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rrt review
pt evaluation
| Question | Answer |
|---|---|
| what are four life functions? | ventilation, oxygenation,circulation,perfusion |
| what is the most common problem when dealing with life function? | oxygenation |
| how do you find smoking history? | pack years= # of packs per day X # of years smoked |
| what is the normal urine output? | 40 ML / hr or about 1 Liter/ day |
| what is sensible water loss? | urine, vomiting |
| what is insensible water loss? | lungs and skin |
| if intake exceeds output this can cause what? | Weight gain, electrolyte imbalance , increased hemodynamic pressures, and decrease lung compliance |
| what can a decrease is cvp (<2 mm hg) indicate ? | hypovolemia |
| what can a increase in cvp (>6 mm hg) indicate? | hypervolemia |
| what is peripheral edema? | presence of excessive fluid in the tissue primarily in the ankles and arms |
| what causes peripheral edema? | CHF and Renal failure |
| what is ascities and what causes it? | accumulation of fluid in the abdomen generally caused by liver failure |
| what causes venous distention? | CHF, and obstructive lung disease |
| What can cause diaphoresis? | heart failure,fever,anxiety, TB |
| what are the normal muscles of ventilation? | diaphragm,external intercostals, |
| What are accessory muscles of ventilation? | intercostal, scalene,sternocleidomastoid, pectoralis , abdominal mucles,such as oblique |
| what is hypertophy and what disease dose this occur in? | increase in muscles size . which you would see in your COPD pts |
| signs of respiratory distress | retraction, accessory muscle use, nasal flaring grunting |
| normal heart rate | 60-100 |
| what is tachycardia and what dose it indicate? | >100 indicates hyoxemia, anxiety, stress |
| what is bradycardia and what dose it indicate? | <60 indicates heart failure, shock code emergency |
| what is paradoxical pulse/ pulsus paradoxus and what can it indicate? | pulse/ blood pressure vairies with respiration. may indicate severe air trapping such as in status asthmaticus or cardiac tamponade |
| what causes the trachea to be deviated toward the pathology? | pulmonary atelectasis, pulmonary fibrosis, pneumonectomy,or diaphragmatic paralysis |
| what cause the trachea to be deviated away from the pathology? | massive pleural effusion, tension pneumothorax, neck or thyroid tumors, or large mediastinal mass |
| what is the normal blood pressure? | 120/80 |
| what can cause hypertension? | cardiac stress such as hypoxemia |
| what can cause hypotenion? | poor perfusion such as in hypovolemia and CHF |
Created by:
michellegutierrez
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