The Basics
2 components of the lower respiratory tract
What is trachea, the bronchi and bronchioles, and the alveoli
Example of obstructive respiratory disease
What is COPD, bronchiectasis, asthma
Drug given first during RSI- dissociative or paralytic?
What is dissociative
What is the initial settings for a patient receiving BIPAP?
What is IPAP 10, EPAP 5
Nerve that controls the movement of the diaphragm?
What is the phrenic nerve
Number of total lobes in the lungs
What is 5 lobes
BIPAP stands for?
What is Bi level positive airway pressure
CICO kit used for?
What is difficult airway (cant intubate, cant oxygenate)
How can we see compensated respiratory acidosis on VBG?
What is PH within normal range- elevated bicarbonate (HcO3)/Pco2
Program these parameters into the Hamilton- IPAP 23 EPAP 9
What is Pressure support 14, PEEP 9
Spo2 parameters for COPD patient?
What is 88-92%
Normal tidal volume (VT) in ml/kg
What is 6-8ml/kg
3 things an intubated patient must have?
What is IDC, OGT/NGT, ongoing sedation
Ventilatory support an alert patient require post near drowning?
What is CPAP
Elevated pCo2 >65 in a haemorrhagic stroke can result in?
What is elevated ICP
Nursing ratio for an intubated patient
What is 1:1
3 contraindications for NIV
What is GCS <8, cardiac arrest, excessive respiratory secretions, unable to maintain own airway, facial burns/trauma, vomiting, GI bleed/obstruction, pneumthorax
How often should we repeat a VBG on a patient receiving NIV
What is 1 hour after commencement/1 hour post change in settings/after 4 hours or earlier in patients who aren't improving clinically.
Define atelectasis?
What is complete/partial collapse of lung or lobe of lung.
Protein rich compound found in the alveoli that directly affects lung compliance?
What is Surfactant
Common bronchodilator used in exacerbation of COPD
What is Salbutamol
Normal Co2 range
what is 35-45
Type 1 respiratory failure is characterized by?
What is Pa02 <60 & Spo2 <90%
Two types of the trauma associated with positive pressure ventilation
What is barrow trauma & volume trauma
Why is Rocuronium more frequently used in RSI compared to Suxamethonium?
What is Rocuronium has a longer half life, sux has no reversal agents, sux can increase serum K