Indications
These are the indications for what type of therapy?
Acute MI
Increased cardiac workload (tachycardia)
Documented Hypoxemia (PaO2<60mmHg, SaO2 <90%)
Suspected Hypoxemia (Increase WOB)
What is Oxygen administration therapy?
What is the purpose of an ABG (3 words on your study guide)?
What is Monitoring and Analysis?
Which device is good for COPD pts that need an exact FiO2?
What is the AEN/Venturi Mask?
What is the FiO2 and LPM for a nasal cannula?
What is
FiO2- 22-44%
LPM- 1/4-6LPM?
By what percent does the FiO2 % increase with each liter? 1LPM, 2-6LPM?
What is
1 LPM increases by 3% to 24% Fio2
2-6LPM increases by 4% each LPM
What therapy is indicated for:
Presence of Upper Airway Edema
Post Extubation Edema
Presence of bypassed upper airway (trach)
Subglottic Edema
Sputum induction
What is Bland Aerosol therapy (Jet Neb)?
What are 3 ABG indications?
What is
1. Evaluate ventilation (PaCO2), Oxygenation (PaO2/SaO2), and Acid Base status (pH)
2. Assess pts response to therapy
3. Monitor severity/progression of disease?
What device allows the patient to rebreathe 1/3 of their exhaled tidal volume?
What is a partial rebreathing mask?
What is the FiO2 and LPM of a partial rebreathing mask?
What is
FiO2- 40-70%
LPM- Min of 10 max 15, need to keep the bag inflated
What is the equation for Minute Ventilation?
What is VE= VT x RR
What therapy is indicated for:
Reverse or control or control bronchospasm
patient with increased WOB
To deliver medications
Aerosol therapy- SVN, MDI, DPI
What are 3 Hazards/ Complications with ABG's?
What is
Pain
Hematoma
Arterial Spasms
Trauma
Hemorrhage
Vaso Vagal (drop in CO and BP)
What is a good mask for a patient what does not need a lot of FiO2 but sleeps with their mouth open/ are mouth breathers?
What is a simple mask?
What is the FiO2 and LPM of the Simple Mask?
What is
FiO2- 35-50%
LPM- 5-10LPM
min of 5LPM to stop Co2 build up.
What is the equation for PIF?
What is PIF= VE x 3?
What therapy is indicated for:
Presence of conditions predisposing to atelectasis (abdominal surgery, pts with COPD)
Presence of atelectasis
Presence of restrictive lung disease (quadriplegics, diaphragm dysfunction)
What is Incentive Spirometry?
What would we do if the patient is on a medium to high dose of anticoagulants?
What is confirm with the doctor, document MD's answer?
What mask do we use in case of trauma/emergencies/CO poisoning?
What is a non-rebreathing mask
What is the FiO2 and LPM of the non-rebreathing mask?
What is
FiO2-60-80%
LPM: min of 10, enough to ensure the bag does not collapse.
What are the pin index for oxygen and air?
What is
O2= 2&5
Air= 1&5
What therapy is indicated:
Facilitates opening of the airways in patients with COPD and CF
Removal of retained secretions (secondary)
Medication Delivery
What is hyperinflation therapy EZPAP and TheraPEP?
If there is a large air bubble in the ABG sample what would happen to the CO2, Ph, PaO2?
What is
CO2 decrease
Ph increase
PaO2 increase towards 150 mmHg
What is
FiO2 increase
Flow decrease?
What is the FiO2 and LPM of the AEN/Venti Mask?
What is
FiO2 range- 24-50%
LPM- variable (depends on selected FiO2 jet)?
If the patient is unable to reach goals with IS what do we switch to?
What is EZPAP therapy?