Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
61 Cards in this Set
- Front
- Back
what is an early indicator of resp depression
|
end tidal Co2
|
|
how much c02 they are blowing off
|
end tidal c02
|
|
delivers up to 5 liters of 02
|
filterline sampling
|
|
what should be done if a message comes up with occlusion or blockage for C02 fliterline
|
replace
|
|
where is sample collected in the fliterline
|
resevoir
|
|
reasons for uses of ETC02
|
sleep apnea
PCA pumps procedural sedation |
|
what does A-B baseline show
|
end of inspiration, beginning or end of expiration
|
|
rapid rise in C02, mixing of dead space and alveolar gas
|
B-C waveform
|
|
Alveolar plateau: alveolar gas exchange
|
C-D waveform
|
|
D waveform
|
End of exhalation
|
|
Inspiration, rapid decrease in C02
|
D-E waveform
|
|
causes abnormal waveforms
|
hypoventilation
increased C02 with decreased RR Part airway obstruc. |
|
loss of alveolar platueau
|
partial airway obstruction
|
|
causes of PAO
|
relaxation of upper airway
head position |
|
intervention for PAO
|
head tilt
chin lift suction/clear airway pt take deep breaths |
|
helps reduce gastric inflation
|
cricoid pressure
|
|
bag mask characteristics
|
RA or 100% 02
used orally or to trach/ET ventilate to chest rise |
|
oral airway rules
|
put in upside down then turn 180 degrees to lock into place
|
|
purpose of oral airways
|
keeps tongue from dropping back and occluding
|
|
steps for BMV technique
|
two ppl
E-C technique to create seal chest rise cricoid pressure listen for air movement |
|
protects against regurg of gastric contents
|
cricoid pressure
|
|
used to decompress stomach if too much air
|
OG
|
|
constant flow of 02--no valve
|
non-rebreathing pressure relieving bag
|
|
tells how much pressure is delivered with NRPRB
|
manometer
|
|
needs 02 to infalte
|
NRPRbag
|
|
placement of tube into mouth
|
ET tube
|
|
positioning of ET tube
|
past the larynx and sits in trachea
|
|
reason why ET is used
|
higher % 02
bypass obstruction protect from aspiration pulmonary toilet maintain patent airway |
|
indicated when head and neck manipulation is risky
|
nasal ET
|
|
surgical procedure performed when need for an artificial airway is expected to be long term
|
tracheotomy
|
|
decannulating
|
trach taken out and let close on its own
|
|
ET procedure steps
|
BVM attached to 100% 02
sterile suctioning equip IV access EKG mtr premedicate |
|
should be done before preoxygenating for ET
|
pre oxygenate
|
|
given for Rapid sequence intubation
|
paralytic
sedative |
|
used to check degree of paralysis
|
train of four and need 1-2 out of 4
|
|
more common paralytic agents
|
vecuronium
rocuronium |
|
ET tube preoxgenation technique
|
3-5 minutes 100% 02
|
|
intubation attempts
|
<30 sec
|
|
confirms placement of ET tube
|
inflating cuff
End tidal C02 (6 breaths and measure) auscultate chest xray (gold standard) |
|
colorimetric exhaled C02 detector
colors |
purple= problem
yellow= yes |
|
where should ET tube be placed
|
3-5 cm above carina to prevent occlusion
|
|
measure at lip for ET shows what
|
how far down tube is
|
|
nsg management of ET tube placement
|
mtr tube 2-4 hrs
confirm mark at lips retape when slipping restraints |
|
cuff pressure of ET
|
20-25
|
|
normal arterial tracheal perfusion
|
30 mm/hg
|
|
small amt of air is removed from cuff until a slight leak is auscultated at peak inflation
|
minimal leak technique
|
|
should be measure after intubation and on a rt basis
|
cuff pressure
|
|
when should suctioning be done
|
according to S&S
|
|
decreases r/f VAP
|
oral care q 2 hrs and prn
dvt prophylaxis stress ulcer prophylaxis gut feedings HOB 30 degrees handwashing |
|
decreases pooling of secretions
|
elevate HOB 30 degrees
|
|
bypasses upper airway for long term
|
trach
|
|
needed with a trach
|
moisture
|
|
must be stat removed after insertion
|
obturator
|
|
when is trach first changed
|
no sooner than 7 days after insertion by physician
|
|
when are tapes for trach changed
|
at 24 hrs
|
|
what can excessive cuff pressure do
|
compress tach capillaries
limit blood flow predispose to tracheal necrosis |
|
how often should trach tube be replaced
|
monthly
|
|
should be done prior to capping
|
deflate cuff
|
|
splinting of stoma should be done when
|
coughing
swallowing speaking |
|
how soon does tissue form after removal of trach
|
24-48 hrs
|
|
two inflatable balloon cuffs
|
combitude
|