Egans Ch 38-O2 Therapy

Front 1

The general goal of Oxygen therapy is to correct doccumented or suspected ___.

Back 1

acute hypoxemia

Front 2

with Oxygen therapy we can decrease the symptoms associated with ___.

Back 2

chronic hypoxemia

Front 3

With Oxygen therapy we can decrease the workload hypoxemia imposes on the ___.

Back 3

cardiopulmonary system

Front 4

Another word for acute is ___.

Back 4

sudden

Front 5

Hypoxia is the condition of low O2 in ___.

Back 5

tissue

Front 6

Hypoxemia is the condition of low O2 in ___.

Back 6

blood

Front 7

The most common form of Hypoxemia ia ____.

Back 7

COPD

Front 8

What does COPD stand for?

Back 8

Chronic Obstructive Pulmonary Disorder

Front 9

The ___ carries arterial blood.

Back 9

pulmonary vein

Front 10

The ___ carries venous blood to the lungs.

Back 10

pulmonary artery

Front 11

If the right side pulmonary artery does not get much blood then, the heart has to work harder, eventually resulting in ___.

Back 11

right ventricular hypertrophy

Front 12

Right ventricular hypertrophy can eventually result in ___.

Back 12

cor Pulmonale

Front 13

Define cor Pulmonale.

Back 13

right heart death

Front 14

Need assesment of O2 therapy consists of three areas; specific clinical problem, clinical findings at bedside and ____.

Back 14

laboratory documentation

Front 15

When assessing O2 needs, what kind of laboratory documentation do you need?

Back 15

PaO2, SaO2 and SpO2

Front 16

For laboratory documentation, what does the little "a" stand for?

Back 16

arterial

Front 17

For laboratory documentation, what does the big "A" stand for?

Back 17

alveolar

Front 18

What is PaO2 a measurement of?

Back 18

partial arterial pressure O2 level

Front 19

What is SaO2 a measurement of?

Back 19

how saturated the arterial blood is with O2

Front 20

What is SpO2 a measurement of?

Back 20

how saturated the hemoglobins are with O2

Front 21

PaO2 and SaO2 are determined by doing what?

Back 21

drawing ABG's

Front 22

SpO2 is determined by doing what?

Back 22

using a pulse oximeter

Front 23

Define tachycardia.

Back 23

rapid pulse

Front 24

Define tachypnea.

Back 24

rapid breathing

Front 25

Define diapheretic.

Back 25

sweaty

Front 26

What is a sign of cyanosis?

Back 26

blue tinge to the nailbeds & perephrial

Front 27

What is a sign of central cyanosis?

Back 27

blue lips & gums

Front 28

In the medical world, a patient displaying confusion has an ___.

Back 28

Altered Level of Conciousness(ALOC)

Front 29

The three questions usually asked to determine LOC are___.

Back 29

Who are you, do you know where you are at, what is today's date

Front 30

The normal respiratory rate for an adult is ____.

Back 30

12-22

Front 31

The respiratory rate for an adult who appears grey is ____.

Back 31

20-22

Front 32

The respiratory rate for an adult who has tachypnea is ___.

Back 32

24+

Front 33

The normal heart rate for an adult is ____.

Back 33

60-100bpm

Front 34

The heart rate for an adult with tachypnea is __.

Back 34

100+

Front 35

Most adults have a Pulse Oximeter reading of ___.

Back 35

97% SpO2

Front 36

We get concerned when the Pulse Oximeter is reading ___ for an adult.

Back 36

<90% SpO2

Front 37

Too much O2 is toxic. Adverse effects are primarily seen in ___.

Back 37

the lungs and CNS

Front 38

Determining factors for toxicity include ______.

Back 38

PO2 and exposure time

Front 39

Prolonged exposure to high FIO2 can cause infiltrates in the lung___.

Back 39

parenchyma

Front 40

Define hypercapnea.

Back 40

high CO2 in the blood

Front 41

Another word for hypercapnea is ___.

Back 41

hypercarbnia

Front 42

About 2% of all COPD patients with chronic hypercapnea have this problem as well.

Back 42

depressed hypoxic drive

Front 43

For most people, the hypoxic drive kicks in when the PaO2 reaches ____.

Back 43

<60PaO2

Front 44

A person who has a depressed hypoxic drive are in the 50/50 club. what does the 50/50 stand for?

Back 44

50PaO2 and 50 PaCO2

Front 45

Another label for someone that has a depressed hypoxic drive is ___.

Back 45

CO2 retainer

Front 46

In preemies, high levels of O2 can cause ___.

Back 46

ROP

Front 47

What does ROP stand for?

Back 47

retanopathy of prematurity

Front 48

In ROP, excessive O2 levels cause ______ and _____.

Back 48

retinal vasoconstriction and necrosis.

Front 49

Extreem cases of ROP lead to ____ and______.

Back 49

retinal detachment, retinal capillary necrosis

Front 50

Another hazard of administering too much O2 is absorption____.

Back 50

atelectasis

Front 51

Atelectasis can occur when the FIO2 is above ___.

Back 51

.50

Front 52

High levels of O2 can wash out ___ which hold the Aloveoli open.

Back 52

nitrogen

Front 53

Which patients are at greatest risk of atelectasis?

Back 53

patients breathing small tidal volumes

Front 54

What is a general hazard of supplemental O2?

Back 54

fire hazard (enriched air and spark issues)