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11 Cards in this Set

  • Front
  • Back
What is oxygen therapy used for?
Used to ensure an acceptable SaO2 (usually 89% is OK)
What are problems with oxygen therapy?
Expense
Supports combustion
Tethering
CO2 retention:
Loss of hypoxic drive to breathe
Increased CO2 causes sedation
How can CO2 retention with oxygen therapy be avoided?
Titrate oxygen slowly, monitoring mental status and SaO2.
When can aerosol therapy be administered?
Quiet breathing
BiPAP
Mechanical ventilation
What is the purpose of airway clearance measures? Who does not need it?
To prevent atelectasis

A patient who can cough productively
2 functions of mechanical ventilation
Reduce work of breathing
Improve gas exchange
MOA of mechanical ventilation?
Change airway pressure - increased pressure results in increased flow - overcoming resistance and elastance
How does negative pressure ventilation work?
Apply negative pressure to the body and hence the lungs in a sealed box. Outside air will move in from higher atmospheric pressure to lower intrathoracic pressure (seldom used for modern care).
What are the 2 principal modes of ventilation?
Pressure cycled
Volume cycled
Describe pressure cycled ventilation.
Pressure is applied to the airway for a given time. No tidal volume is guaranteed.
Describe volume cycled ventilation.
Volume is delivered using whatever pressure is required.