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13 Cards in this Set

  • Front
  • Back
Image of Chest Radiograph
Subemphysemacutaneous Emphysema
Air in Subcutaneous Tissue
Pt. should be assessed for pneumothorax, tracheal or bronchial injury.Bubbles of air under the skin feel crepitus
Extrapulmonary Air
Defined as air fund outside of the lungs..
Pneumothrax, pnemoperitoneum, pneumomdeiastinum subcutaneous
Dorsal Decubitus
Lateral decubitus
Ventral Decubtus
dorsal decubitus lying on the back.
lateral decubitus lying on one side, .
ventral decubitus lying on the stomach
Good Position for enhanced Oxygenation
ARDS
CHF
Obese
Unilaterl lung disease
ARDS-Prone
CHF-Fowlers
Obese-Lateral fowler's
Unilateral lung disease- Good lung down
C Tank Continuous Flow usage
Continuous Flow
Flow Rate:
1 1.5 2 2.5 3 4 5 6
4.0 2.7 2.0 1.6 1.3 1.0 .8 .7
D tank usage
Continuous Flow
Flow RateFlow Rate/hrs:
1 - 6.9
1.5 -4.6
2 - 3.5
2.5- 2.8
3- 2.3
4 - 1.7
5- 1.4
6- 1.2
Nitric oxide Therapy
Relaxes smooth muscle, improves blood fow to aleoli improve ventilation/perfusion mismatch, decreases pulmonary vascular resistance, decreases pumonary pressures and improves O2.
Indications for Nitric Oxide (NO) Therapy
Primary and chronic pumonary hypertension

Pulmonary Fibrosis
Pulmonary Embolism
Respiratory Distress Syndrome
Congenital heart defcts
ersistent Pulmonary Hyprension of the newborn
Chronic Lung Disease
Heart and lung transplant
Sepsis
Sickle Cell Disease
How can NO be delivered
most commonly via Mechanical Ventilation: I-NO delivery system can also nasal cannula to spont. breathing pt.
Side Effects from NO therapy
Poor and or paradoxical response
Metmeglobimenia
Rebound hypoxemia or pulmonary hypertension
Increased Left Ventricular Filling Pressure
Platelet agglutination-cells clump together
Dry Powder Inhaler
small divice
do not require a propellant
Easier to use than MDI
No coordinating with timing
Pre-Metered Dry Powder Device
Need to b loaded with meds prior to each ue
Devisce metered devic
Have set number of doses in device