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54 Cards in this Set

  • Front
  • Back
The best way to determine upper airway obstruction.
Flow volume loop
Flow rates are increased or decreased when obstruction is present?
decreased
Normal PaO2 for a newborn.
50 to 70 torr
When hypoxemia is present, what O2 percentage should not be raised over instead increase the PEEP?
60%
Alternative therapy for cystic fibrosis in patients that cannot tolerate postural drainage.
Flutte - valve Oscillation therapy
When shoud a tracheostomy tube cuff be deflated?
during eating and breathing treatments
Sedative drug that is commonly administed during bronchoscopy?
Versed
Secreations in in the airway increase?
airway resistance
Calculation for partial pressure
(BP - 47 torr) X fractional concentration of gas
A decrease in PVO2 after an increase in PEEP is an indication of?
decreased cardiac output
A fast - acting peripheral vasodialator.
Nitropusside sodium (Nipride)
I defibrilating with 250 J does not result in termination of ventricular firillatin what should be done?
A secod charge of hagher voltage should be administered not more that 360 J in adults.
How much CO2 does exhaled air contain?
6% to 7%
VT needed for patient to be weaned?
at least 3mL/kg of ideal body weight
Airway that maintains and open airway by pulling the tongue off the back of the throat.
Oropharyngeal airway
(only to be used in uncounsious patients)
What is used for a tracheostomy patient to make him able to talk?
tracheostomy button
Best way to fix an I:E ratio alarm?
Increase the flow, this will shorten the inspiration allowing for a longer exhalation
Calculation for static compliance
VT/(Plateau pressure - PEEP)
Calculation for desired VE
Desired VE = [VE(current) X PaCO2 (current)/PaCO2 (desired)
How do you clear an obstruction in a chest tube?
Milk the chest tube
What oxygen delivery device is indicated for a patien with a fluctuating VT?
Air entrainment mask
Calculation for cardiac index.
cardiac output/body surface area
CVP is a measurement of?
Righ arterial pressure
What two thing will increase the O2 delivered in manual resuscitator?
Increasing the flow
Adding a reservoir
Lidocaine is indicated for the treatment of?
Ventricular fibrillation, Ventricular tachycaridia, and PVCS
Pulmonary capillary wedge pressure (PCWP) is the meassure of>
Left atrial pressure and Left ventricular end - diastolic pressure
An elevation of the BUN level indicates?
Renal failure
VD/VT ratio acceptable for weaning?
less than 0.60
Maximal inspiratory pressure acceptable for weaning?
at least -20 cm H@O
Rapid shallow breating index acceptable for weaning?
less that 100
Calcualtion of RSBI?
respiratory rate/VT
How do you convert uncontrolled atrial fibrillation?
Cardioversion with an energy level of 25 - 100 joules
O2 device needed for a patient who has been pulled from a burning house?
non - rebreathing mask at 15 L/min
Most efficient method to treat a combative ventilator patient?
sedate and paralyze the patient
To increase PaCO2 to a normal level what needs to be done on a ventilator?
decrease the minute ventilation
Pulmonary infaction may occur if the tip of the Swan - Ganz is inflated longer than?
15 - 20 sec.
When lungs get stiffer and harder to ventilate this is considered?
decreased lung compliance
Difficulty breathing while lying in the supine position?
Orthopnea
Name of position in which the patient is sitting up?
Fowlers
Normal capillarty PO2
40 to 50 torr
Amount of CO2 in room air?
less than 1%
An consistent plateau pressure with an increasing peak pressure indicates?
Increasing airway resistance (Raw)
PEEP level that results in the highest static compliance or highest PVO2?
Optimal PEEP
A decreased FVC, FEV1, and FEV1/FVC ratio is clearly indicative of?
Obstructive disease
Increased Total lung cappacity is indicative of?
Air trapping
The most reliabkle method of detrmining whether a ventilated patient's lungs are getting stiffer and hand harder to ventilate is by measuring the:
Static compliance
When physiolgic deadspace increases, PaCO2?
increases
How quickly should artificial sufactant be administered to an infant?
12 to 24 hours after the onset of symptoms
Normal respiratory rate for a neonate?
40 - 60 breaths per minute
Respiratory quotiant (QT) calculation
QT = O2 consumption (VO2)/[(CaO2 - CVO2) X 10]
Arterial content calculation
Arterial Content = (1.34 X SaO2 X Hb) + PaO2 X 0.003
Venous content calculation
Venous Content = (1.34 X SVO2 X Hb) + PVO2 X 0.003
Normal L:S ratio?
2:1
Normal FEV1?
75% - 85%