Hallmark symptom of Respiratory Failure
What is dyspnea?
This term refers to the volume of air pushed into the lungs with each breath
What is tidal volume
Name two complications from ARDS?
What is barotrauma, renal failure, stress ulcers, & ventilator-associated pneumonia (VAP).
Trach tube with openings on outer cannula-allows air from the lungs to flow over the vocal cords for patient to speak/cough up secretions. Only for patients who can swallow without risk of aspiration.
What is a fenestrated trach tube?
This setting provides positive pressure at the end of expiration to prevent alveolar collapse.
What is PEEP?
Name the most common cause of ARDS
What is SEPSIS?
Necrosis of the posterior tracheal wall forming opening that allows air to escape into the stomach. The fistula allows air to escape into the stomach, causing distention.
What is a trachea-esophageal fistula?
A sudden, progressive form of acute respiratory failure in which the alveolar capillary membrane becomes damaged and more permeable to intravascular fluid, causing the alveoli to fill with fluid.
What is Acute respiratory distress syndrome (ARDS)
•Measurement of exhaled carbon dioxide (CO2) gas
What is end tidal CO2 monitoring or Capnography?
High-pressure alarms can be remembered with this pneumonic. Name two causes.
What is DOPES? Secretions, coughing, biting the tube, bronchospasm/wheezing, kinked tubing, pneumothorax, decreased lung compliance (ARDS) D: Displaced O: Obstruction P:Pneumothorax E: Equipment problem S: Stiff lungs (ARDS)
Name the type of ventilation used in ARDS
Lung protective, low tidal volumes, high PEEP
The primary problem is insufficient CO2 removal. It is commonly defined as a PaCO2 greater than 45 mm Hg in combination with acidemia (arterial pH less than 7.35).
What is hypercapnic respiratory failure, or ventilatory
This gold standard blood test reveals acute respiratory failure types
What is ABGs?
Low pressure alarms are associated with these two issues.
What is loss of connection and leaks? Two LL's.
Positioning strategy to improve oxygenation
What is prone
Differentiate: Patient post-op with dyspnea, SpO2 88% on RA, tachypnea 32, restless/anxious, able to speak full sentences, crackles. PaO2 55, PaCO2 35, pH 7.48. Type? Priority intervention?
What is hypoxemic ARF? Priority: Treat cause (e.g., pulmonary edema/PE), position (tripod), escalate to NIPPV/vent support
This test is utilized to confirm ET tube placement.
What is CXR?
This commonly used mode delivers a set tidal volume for every breath, whether triggered by the patient or the machine, making it ideal for patients with weak respiratory muscles.
What is Assist/Control (AC) Mode?
CXR will show this