Med-Surg 3 - Respiratory

Front 1

What stimulates the release of surfactant

Back 1

Alveolar stretch from deep breathing

Front 2

What is the purpose of surfactant

Back 2

to decrease surface tension of alveoli (keep open)

Front 3

The pharynx and larynx are part of the ______ respiratory system

Back 3

upper

Front 4

The alveoli provide

Back 4

gas exchange

Front 5

Atelectasis is

Back 5

collapsed airless alveoli

Front 6

The pulmonary blood supply does what

Back 6

provides blood to the lungs for gas exchange

Front 7

What sends the deoxgenated blood to the lung, and what sends it back to the heart

Back 7

pulmonary artery, pulmonary vein

Front 8

The bronchial blood supply does what

Back 8

Feeds the lung tissue

Front 9

How much fluid is found in the intrapleural space

Back 9

20-25ml

Front 10

Discomfort on inspiration, sharp pain with expiration characteristic of __________ pain

Back 10

pleuritic

Front 11

This represents the amt of oxygen dissolved in plasma

Back 11

PaO2

Front 12

Respirations are controlled by the __________ in the brainstem

Back 12

medulla

Front 13

This is a wet sound, from moisture in the alveoli

Back 13

crackles

Front 14

This is the amount of oxygen bound to hemoglobin in comparison to amt of o2 the hemoglobin can cary

Back 14

SaO2

Front 15

This normal lung sound is a loud high pitched sound that resembles blowing thru a pipe. Name it.

Back 15

Bronchial or Tracheal - best heard alongside trachea

Front 16

After a bronchoscopy an important nursing task includes checking

Back 16

gag reflex

Front 17

Room air is what %o2, each 1 liter of O2 = this % of change

Back 17

20, 4%

Front 18

A nasal cannula needs humidification at how many liters

Back 18

2

Front 19

The max that can be run on a simple mask is

Back 19

10 liters

Front 20

The most precise o2 delivery system is the

Back 20

venturi mask

Front 21

Substernal distress, paresthesia in extremities, dry cough, anorexia, n/v, fatigue, dyspnea, lethargy and restlessness are _______ signs of ____________

Back 21

early signs of oxygen toxicity

Front 22

You would expect to see a patient with a c-spine injury intubated how

Back 22

nasally

Front 23

The downside of a tracheostomy is that it bypasses the

Back 23

upper resp tract so cant filter, humidify and warm the air

Front 24

you may see SQ emphysema if there is a fistula between

Back 24

trachea and esophagus

Front 25

Increased fremitus means that there may be

Back 25

fluid in the lungs

Front 26

Who are air trappers

Back 26

asthma and emphysema pts

Front 27

If you are retaining CO2 what happens to your pH

Back 27

it decreases. Co2 is an acid

Front 28

On Continuous Mandatory Ventilation or AC the ________ are preset. Can the pt take extra breaths

Back 28

tidal volume and rate, they can take extra breaths but if they do not pull enough they will get the full amount of air

Front 29

What is peep? what is the purpose

Back 29

+pressure at end of expiration. It keeps the airways open so gas exchange continues

Front 30

What is the range of Peep

Back 30

5-25

Front 31

What is Tidal Volume and what is the normal range

Back 31

Amount of volume per breath. 10-15ml/kg

Front 32

What is Fio2

Back 32

Fraction of inspired o2, % of o2 administered, try to keep < 50

Front 33

After extubation what do you do immediatly? When do you do an ABG

Back 33

mouthcare and listen to lung sounds. 20min

Front 34

What can cause a high pressure alarm

Back 34

cough, kinked tubing, water in tubing, decrease in lung compliance or need for suction

Front 35

What can cause a Low pressure alarm

Back 35

Leak in system, Or cuff leak

Front 36

What can cause an esophageal tear?

Back 36

Fistula from cuff

Front 37

What are the s/s of fractured ribs or sternum? What is one thing you must treat?

Back 37

Pain in chest wall with movement or palpation, possible crepitus, hypoventillation. TREAT pain encourage deep breathing

Front 38

What is the key assessment you will see in a patient with a flail chest?

Back 38

paradoxical movement (at inspiration ribs suck in)

Front 39

What is a blunt trauma

Back 39

internal injury but no skin break

Front 40

A patient with a pneumothorax has impaired gas exchange resulting in ___________ & _____________

Back 40

hypoxia and hypercapnia

Front 41

The most common type of pneumothorax is

Back 41

spontaneous

Front 42

What is a sucking chest wound?

Back 42

open pneumothorax where the patient takes a breath in and air enters thru the hole.

Front 43

What do you do for a sucking chest wound

Back 43

Cover with a vented dressing

Front 44

What will you see with a tension pneumothorax

Back 44

mediastinum shift toward the unaffected side-

Front 45

Tension Pneumo can be caused from

Back 45

open or closed pneumothorax

Front 46

Which type of pneumothorax is most severe?

Back 46

Tension

Front 47

If your patient has a tension pneumo and a chest tube what do you need to check for

Back 47

kinks in the tubing

Front 48

When percussing a pt with a hemothorax what will you hear

Back 48

dull sounds

Front 49

With partial obstruction of the trachea or larynx what will your assessment finding be?

Back 49

Stridor

Front 50

You will see increased tactile fremitus when there is

Back 50

lung consolidation with fluid or exudate

Front 51

Hyperrosonanace is a sign of

Back 51

air trapping

Front 52

With partial obstruction of the trachea or larynx what will your assessment finding be?

Back 52

Stridor

Front 53

A patient with atelectasis will have

Back 53

absent breath sounds

Front 54

You will see increased tactile fremitus when there is

Back 54

lung consolidation with fluid or exudate

Front 55

Hyperrosonanace is a sign of

Back 55

air trapping

Front 56

A patient with atelectasis will have

Back 56

absent breath sounds

Front 57

With partial obstruction of the trachea or larynx what will your assessment finding be?

Back 57

Stridor

Front 58

You will see increased tactile fremitus when there is

Back 58

lung consolidation with fluid or exudate

Front 59

Hyperrosonanace is a sign of

Back 59

air trapping

Front 60

A patient with atelectasis will have

Back 60

absent breath sounds

Front 61

This chest surgery involves stripping of a fibrous membrane

Back 61

decortication

Front 62

This chest surgery is done to remove a whole lung

Back 62

pneumonectomy