MS3 Respiratory

Vents

100

I am the volume of air delivered into the lung with every breath.  

Tidal volume

200

I am a type of non-invasive PEEP setting used on pts who have spontaneous breathing

CPAP

300

I am the one of the best vent modes for weaning

What is SIMV mode

Synchronized intermittent mandatory ventilation

400

I deliver a preset amount of pressure/air

- if pt triggers a breath but cannot complete it- I will help complete the breath

Assist Control ventilation

500

I use a preset pressure to enhance pt’s own inspiratory effort - decreases pt’s work of breathing

Pressure support Ventilation

Meds

100

What are side effects of most opioid pain meds/sedatives

respiratory depression, hypoxia, constipation

200

I am a benzodiazepine and can promote amnesia

Versed (midazolam)

300

I am an IV pain med that is used for pain control in intubated patients

Opioids- Fentanyl, Dilaudid, Morphine

400

I am a paralytic--Usually used at the time of intubation 

succinylcholine

500

I am a sedative

I look like milk

 

What is propofol

Oxygen devices

100

Which device delivers the most specific amount of oxygen?

Venturi mask

200

A patient is admitted pH 7.2, Co2=80. What is the most appropriate O2 device to use?

BiPAP

300

A patient is in respiratory distress and sat is 78%. What is the most appropriate O2 device to use?

Non-rebreather mask

400

A patient is on 2L via simple face mask. What are they at risk for?

Hypercarbia

500

A patient has a trach with PMV on, and you see the cuff is up. What is the priority nursing action?

TAKE THE PMV OFF

Complications

100

What is a complication of mechanical ventilation?

Infection, barotrauma, oxygen toxicity, volutrauma, hypotension, VAP

200

A patient is on a ventilator and you hear their voice. What is this and what do you do?

Air leak- needs cuff adjusted

300

When you suction your patient their HR drops to 40. What do you do?

Need to pre-oxygenate- suction 10 seconds max

400

A patient has a laryngectomy and starts to experience respiratory distress. What do you do?

Bag through the stoma

CANNOT through the mouth

500

The ventilator says tidal volume is 0. what do you do?

Ambu bag the patient

Miscellaneous

100

I am a major complication of intubation

Aspiration

200

I am a reason for a high pressure alarm

secretions/biting the ETT/pneumo/coughing

300

I am a reason for a low pressure alarm

Air leak, ETT displacement (balloon issue)

-device malfunction

400

What is the priority when you patient is first intubated?

Listen to lung sounds

500

What are the priorities when you suspect your patient has a PE?

Heparin drip, oxygen, VQ scan