ER CARE
In an adult male patient what is the average distance of a properly positioned Oral ETT to incisors?
What is 21-23cm
What is anaphylactic shock and how you would typically treat it?
What is an allergic reaction?
What is Epinephrine?
Insufficient vascular blood volume due to
bigger vessels results in what kind of shock?
Distributive
_____ cause smooth muscle relaxation by inhibiting phosphodiasterase, leading to an increase cAMP; causing ______ of smooth muscle.
What is
- Xanthines
- Relaxation
We tell patients to breath ______ and _______ to help the bronchoscope pass through the larynx
What is deeply and slowly?
If a patient has been intubated with a tube that is too small, what might you see in their cuff pressure?
What is a high cuff pressure with MOV?
The best way to treat hypovolemic shock is through....
What is increasing blood volume/fluid resuscitation?
A patient that is having an overwhelming infection, may have what kind of shock? What is one example of how treat that type of shock?
What is
- Septic Shock
Septic Shock can be treated by
- Restore volume
- O2
- Control infection (antibiotics)
- Decrease further infection (exposure)
Give an example of a sympathomimetic bronchodilator?
What is...
- Albuterol
- Metaproterenol
- Levalbuterol
- Salmeterol
- Formoterol
Which portion of the airway are bronchial washings obtained?
What are the large airways?
What are 2 ways in which you can start working towards "weaning" a patient off of a tracheostomy tube?
What is...
- Using progressively smaller tracheostomy tubes
- Using fenestrated tracheostomy tubes
- Using a tracheostomy button
What are the four main types of shock?
What is ..
Hypovolemic
Cardiogenic
Obstructive
Distributive
What is the first priority in a patient who is experiencing a drug overdose?
what is placing an artificial airway?
Theophylline is classified as....
What is a xanthine?
What are the 3 divisions of imaging used during a flexible bronchoscopy?
- fiberoptic
- video
- hybrid
While checking a crash cart for intubation equipment, you find the following: suction equipment, oxygen apparatus, two laryngoscopes and assorted blades, five different sized tubes, Magill forceps, tape, lubricating gel, and local anesthetic. What 3 items are you missing?
What is a
- Syringe
- Resuscitator Bag and Mask
- Stylet
Cardiogenic shock has similar signs/symptoms that hypovolemic shock does. What is a sign that cardiogenic shock has that hypovolemic shock does not?
What is
- Distended Jugular Veins/No pulse
What is stroke identification?
- F: Face - is there facial droop?
- A: Arms- is one arm weak/numb?
- S: Speech- is speech slurred?
- T: Time- If the person shows any of these symptoms call 911/ get to the hospital immediately
NMBA stands for ____, we use this during intubation to _____
What is a
- Neuromuscular blocking agent
- paralyze
What portion of the airway are bronchial lavages obtained?
What is the nondependent part of the lung?
A tracheostomy tube patient receives positive-pressure ventilation through a volume ventilator. Over the past 5 min, the peak inspiratory pressure has risen, and the pressure limit alarm is now sounding. On quick examination, you notice a generalized decrease in breathing sounds. What has most likely happened?
What is a partial obstruction of the tracheostomy tube
What is shock position, why do we put patients in shock position when they are in hypovolemic shock?
What is ...
- Lying flat with legs elevated
- To increase bloodflow to the vital organs
When a patient is experiencing a stroke do we want avoid an increased/decreased ICP? What can we do on the ventilator to help?
What is...
- an increased ICP
- Avoid high levels of PEEP
The _____ Scale, helps us get an assessment of sedation. If a patient is scored with a VI what would they look like clinically?
What is
- Ramsay Scale
- The patient would be asleep without response to stimulation
The following are indications for what kind of bronchoscopy?
- Large foreign body extraction
- Large volume tissuue biopsies
- Silicone/self expandable stent placement
Rigid bronchoscopy