wk 3 respiratory ppt/4

Question 1

preventing unplanned extubation
4
-ensure
-support
-use
-provide

Answer 1

1. ensure adequate securement of ET tube
2. support ET tube during repositioning and procedures
3. use soft wrist restraints
4. provide sedation and analgesia as ordered

Question 2

should an unplanned extubation occur

4

Answer 2

1. stay with pt
2. call for help
3. manually vent pt with 100% O2
4. provide psychological support

Question 3

A/C vent delivers

Answer 3

preset Vt at preset frequency

Question 4

preset Vt at preset frequency

Answer 4

AC vent

Question 5

A/C - when patient initiates a spontaneous breath, what happens

Answer 5

preset Vt is delivered

Question 6

when patient initiates a spontaneous breath, preset Vt is delivered is to

Answer 6

A/C vent

Question 7

SIMV stands for

Answer 7

synchronized intermittent mandatory ventilation SIMV

Question 8

SIMV function

Answer 8

delivers preset Vt at preset frequency in synchrony with patient’s spontaneous breathing

Question 9

delivers preset Vt at preset frequency in synchrony with patient’s spontaneous breathing

Answer 9

SIMV

Question 10

SIMV - between ventilatory-delivered breaths, pt is

Answer 10

able to breath spontaneously

Question 11

between ventilator-delivered breaths, pt is able to breathe spontaneously is to

Answer 11

SIMV

Question 12

PEEP stands for

Answer 12

positive end expiratory pressure

Question 13

PEEP

Answer 13

positive pressure applied to airway during exhalation

Question 14

positive pressure applied to airway during exhalation

Answer 14

PEEP

Question 15

PEEP increases what

Answer 15

functional residual capacity FRC

Question 16

increases functional residual capacity (FRC)

Answer 16

PEEP

Question 17

CPAP stands for

Answer 17

continuous positive airway pressure

Question 18

CPAP

Answer 18

pressure delivered continuously during spontaneous breathing

Question 19

pressure delivered continuously during spontaneous breathing

Answer 19

CPAP

Question 20

CPAP - takes way what

Answer 20

Vt and RR - if they tolerate this well you can go to TEE piece

Question 21

weaning from PPV and extubation - process of

2

Answer 21

1. decreasing vent support

2. resuming spontaneous ventilation

Question 22

preweaning
3
-determine
-assess
-lungs should

Answer 22

1. determine pts ability to breathe spontaneously
2. assess muscle strength and endurance, minute ventilation, and rapid shallow breathing index
3. lungs should be clear on auscultation and chest x ray

Question 23

Intubation weaning readiness - monitor for

8

Answer 23

1. tachypnea
2. tachycardia
3. dysrhythmias
4. sustained desaturation (SpO2 <91%)
5. HTN
6. agitation/anxiety
7. sustained Vt <5 ml/kg
8. changes in LOC