VENTS
BUNDLES
ARDS
TRAUMA
DISASTER
100
In Volume Control mode, this setting dictates the amount of air delivered per breath, typically calculated safely at 6 to 10 mL/kg of ideal body weight
What is Tidal Volume?
100
Elevating the head of the bed to strictly greater than 30 degrees is a key component of this specific bundle aimed at preventing pneumonia
What is the Ventilator Bundle?
100
This is the classic, hazy appearance seen on a chest x-ray of a patient diagnosed with ARDS
What are ground glass opacities?
100
Under the START triage algorithm, a patient who is not breathing—even after you reposition their airway—is assigned this color tag
What is Black (Expectant/Deceased)?
100
During an active shooter event within a hospital, health care workers must prioritize their own safety first by following this three-word survival protocol
What is Run, Hide, Fight?
200
A low-pressure/low-volume alarm on the ventilator is most commonly caused by an accidental extubation or this specific issue with the tubing
What is a disconnection (or leak in the cuff)?
200
In the ABCDEF bundle, the "D" stands for the assessment, prevention, and management of this acute confusional state, often managed by implementing day/night cycles
What is Delirium?
200
This positional intervention involves flipping a severe ARDS patient onto their belly for up to 24 hours to improve their ventilation-perfusion (V/Q) ratio by utilizing the dorsal lung area
What is the prone position (or proning)?
200
Acidosis, coagulopathy, and hypothermia combine to create this deadly physiological cascade in trauma patients
What is the Trauma Triad of Death?
200
Nurses are primary educators for this national campaign, which teaches the public how to pack wounds and use tourniquets to manage life-threatening hemorrhage
What is "Stop the Bleed"?
300
This real-time feedback number tells you the maximum amount of pressure in the lungs at the top of inspiration; keeping it under 35 cm H2O helps prevent lung damage
What is PIP (Peak Inspiratory Pressure)?
300
The Vent Bundle mandates this specific hygiene practice at a minimum of every 4 hours using chlorhexidine to reduce bacterial growth and swamp creatures in the throat
What is strict oral care (or toothbrushing)?
300
ARDS patients exhibit this frustrating symptom, where their PaO2 remains critically low even as you crank the ventilator's FiO2 higher and higher
What is refractory hypoxemia?
300
The "third peak" of trauma deaths happens days to weeks after the initial injury and is driven by hospital-acquired complications like ARDS, blood clots, and this life-threatening systemic infection
What is sepsis?
300
A disaster timeline is categorized into four phases: Mitigation, Preparedness, Response, and this final phase, which focuses on debriefing and psychosocial support
What is Recovery?
400
Pushing forced volumes of air into stiff, non-compliant lungs can overstretch the functioning alveoli, causing this specific type of ventilator-induced lung injury
What is volutrauma?
400
The ABCDEF bundle is specifically designed to prevent this long-term condition, characterized by cognitive, physical, and mental health impairments (like anxiety or memory loss) long after an ICU stay
What is PICS (Post-Intensive Care Syndrome)?
400
In the pathophysiology of ARDS, the loss of this soapy-like substance causes the alveoli to lose their surface tension, collapse, and shrivel up
What is surfactant?
400
This painful condition occurs when two or more adjacent ribs are fractured in two or more places, creating a free-floating segment of the chest wall that moves paradoxically during breathing
What is a flail chest?
400
In a mass casualty incident, the START triage method rapidly evaluates patients based on three primary parameters: Respirations, Perfusion, and this final neurologic indicator
What is Mental Status?
500
When preparing to wean a patient from the vent, the respiratory therapist and nurse will initiate this daily trial, allowing the patient to practice breathing with minimal support to assess their readiness to extubate
What is an SBT (Spontaneous Breathing Trial)?
500
To decrease gastric acidity and reduce the risk of aspiration, this specific component of the vent bundle (abbreviated PUP) is implemented using medications like Pepcid or Protonix
What is Peptic Ulcer Prevention (or Prophylaxis)?
500
An ARDS patient with a PaO2 of 85 and an FiO2 of 50% (0.50) has a P/F ratio of 170, placing them in this specific severity classification
What is Moderate ARDS?
500
Beck’s Triad—consisting of muffled heart sounds, hypotension, and jugular venous distention—is the hallmark sign of this life-threatening cardiac injury
What is Cardiac Tamponade?
500
To correctly preserve forensic evidence on a gunshot victim, nurses should place the patient's clothing and hands in paper bags and absolutely avoid cutting through these specific markings
What are bullet holes?
