So Random
Your mechanically ventilated patient's ABGs show Respiratory Acidosis. What change needs to be made to the settings?
Triggers include
What is dust, pollen, animals, grass, and certain foods (there are more!)
The name and action of a Short acting Adrenergic B2 agonist
What is Albuterol (ProAir/Proventil/Ventolin) or Levalbuterol (Xopenex)
Relaxes bronchial smooth muscles & causes bronchodilation
Used in Asthma attacks as a Rescue Inhaler
This is the maximum number of passes you may make with a single sterile trach suction catheter
What is three (3)
COPD is both of these conditions
What is emphysema and bronchitis
To stay hydrated we should drink this much water daily
What is 2-3 Liters
The spacer does this
What is increases the amount of medication to the lungs
Montelukast (Singulair) is this type of medication
What is a Leukotriene Modifier. It suppresses inflammation and the release of leukotrienes and other inflammatory mediators. It must be used cautiously since adverse effects include depression and suicidal thinking. It is taken orally every night.
When suctioning a tracheostomy you should apply the suction at this point
What is when it reaches the trachea (NOT WHILE YOU ADVANCE THE CATHETER)
This in the suggested maximum amount of oxygen
What is no more than 4 LPM
The nurse should collect this type of specimen for a patient with recurrent pneumonia
What is a sputum culture
This blue color may be seen in the mouth of a person having an asthma attack
This is a Mast Cell Stablizer
What is Cromolyn. It is administered by MDI or nebulizer & should be administered AFTER albuterol.
The nurse will ensure that the patient is preoxygenated with this
What is 100% oxygen (for 30 seconds to a maximum of 3 minutes)
This medication can help thin out thick secretions
What is guaifenesin
What does the acronym A.I.R. help you to remember?
What is early signs of hypoxia/hypoexmia.
Agitation
Irritability
Restlessness
This can be used for continuous monitoring during an asthma attack
What is a pulse oximeter
These drugs end in -umab
What are Biologics or Monoclonal Antibodies. These are given via subcutaneous injection except for reslizumab which is IV
The nurse will limit the suction pass to this many seconds
What it up to 10 seconds
Chronic hyperinflation of lung tissue causes this change in patients with emphysema
What is a barrel chest
This is how to calculate pulse pressure
Subtract the systolic from the diastolic blood pressure. 40-60 mmHg is "normal" Less is narrowing and more is widening.
A fungal overgrowth can develop in the mouth with use of these medications
What are MDIs and nebulizers. Teach the patient to rinse their mouth with water after each use
Delivery of this drug can be measured in FiO2
What is Oxygen. FiO₂ is Fraction of Inspired Oxygen. Room air is 21%.
1 LPM: ~24% FiO2
2 LPM: ~28% FiO2
3 LPM: ~32% FiO2
4 LPM: ~36% FiO2
5 LPM: ~40% FiO2
6 LPM: ~44% FiO2
The head of the bed should be raised to this degree when suctioning a tracheostomy
What is 30-45 degrees
Teach your patients this breathing technique and position
What is pursed lip breathing and tripod position