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28 Cards in this Set
- Front
- Back
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3 things for Oxygenation
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- Ventilation
- Difusion - Perfusion |
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Minute Volume
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- Amount of gas moved in and out of respiratory ract in 1 min.
- Resp. Rate x Tidal Volume |
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Audible Breath Sounds
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- Snoring
- Stridor - Grunting - Gurgling - Wheezes - Rales - Rhonchi |
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Auscultated Breath Sounds
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- Wheezes
- Rales - Rhonchi - Rubs - Diminished |
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Indications for Intubation
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- Respiratory/Cardiac Arrest
- Unconsious w/out gag reflex - Risk of Aspiration - Airway Obstruction |
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ET Tube Length at Teeth
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21-23 cm
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ET Tube - Stylet distance from end of tube
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2 cm from Murphy's Eye
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ET Tube Cuff Placement
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1-2 cm beyond vocal cords
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Average ET size for Adult Patient
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8.0
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ET Cuff Inflation
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- 5-10 cc of Air
- Remove syringe - Squeeze Cuff |
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ET Tube Stylet - Shape
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Hockey Stick Bend
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Normal CO2 Values
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35-45 mmHg
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Colormetric CO2 - Yellow
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"Be Mellow"- placement good
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Colormetric CO2 - Tan
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"Troubleshoot"
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Colormetric CO2 - Purple
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"PULL IT!" - pull tube, try again.
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Time to Intubate from BVM to BVM
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30 Seconds
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Time to Visualize cords during Intubation
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20 Seconds
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Ventilatory rate - BVM
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1 breath every 4-6 seconds
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Ventilatory rate - ET Tube
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1 breath every 6-8 seconds
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Confirmation of ET Tube
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- Epigastrium
- Parasternal 2nd ICS - Mid-clavicular 8th ICS |
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Intubation Documentation
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- Size of Tube
- Depth in cm at teeth - Response to Therapy |
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ETT Size (mm) children =
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(age in years + 16)
------------------------ 4 |
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C.P.A.P. Stands for:
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Continuous Positive Airway Pressure
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CPAP Does What?
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- Splints Airway
- Reduces Work of Breathing - Increases SpO2 - Increases Functional Residual Capacity |
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Indications for CPAP
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- Severe Allergic Reaction
- Anaphylaxis - CHF |
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Contraindications for CPAP
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- Facial Trauma
- Obstructed Airway - Lung Cancer - Pt Resp. Drive Failing - Stoma |
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CPAP - Starting Pressure
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10 cm H20
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Chemoreceptors
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- Peripheral -
- Central - Changes in pH, Oxygen |
