perform tracheostomy care for the ventilated patient?

A

Q 8 hours

18
Q

How often should you turn the ventilated patient?

A

Q 2 hours

19
Q

What are the cardiac complications that can occure with the ventilated patient?

A

Fluid Retention & Hypotension

20
Q

What are the GI problems associated with the ventilated patient?

A

Stress Ulcers, Paralytic Ileus & Malnutrition

21
Q

What is the treatment for stress ulcers in the ventilated patient?

A

Antacids, Carafate, Protonix IV, Ranitidine

22
Q

What is the treatment for malnutrition in the ventilated patient?

A

NG tube, TPN & lipids via a central line, and D5 fluid via a triple lumen cath

23
Q

How do you decrease the risk of ventilator-associated pneumonia?

A

Perform oral care q 2 hours, chest physiotherapy, postural drainage, turn & position

24
Q

inability to wean off the ventilator

A

mechanical ventilator dependence