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25 Cards in this Set
- Front
- Back
4 objectives
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oxygenation
ventilation circulation temperature |
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oxygenation: INSPIRED GAS
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on inspiratory limb
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oxygenation: INSPIRED GAS-stand alone analyzer
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on the inspiratory limb
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multi gas analyzer
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gives FiO2
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OXYGENATION MONITORS
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Stand alone analyzer
multi gas analyzer pulse ox visual inspection |
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Ventilation visualization
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chest excursion
reservoir motion |
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Ventilation Quantitative
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Capnography-wave form
Capnometry-number multi gas analyzer spirometry-measures exhaled volumes ventilator disconnect |
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Ventilation Auscultation
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precordial
pretracheal esophageal |
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spirometer
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on expiratory limb
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Capnogram
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phase 1= dead space gas
phase 2= dead space gas and alveolar gas phase 3= alveolar gas plateau phase 0 = inspiration |
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spirometry
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Exhaled volumes:
-tidal volume= Vt -Ve= minute ventilation RR |
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Minute ventilation
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RR X Vt
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Ventilator disconnect
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circuit open
unable to drive bellows |
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Circulation
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ECG
ABP HR |
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ECG Leads
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Lead 1 = RA-LA
Lead 2 = RA-LL Lead 3 = LL-LA |
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V4 and V5
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5th intercostal space
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V1 and V2
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4th intercostal space
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systolic bp
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heart contracting
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diastolic bp
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heart relaxing
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direct arterial bp
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requires a transducer
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bladder temperature
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if urine out put is higher than normal, then it is core body temp.
if urine output is lower than normal, then it is abdominal temp. |
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most common temperature method
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esophogeal-intubation only-thermistor on esophageal stethoscope
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NMBM
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red= anode= += towards the heart
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ASA Standard 1
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anesthesia personnel present and monitoring patient
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ASA standard 2
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oxygenation
ventilation circulation temperature |