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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 |
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Extrapulmonary Air
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Defined as air fund outside of the lungs..
Pneumothrax, pnemoperitoneum, pneumomdeiastinum subcutaneous |
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Dorsal Decubitus
Lateral decubitus Ventral Decubtus |
dorsal decubitus lying on the back.
lateral decubitus lying on one side, . ventral decubitus lying on the stomach |
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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 |
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C Tank Continuous Flow usage
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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 |
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D tank usage
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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 |
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Nitric oxide Therapy
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Relaxes smooth muscle, improves blood fow to aleoli improve ventilation/perfusion mismatch, decreases pulmonary vascular resistance, decreases pumonary pressures and improves O2.
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Indications for Nitric Oxide (NO) Therapy
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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 |
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How can NO be delivered
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most commonly via Mechanical Ventilation: I-NO delivery system can also nasal cannula to spont. breathing pt.
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Side Effects from NO therapy
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Poor and or paradoxical response
Metmeglobimenia Rebound hypoxemia or pulmonary hypertension Increased Left Ventricular Filling Pressure Platelet agglutination-cells clump together |
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Dry Powder Inhaler
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small divice
do not require a propellant Easier to use than MDI No coordinating with timing |
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Pre-Metered Dry Powder Device
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Need to b loaded with meds prior to each ue
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Devisce metered devic
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Have set number of doses in device
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