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13 Cards in this Set
- Front
- Back
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cheyne stokes respirations
progessively increasing tidal volume,followed by declining volume, separated by periods of apenea at the end of expiration older patients with term illness or brain injury |
Kussmauls
deep rapid breaths DKA |
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central neurogenic hyperventilation
deep rapid respirations caused by stroke of injury to brainstem |
Ataxic (Biots)
repeated episodes of gasping ventilations separated by periods of apnea |
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apneustic respiration
long,deep breaths that are stopped during the inspiratory phase and separated by periods of apnea |
hypoxia
state in which insufficient oxygen is available to meet the requirements of the cells |
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General impression of resp status
position color mental status ability to speak respiratory effort |
pallor
paleness |
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asphyxia
decrease in the amount of oxygen and increase in the amount of carbon dioxide as a result of interference with respiration |
hemotypsis
expectoration of blood from the respiratory tree |
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tactile fremitus
vibratory tremors felt through the chest by palpation |
END TIDAL CO2 normal = 38 mm/hg
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O2 Sats
95-100 NORM 91-94 MILD 86-91 MODERATE less than 85 SEVERE |
false readings on pulse ox
CO poisoning High intensity lighting certain hemoglobin abnormalities hypovolemia anemia |
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ET tube passes vocal cords advance 1-2 cm past
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Drugs down tube
LEAN lidocaine, epi, atropine, narcan |
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ET intubation landmarks
LARYNX thyroid & cricoid cartilage glottic opening vocal cords arytenoid cartilage pyriform fossae cricothyroid membrane |
GCS
Less than 8 intubate |
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sellicks manuver
assist with ET intubation brings cords into view decrease occurance of gastric reflux |
Atmospheric pressure 14.7 psi
inside of lungs in less than ATM |
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chemoreceptors in medulla, aortic arch and carotids use to breath
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as you inhale there is a negative pressure and BP will go down
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COPD - Hypoxic Drive
normal regulatory system - elevated PaCo2 has failed...their impulse to breathe is triggered by low PaO2 |
Nasal Cannula 6lpm...40%
Venturi Mask....24..28...35.40% Simple Face mask..6-10lpm..40-60% Partial Rebreather... Non rebreather - 15lpm....80-95% |
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BVM without O2 will deliver 21%
with O2 will deliver 60-70% with o2 resevior 90-95% |
Child BVM chant
"squeeze-release-release" |
