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001 Respiratory Therapy > Week 14 Semester 3 > Flashcards

Week 14 Semester 3 Flashcards

1
Q

What Should You Set the Plunger To

A

1.5 cc

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2
Q

What Should You Say to the Patient to Get Informed Consent

A

Description of the Procedure

Description of Potential Complications

Do You Understand or Have Any Questions

Do they consent

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3
Q

Optimal Site for ABG

A

Between styloid process fo radial bone and tendon of flexor carpi radialis

1-2 cm proximal to crease of wrist

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4
Q

Platlets

A

Normal: 150 000-300 000

Critical Number: <10 000

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5
Q

Thrombolytics

A

Ends in -ase

Streptase

Retavase

Activase rt-PA

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6
Q

Anticoagulants

A

Heparin

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7
Q

Fribrinogen

A

Normal: 1.6-4.1

Critical: <0.6

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8
Q

Veins of the Arm

A

Superifical veins are basilic and cephalic

The two radial veins lie on either side of the radial artery

The ulnar veins are close to the ulnar artery

Radial and ulnar veins meet to drain into

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9
Q

Transporting the ABG Sample

A

If the analysis of the sample will take more than 10 min put it in the ice slurry

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10
Q

Activated Partial Thromboplastin Time (aPTT)

A

Normal: 23-24 seconds

Critical Value: >120 seconds

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11
Q

ABG Hazard for Pt

A

Hemorrhage-Hold pressure for 5 min

Hematoma

Infection

Arterial Spasm and occulsion

Laceration of vessel

Air or blood emboli

Anaphylaxis

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12
Q

Cant Locate the Artery

A

Withdraw the needle until bevel is just below skin then redirct

only two redirct allowed

If still can not fin artery choose another site

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13
Q

International Normalized Ratio (INR)

A

Normal 0.9-1.1

Critical Value >6

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14
Q

Ventilatory Parameters Pediatric

Mode

A

PRVC

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15
Q

Ventilatory Parameters Pediatric

Vt

A

Start at 6 mL/kg

6-8 mL/kg

May be as low as 4 ml/kg or as high as 10 ml/kg depending on the size/age of the ped

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16
Q

Ventilatory Parameters Pediatric

PEEP

A

Start at 5

PEEP in asthma will not hold open a spasm airway so it will add onto air trapping and make it harder fortehptto trigger a breath

start 4-5 cmH2O

Aim for optimal PEEP

Increases typically made in increments of 1-2 cmH2O

Watch for CV compromise with increasing levels

17
Q

Optimal PEEP

A

that which achieves the best lung compliance and oxygenation with the fewest CV side effects

18
Q

Ventilatory Parameters Pediatric

Circuit

A

< 25 kg neo

> 25 kg adult

Neo circuit always heated, adult circuit dependent on size of ped

Always use a heated circuit in peds

KNOW your circuit for week 14 so when you are selecting a starting ptit is asking you for what circuit you are using in order to compensate for compressible volume

19
Q

Ventilatory Parameters Pediatric

Inspiratory Time

A

Use 0.8

20
Q

RR Infant

A

30-50

21
Q

Toddler RR

A

24-35

22
Q

Pre School RR

A

20-35

23
Q

Child RR

A

18-30

24
Q

Teen RR

A

12-20

25
Q

Ti and Asthma

A

Shorten Ti to allow for exhalation

26
Q

ABG in Pediatric

A

pH 7.35-7.45

PaCO2 35-45

PaO2 80-100

HCO3 22-25

SpO2 >90%

27
Q

Oxygenation is bad and FiO2 is >0.6 and PEEP is apprpriate

A

Consider Ti

28
Q

Moderate WOB and Decent Sats (>90%)

Asthma Protocol

A

Use MDI

Once RR is high and WOB is high and stats are low go to SVN

If sats are below 92 give oxygen with MDI

29
Q

MDI Asthma Medications

A

Ventolin

  • 5 Puffs is <20 kg
  • 10 puff if >20 kg

Ipratropium

  • 5 puffs
30
Q

Nebulizer Medications

A

Ventolin

  • 2.5 mg is <20 kg
  • 5 mg if >20

Atrovent

  • 250 mcg
31
Q

What should you do before you use an inhaler

A

Shake the inhaler

32
Q

When should you use a nebulizer

A

when they can not talk or when SpO2 is 85% or less

33
Q

How to use an MDI with a spacer

A

10 puff of sabutamol

Administer one puff every 30 seconsd follow by 5 puff of ipratropium

34
Q

Oxygen Therapy with MDI

A

Want sat > 92%

001 Respiratory Therapy (53 decks)

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