Ventilator
This ventilator setting determines the amount of air delivered with each breath and is typically set at 6-8mL/kg of ideal body weight.
What is tidal volume?
What is the preferred DI study for a pregnant woman with shortness of breath?
What is a VQ scan?
What is a salter cannula?
Name a common indication for chest tube placement.
What is pneumothorax, hemothorax, and tension pneumothorax?
Name 3 medications you would expect to administer to an asthmatic patient.
What is a bronchodilator, PO/IV/inhaled steroids, and magnesium sulfate?
This assessment helps identify a right main stem intubation
What is diminished or absent breath sounds on the left side
This ETCO2 and SpO2 level is what would you expect to see in a patient with COPD
What is an ETCO2 >45mmHg and SpO2 <92%?
Name the type of mask that allows for precise controlled oxygen concentrations?
What is a venturi mask?
**This is different than a non-rebreather because it does not have the oxygen reservoir.
Name the procedure performed when fluid is drained from the pleural cavity.
What is a thoracentesis?
Name 3 titratable drips that can be used for sedation while on the ventilator.
What is propofol, fentanyl, versed, precedex, and ketamine?
These nursing interventions reduce ventilator-associated pneumonia risk
What is oral care with chlorhexidine, head-of-bed elevation, and PPI?
This bedside assessment finding often indicates airway narrowing seen in conditions like asthma or COPD exacerbations.
What is wheezing - high pitched, musical sounds heard on expiration?
What is bilevel positive airway pressure and continuous positive airway pressure?
**BiPAP - different pressure levels for the inhale and exhale
**CPAP - same pressure level for inhale and exhale
Describe what the bubbling in the water seal chamber in an atrium indicates.
What is a leak in the chest tube system?
Name 1 paralytic agent and 1 sedative agent for rapid sequence intubation (RSI) in the correct order you would administer them.
What is rocuronium, vecuronium, succinylcholine, etomidate, propofol, versed, and ketamine?
If a ventilated patient suddenly deteriorates, this action may be lifesaving.
What is disconnecting the ventilator and manually bagging the patient?
Name at least 3 signs and symptoms of respiratory distress.
What is grunting, tachypnea, cyanosis, nasal flaring, use of accessory muscles, retractions, and wheezing?
Name 3 ways we can confirm endotracheal tube placement.
What is chest XR, end tidal color changer (after 5-6 breaths), and auscultation (over the epigastrum and all lung fields)?
Name 3 indications for a cricothorotomy.
What is facial trauma, burns/inhalation, obstruction from a foreign object, edema in the oropharynx, unrelenting spasm of the jaw/clenched teeth?
Name 2 medications that are commonly utilized in conjunction with BiPAP for flash pulmonary edema.
What is nitroglycerin, lasix, and bumex?
These patient-related causes can trigger a high peak pressure alarm.
What are coughing, biting the tube, bronchospasm, or decreased lung compliance?
Interpret the following arterial blood gas:
pH: 7.28
PaCO2:58mmHg
HCO3: 26mEq/L
PaO2: 60mmHg
O2 saturation: 88% on 4L
What is uncompensated respiratory acidosis?
Name 2 contraindications for using a nasopharyngeal airway (NPA).
What is facial trauma, gag reflex, and conscious patients?
This is the anatomical location for a needle decompression/thoracostomy.
What is the 4th intercostal space midaxillary line?
This positioning intervention, used in moderate to severe ARDS, improves oxygenation by promoting better ventilation-perfusion matching and recruitment of posterior lung segments.
What is prone positioning?