Ventilator
These physical exam findings support correct ET tube placement.
What are bilateral breath sounds and equal chest rise
What is the preferred DI study for a pregnant woman with shortness of breath?
VQ scan
What type of cannula would you use for a patient who required 8L O2 per minute?
Salter cannula
What is a common indication for chest tube placement?
Hemothorax
Tension pneumothorax
Name 3 medications you would expect to administer to an asthmatic patient
Bronchodilator
PO/IV/inhaled steroids
Magnesium sulfate
This assessment helps identify a right main stem intubation
What is diminished or absent breath sounds on the left side
What ETCO2 and SpO2 would you expect to see in a patient with COPD?
ETCO2: >45mmHg
SpO2: <92%
What type of mask allows for precise controlled oxygen concentrations?
Venturi mask
Different than a NRB because it does not have the oxygen reservoir.
What is the procedure called when the fluid is drained from the pleural cavity?
Thoracentesis
Name 3 titratable drips that can be used for sedation while on the ventilator.
Propofol
Fentanyl
Versed
Precedex
Ketamine
These nursing interventions reduce ventilator-associated pneumonia risk.
What is oral care with chlorhexidine, head-of-bed elevation, and PPI?
Name 3 signs and symptoms of respiratory distress
allergies or anaphy
chronic lung conditions
autoimmune
enviorn exporsures
drugs: prescription OTC or illicit
trauma
What is the difference between BiPAP and CPAP?
BiPAP: Bilevel Positive Airway Pressure
Different pressure levels for the inhale and exhale
CPAP: Continuous Positive Airway Pressure
Same pressure level for inhale and exhale
What does bubbling in the water seal chamber indicate?
Indicates there is a leak in the chest tube system
Name 1 paralytic agent and 1 sedative agent for RSI in the correct order you would administer them.
Roc
Vec
Succ
Etomidate
Propfol
Versed
Ketamine
If a ventilated patient suddenly deteriorates, this action may be lifesaving.
What is disconnecting the ventilator and manually bagging the patient.
What are 3 signs and symptoms of respiratory distress?
Grunting
tachypnea
cyanosis
nasal flaring
use of accessory muscles
retractions
wheezing
CXR
End tidal color changer - after 5-6 breaths
Auscultation - over epigastrium and the lungs
Name 3 indications for a cricothorotomy?
Burns/Inhalation
Obstruction from a foreign object
Edema of the oropharynx
Unrelenting spasm of the jaw/clenched teeth
What 2 medications are commonly utilized in conjunction with BiPAP for flash pulmonary edema?
Nitroglycerin
Lasix
Bumex
These patient-related causes can trigger a high peak pressure alarm.
What are coughing, biting the tube, bronchospasm, or decreased lunch compliance.
Interpret the following arterial blood gas:
PH: 7.28
PACO2: 58mmHg
HCO3: 26mEq/L
PaO2: 60mmHg
O2 saturation: 88% on 4L
What is uncompensated respiratory acidosis?
Name 2 contraindications for usine a nasopharyngeal airway (NPA).
Facial trauma
Gag reflex
Conscious patients
What is the location for a needle decompression/thoracostomy?
4th intercostal space midaxillary line
This IV sedative is commonly used for mechanically ventilated patients because it provides sedation without significant respiratory depression, but can cause bradycardia and hypotension.
What is dexmedetomidine (Precedex)?