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SOPN Handouts Test 7

QuestionAnswer
Accessory Muscles of Ventilation External? Inspiration
Accessory Muscles of Ventilation Internal? Expiration
Lobes Right Three
Lobes Left Two
Nasal Cannula Low 02 delivery upto 6L/min, advantage pt can move, eat, and talk with out disrupting 02 delivery.
Simple Mask Low to medium delivery must use liter flow greater than 5L/min Must remove to eat, drink or meds.
Non-rebreathing Mask Highest Concentration, Useful in emergency situations. Not for long term use.
Primary purpose of chest tube and underwater seal drainage is? To re-establish Negative Pressure.
Hemothorax Tube Insertion for: Blood in pleural space, trauma to chest wall, lung tissue or mediastinum
Pneumothorax Tube Insertion for: Air in the pleural space
Spontananeous Pneumothorax Tube insertion for: Air in pleural space without apparent cause for chronic lung disorders such as emphysema.
Tension Pneumothorax Tube Insertion for: Air enters plueral space with each inspirateon becomes trapped causing pressure build up as it accomulates.
Major sign of Tension Pnuemothorax Shirt of mediastinum to unaffected side
Mediastinal Shift Tube Insertion for: Deviation of larynx and trachea from midline to unaffected side Major med emergency
Hemopneumothorax Tube Insertion for: Air & blood in plural space, with possible clotting
Never raise chest drainage device above what? Patients chest level.
Pnuemothorax surger for? To remove air or fluid from plueral cavity, re-expand lung, maintin or restore negative pressure in the lung.
Why is incision sealed with vaseline gauze? To prevent pneumothorax
Slower the rate of respiratory from? Narcotic analgesics, anethetics, brainstem injury, pain
Factors influencing increased respiratory rate? Abnormal blood cell function such as sickle cell, high altitudes, anxiety,
Negative pressure ventilators: Drinker respirator tank (iron lung), no intubation required, reliable but cumbersome
Positive Pressure Ventilator, Pressure-cycled Inspiration is terminated when a PREDETERMINE PRESSURE is reached, used short term such as in the PACU.
Positive Pressure Ventilator, Volume-cycled Inspiration terminated when a preset VOLUME is acheived
Biots (ataxic) Respirations Irregular breathing with variations in rate, rhythm and depth
Funnel Chest Depression of the sternum starting at the se cond intercostal space and most marked at the xiphoid process, exaggerated on inspiration.
Pigeon Breast Protrusion of the sternum with depressions at the costochondral juntions and backward sloping of the ribs
Barrel Chest Anteroposterior diameter enlarged to equal the transverse diameter, ribs are horizontal rather than downward sloped.
Kyphosis Exaggerated posterior curvature to the thoracic spine.
Scoliosis Lateral S-shaped cuvature of the thoraic and lumbar spine
Respiratory Alkalosis Ph: up PC02: down Bicarb: normal until compensation. Kidneys will drecrease NaHCO3. This cannot be done quickly.
Respiratory Acidosis Ph: down PC02: Up Bicarb: Normal until compensation: Kidney will incrase NaHC03. This cannot be done quickly
Metabolic Alkalosis Ph: Up PCO2 Increase, Normal until compensation Bicarb: Up, Lungs will try to increase C02. This can be done quickly.
Metabolic Acidosis Ph: Down PC02: Down, normal until compensation, BiCarb: down, Lungs will try to decrease C02. This can be done quickly
Metabolic Alkalosis from: Excessive vomiting, prolonged gastrick suctioning, hypokalemia or hypercalcemia, excess aldosterone
Metabolic Acidosis from: Staration, Diabetic Ketoacidois, renal failure, lactic acidois from heavy exercise, asprin
Respiratory Alkalosis from: Hyperventilation, asthma, pneumonia, inappropriate mechanical ventilator settings
Respiratory Acidosis from Respiratory failure, cystic fibrosis, pneumonia, airway obstruction
What is my favorite color Red
Created by: keldog09
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