Tube talk
This condition occurs there is a partial to complete collapse of the lung due to the accumulation of blood in the pleural space, and often requires a chest tube.
What is Hemothorax?
This chronic respiratory condition, along with age-related decreases in lung elasticity and thickened alveoli, increases an older adult’s risk for pneumothorax or hemothorax.
What is chronic obstructive pulmonary disease (COPD)?
This type of ARF results from a mechanical issue with the lungs, chest wall, or diaphragm
What is ventilatory failure?
Respiratory Rate and Tidal volume
What is Ventilation?
The exchange of CO2.
The most common cause of a pulmonary embolism
What is a DVT?
A deep vein thrombosis (DVT) forms in a deep vein of the leg. A piece of the clot can break off and travel through the venous system to the right side of the heart, where it is pumped into the lungs and becomes a pulmonary embolism, causing impaired oxygenation and circulation.
Gentle, intermittent movement of fluid in the water-seal chamber within the chest tube system that occurs with respirations.
What is tidaling?
This abnormal breathing pattern, where the injured chest segment moves inward during inspiration and outward during expiration, is a classic sign of flail chest.
What is paradoxical chest wall movement?
In ARDS, a loss of this substance weakens the alveoli making them collapse
What is surfactant?
A nurse is assigned to Will who is 54kg who is on SIMV and begins assessing him. The nurse sees that he is not using his accessory muscles; his tidal volume is within the adult target range. Will presents calm and comfortable, with a respiratory rate of 16 bpm, stable vital signs, and bilateral clear breath sounds.
A. Leave Will on SIMV.
B. Place him on Pressure Support
C. Place him on Pressure Control
D. Extubate Will
Correct answer: B
Pressure Support will ease Will in allowing his lungs to regain the strength while still being provided with PEEP & FiO2.
INCORRECT:
A. Potentially it causes Will to feel fatigue ad tired due to the amount of spontaneous breaths and then mandatory breaths.
C. Is providing full support to each breath making the tidal volume variable.
D. Will can crash out! You'll to call for Respiratory Response.
Increasing intake of green leafy vegetables increases the levels of ______which reduces the effectiveness of ________
1. Vitamin K 2. Warfarin
Vitamin K is the antidote for warfarin increasing the dietary intake of foods high in vitamin K will reduce warfarin’s anticoagulant effect. Vitamin K allows the liver to produce more clotting factors, counteracting the action of warfarin.
These are the signs of tension pneumothorax
What is tracheal deviation, absent breath sounds on one side, distended neck veins, respiratory distress, asymmetry of chest, and cyanosis.
These anxiety meds used for pneumothorax or hemothorax can cause drowsiness, amnesia, hypotension, respiratory depression and possible paradoxical reactions such as euphoria or rage.
What are benzodiazepines (such as lorazepam or midazolam)?
This medication is given to facilitate ventilation in patients with ARDS
What is vecuronium?
Scenario:
Max is in the hospital with low urine output of 15mL/hr, chest and neck are swollen, creating a swollen neck and veins, peripheral pulses are diminished, and to the touch, she feels cold.
A Lab finding of: Increased Lactate
Question:
Who am I?
What is a hemodynamic compromise?
Too MUCH positive pressure ventilation into the lungs increases intrathoracic pressure, compromising your VENA CAVA, reducing cardiac output and stroke volume, and causing damage to the rest of your organs due to poor perfusion.
A patient develops signs of tachycardia, hypotension, diaphoresis, and petechiae. All these signs point to this medical emergency.
What is a pulmonary embolism?