click below
click below
Normal Size Small Size show me how
Oxygenation
Module K 102- Briscoe Maintaining Oxygenation- Calhoun
| Question | Answer |
|---|---|
| This is a process of moving gases into & out of the lungs... | Ventilation |
| Active process stimulated by chemical receptors in the aorta... | Breathing in |
| Passive process .. | Breathing out |
| CV system pumping oxygenated blood to the tissues... | Perfusion |
| Process for exchange of respiratory gases in the alveoli & the capillaries of the body tissue.. | Diffusion |
| Hypoxia | An oxygen deficiency in the body tissues, a decreased concentration of oxygen in the inspired air or oxygen utilization at the cellular level. |
| Early signs affecting oxygenation: | Confusion, Increased Pulse rate, Respiratory rate, & Depth of Respiration. |
| Later signs affecting oxygenation: | Cyanosis, Fatique, Gasping, & Anxiety |
| 6 Causes of Hypoxia : | 1.A decreased hemoglobin level/oxygen-carrying capacity of the blood 2.Decreased inspired oxygen(high altitudes)3. Inability of the tissues to extract oxygen from the blood(cyanide poisoning)4. Decreased diffusion of oxygen from the alveoli to the blood(p |
| Altered Cardiac Output: | Insufficient volume of blood is ejected into the systemic & pulmonary circulation. |
| Disturbances in conduction of the SA node cause... | dysrhythmias |
| This causes shallower breathing... | Pain |
| Mucous membrane appears to have bluish tint... | Central Cyanosis |
| Palpate feet & extremities to identify.... | Edema rated 1-4, & arterial blood flow |
| Kussmaul's Resp: | Abnormally deep, regular & increased rate. |
| Biot's Resp: | Abnormally shallow for 2-3 breaths followed by period of apnea. (death really close) |
| Pressure difference between the mouth & the alveoli in relation to rate of flow of inspried gas. | Airway Resistance |
| Spriometry: | Measures the volume of air entering or leaving the lungs.(used postop) |
| This is the amount of air exhaled in a normal breath.... | Tidal Volume |
| You see this in the digits.. | Peripheral Cyanosis |
| This test determinds the lungs ability to efficiently exchange 02 & Co2... | Pulmonary Function Test (PTF) |
| This test reflexs the changes in large airway sizes (asthma)... | Peak Expiratory Flow Rate (PEFR) |
| This is a visual examination of the treacheobronchial tree through a narrow flexible fiberoptic bronchoscope...(Obtains:fluid, biopsy ect) | Bronchoscopy |
| Rotate this per 2 hrs or stick on per 4 hrs... | Pulse Oximetry |
| 95%-99% | Pulse Oximetry (oxygen saturation) |
| If alarm sounds check patient then... | Transducer/electrode is properly attached on Pulse oximetry |
| This promotes deep breathing & prevents or treats atelectasis in the post-op patient.... | Spirometry |
| Flu shots | 6 months & up |
| Dyspnea | Difficultly breathing |
| Airway management ensures... | it is opened even if tracheal tube is needed |
| Best position for patients having difficulty breathing... | Fowlers |
| This adds moisture & medications to inspired air by mixing particles of varying sizes with the air... | Nebulization |
| This includes postural drainage & chest percussion & vibration.... | Chest physiotherapy |
| Room air has what % of Oxygen? | 21% 02 |
| 02 is consider a medication & must have a doctors.... | order |
| Oxygen is.. | physically addicting, drying to the mucous membranes, may cause corneal abrasions or even blindness. |
| 02 is consider a medication & must have a doctors.... | order |
| Oxygen is.. | physically addicting, drying to the mucous membranes, may cause corneal abrasions or even blindness. |
| 24%-44% of concentrated oxygen delivered at 1-6 Liters per minute... | Nasal Cannula or Prongs |
| 40%-60% of concentrated oxygen delivered at 5-8 liters per minute... | Simple face mask |
| 60%-95% concentrated oxygen at 6-10 liters per minute (has the bag) | Reservoir mask |
| 24%-60% concentrated oxygen delivered at 4-12 liters per minute (different colors mean different things- they tell what to set the flow rate at)... | Venturi Mask |
| Compressed gas cylinders are... | intermittent |
| Liquid Oxygen systems are... | High volume |
| Oxygen Concentrators are... | Cost effective, low flow |
| Oxygen Administration check for... | Orders before set up (if you notice problems, call to get order), Assess respiratory status & response to 02, Document at least q 8 hrs & check the flow rate, 02 must accompany transport, Check for skin breakdown(ears, face, neck) |
| This is one of the best things for airway clearance is to remind patient to... | Take deep breaths & cough |
| Gurgles, crackles, signs of distress, dyspnea, clogged air ways, sputum color, amount, characteristics... | Assessment of airway |
| These two types of suctioning are used when the client can cough effectively but is not able to clear secretions... | Oropharyngeal & nasopharyngeal Suctioning |
| This is the preferred route for obtaining a sputum speciment when the client can not cough to produce sputum... | Nasopharyngeal Suctioning |
| This is used when the client is unable to manage secretions/can not cough... | Orotracheal & Nasotracheal Suctioning |
| Used with an artificial airway... | Tracheal |
| May be done without order only if patient is really in need of it (get order after)... | Oropharyngeal Suctioning |
| This type should be ready for any patients that are... unconscious, have difficulty swallowing, coughing or clearing the airway... | Oropharyngeal Suctioning |
| Oropharyngeal Suctioning Steps: | Wash hands, gloves, mask, insert cath, move around, rinse cath |
| Nasopharyngeal Suctioning: | 1st measure (mouth to ear), Assess for S/S of upper or lower airway obstruction/hypoxia, Explain the procedure, Gather equipment, Personal protective equipment, Position semi-fowlers, apply pulse oximeter, place towel on chest, hand hygiene, set up vacuum |
| Check your ABC's with this suctioning... | Nasotracheal Suctioning |
| ABC's stand for... | Airway, Breathing, Circulation |