Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
23 Cards in this Set
- Front
- Back
ventilation
|
movement of gas in and out
|
|
oxygenation
|
delivery of oxygen to blood
|
|
Mode: Control
|
Each breath is given by ventilator
will not allow pt to breathe extra |
|
Mode: assist control
|
set ventilator rate but will allow extra patient-started breaths
|
|
Modes: SIMV
|
Synchronized Intermittent Mandatory Ventilation
extra patient breaths do not trigger ventilator breath but allow spontaneous size breath |
|
Modes: Pressure support
|
Pressure added to ease inspiration
|
|
Modes: PRVC
|
Pressure Regulated Volume Control
Volume and pressure ventilation |
|
CPAP
|
Constant Pressure Above Atmosphere
holds alveoli open |
|
BIPAP
|
Lower and Higher pressure
|
|
PEEP
|
Positive End Expiratory Pressure
|
|
uses of PEEP
|
enhance gas exchange- tx hypoxia
prevent atelactasis |
|
complications of PEEP
|
decreased cardiac output-low bp
tension pneumothorax |
|
to adjust PCO2
|
increase or decrease tidal volume and resp rate
|
|
to adjust PO2
|
increase or decrease O2 percent and PEEP
|
|
cause of high pressure alarm
|
secretions, cough, gag, biting tube
bronchospasms or pneumothorax |
|
cause of Low pressure alarm
|
disonnection- cuff leak or tubing leak
|
|
what to do when in doubt to a pt on a ventilator
|
bag the patient
|
|
nursing care of vent
|
resp assessment
suctioning PRN chuck cuff status check vent settings mouth care q2-4 hours HOB>30 degrees |
|
vent complications
|
hypotension
pndumothorax SQ emphysema dysychrony VAP |
|
Prevention of VAP
|
Reduce bacteria
turning and repositioning HOB elevated 30-40 sedation vacation DVT prophylaxis |
|
When to D/C SBT
|
RR>28
HR<60 or >120 BP<90 or >170 Sp)2 <90% for >30 seconds |
|
factors that impede weaning
|
COPD
HF malnutrition anemia |
|
nursing care post extubation
|
Check vs and Loc
watch for stridor be prepared for reintubate |