ICU Today
Potassium, Sodium, Calcium and Glucose are all part of what lab draw?
BMP, Basic Metabolic Panel
Name 3 risk factors
Smoking, infection, asthma, air pollution, occupational chemicals, aging, genetics, Alpha 1 Antitrypsin deficiency.
What two things do you need to ensure adequate ventilation?
Oxygenation and Blood flow
What are 3 assessments/signs indicating respiratory failure?
Cyanosis, AMS, LOC change, Respiratory muscle fatigue, Dyspnea, Decreased PO2, Increased CO2, Diminished lung sounds.
Thirty minutes after receiving morphine, your patient is difficult to wake. RR 7/min with shallow respirations.
Question: Predict the ABG.
Respiratory Acidosis.
The treatment for a complete (Third Degree) Heart block is?
Pacemaker
What does the typical gas look like for a COPD patient?
Low PH, Hypercapneic, hypoxemic
What can develop as a result of an insult, condition or noxious event that traumatizes the lung?
ARDS, Acute Respiratory Distress Syndrome
Name 2 ways we can "mobilize" secretions.
Your patient is having a panic attack. They are anxious, breathing rapidly at 32/min, and report tingling around their mouth and fingers. What acid-base imbalance do you expect?
Respiratory Alkalosis
What electrolyte do we closely have to watch on an insulin drip?
Potassium
Name 3 Clinical Manifestations of COPD
Chronic cough, dyspnea, Barrel Chest, Tripod position, Pursed lip breathing, Hypoxemia, Hypercapnia, Cyanotic, Wheezing, Chest tightness.
Define Barotrauma
An injury, rupture and overdistention of the alveoli during mechanical ventilation.
If my patient is hypercapneic and ventilated, how can i decrease my Co2?
Increase respirations and/or increase minute ventilation
Your patient with COPD is increasingly drowsy and has shallow respirations. ABG: pH 7.29, PaCO₂ 58, HCO₃⁻ 25. Name the disorder.
Respiratory Acidosis
Neo synephrine is what type of drug and what is it used for?
Vasoconstrictor, Increase BP
First drug of choice/treatment
Bronchodilator
What is cor pulmonale.
Right sided HF due to lung injury primarily COPD
What lab values do I obtain to determine how well my patient is oxygenating?
Arterial Blood Gas
A mechanically ventilated patient has an ABG of:
pH 7.51
PaCO₂ 29 mmHg
HCO₃⁻ 24 mEq/L
Question: What might be happening?
Answer: Respiratory alkalosis. The patient may be overventilated, causing excessive CO₂ removal.
What device do we use to assess pulses when we are not able to palpate?
Doppler
What do we want to keep our PA02 at?
>60 mm Hg
prolonged expiration to reduce bronchial collapse and air trapping is the definition of?
Purse lipped breathing
What is the nutrient my body loves and primarily needs to heal?
Protein
pH 7.52 | PaCO₂ 28 | HCO₃⁻ 23
Respiratory Alkalosis