Disorders
Treatments
Diagnostics
Mystery
ABG's
100
Constriction of the airways and difficulty or discomfort in breathing
Chronic Obstructive Pulmonary Disease (COPD)
100
Name the Oxygen delivery devices that you may see in the Progressive Care setting.
Nasal Cannula
Venti Mask
NRB
High flow
CPap/BiPap
100
What is the most common diagnostic used for issues/concerns surrounding the lungs
Chest X-Ray (CXR)
100
Name this item.
Nebulizer
100
PH= 7.55
pCO2= 27
HCO3= 23
Respiratory Alkalosis w/ no compensation
200
Acute infection of the lung parenchyma, including alveolar spaces and interstitial tissue
Pneumonia
200
Name a common medication used to help open the airways.
Bronchodilators
200
What information does an Arterial Blood Gas (ABG) give?
PH, PaCO2, HCO3, PaO2, SaO2
BONUS: Lactate
200
What is this device and what is it used for?
BONUS: Should the patient inhale or exhale in the device?
Incentive Spirometer
It measures the volume of your breath. It can help the lungs heal after surgery or in cases of lung disease and conditions that fill the lungs with fluid.
INHALE- spirometer works when you inhale because of the resistance it places on your breath. Exhaling into the spirometer will not help your lungs.
200
PH= 7.24
pCO2= 32
HCO3= 13
Metabolic Acidosis w/ no compensation
300
Uncontrolled airway inflammation/narrowing
Asthma (w/ ARF)
300
Interventions that can be done to help improve secretion removal
–Hydration
–Early mobility
–Coughing
–Humidified aerosolization
300
Test done to identify severity of pulmonary impairment...
Pulmonary Function Test (PFT)
300
What are these used for?
Different FiO2 for Venti Masks
300
PH= 7.7.30
pCO2= 50
HCO3= 24
Respiratory Acidosis w/ no compensation
400
Non-cardiac pulmonary edema caused by ↑ alveolar capillary permeability
Acute Respiratory Distress Syndrome (ARDS)
400
Along with management of secretions, what other method of treatment would we expect with a patient with Pneumonia?
Antibiotic Therapy
400
What testing method, besidees a CXR and ABGs, would you expect to see ordered when ruling out a PE?
CT Chest w/ PE Protocol
400
How many liters of O2 is required fro each oxygen device?
NC
Venti
NRB
NC- up to 6L
Venti- up to 15L (depending on the desired FiO2/valve being used)
NRB12-15L (crank it all the way up)
High flow (flowmeeter goes up to 75L.. titrated by RT)
CPap/BiPap- patient dependant
400
PH= 7.62
pCO2= 44
HCO3= 45
Metabolic Alkalosis w/ no compensation
500
Obstruction of blood flow to one or more arteries of the lung by a thrombus lodged in a pulmonary vessel.
Pulmonary Embolism
500
Name 2 different treatments for Pulmonary Embolism after an official diagnosis has been made.
Thrombolytics (Heparin)
Surgery (Thrombectomy)
500
Pneumonia
500
Name this item?
Oropharyngeal Airway
500
PH= 7.45
pCO2= 47
HCO3= 29
Metabolic Alkalosis w/ FULL compensation
600
•Over 130 lung conditions
•Characterized by fibrosis +/or inflammation
•Lung tissue (interstitium) damage leads to inflammation
•Fibrosis and scarring
Interstitial Lung Disease (ILD)
600
Progressive Care is able to take patients up to what FiO2% on High Flow?
60% (increases above 60% for ambulation, turns, ect. is okay)
600
COPD
600
Demonstrate the proper way to put together a Venti Mask.
600
PH= 7.20
pCO2= 68
HCO3= 36
Respiratory Acidosis w/ PARTIAL compensation
700
–PaO2 less than 60 mm Hg
AND
–PaCO2 greater than 50 mm Hg
WITH
–pH less than or equal to 7.30
Pulmonary system is no longer able to meet metabolic demands
Acute Respiratory Failure (ARF)
700
Your patient's respirations are dropping and they are becoming less responsive. What action should you take?
Call 5-5555 and ask for an Adult STAT Airway
BMV or NRB (COVID times)
700
Pulmonary Embolism
700
Name this item...
Hepa Filter
700
PH= 7.52
pCO2= 30
HCO3= 32
Mixed Alkalosis w/ no compensation