Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Patient A- Kettering
Patient Assesment Kettering Practice
| Question | Answer |
|---|---|
| Nasopharyngeal Airway is used for? | Conscious patients with an ineffective cough |
| Capnography decreases due to... | Hypoventilation, Pul. Embolism, Hypovolemia |
| Capnography would not change with.... | a right mainstem |
| Balloon Tipped, Deflated at Pul Artery Proximal Lumen means | Anything that is affected behind, CVP |
| Balloon Tipped, Deflated at Pul. Artery Distal Lumen means | Anything that is affected on the site, Pul. Artery |
| Balloon Tipped, Inflated that is wedged | PCWP |
| CVP | Normal: 2-10 R.V Failure, Cor pulmonale |
| PAP | Normal: 25 Pulmonary, Pul. Embolism |
| PCWP | Normal: 4-12 L.V failure, CHF |
| Mallampati Score I | Visualize 4 things Soft Plate, Uvula, Fauces, Pillars |
| Mallampati Score II | Visualize 3 things Soft Plate, Uvula, Fauces, |
| Mallampati Score III | Visualize 2 things Soft plate, Base of uvula visible |
| Mallampati Score IV | Visualize 1 things ONLY HARD PLATE |
| What do you use to monitor Cardiopulmonary status of premature neonate | Noninvasive; TcPCO2 & TcPO2 |
| Unilateral Wheeze | Foreign Body aspiration |
| Bilateral Wheeze | Asthma |
| What is a indication of a Pneumothorax | Tracheal Shift Absent Breath Sounds Resp Distress |
| Dull breath sounds indicates | Fluid |
| Atrial Flutter | looks like a SAW |
| Multivocal PVCs | Give 100% Oxygen |
| Atropine | Bradycardia |
| Epinephrine | Emergency Pulseless tachycardia patients that aren't responding to cardioversion |
| Lidococine | 2nd step to treat PVCs Prevents Bronchospasm, Cough |
| Tachycardia | Recommend Oxygen therapy |
| Bradycardia | Recommend Atropine |
| Potassium(K) | Normal Range: 3.4-4.5 Low: Indicates Metabolic Alkalosis with Bicarb being elevated |
| Sodium (Na) | 135-145 |
| Chloride (CI) | 90-100 |
| Increased fluid intake would affect what? | Potassium (K) Because its diluting K |
| Polycythemic means... | Elavated RBC |
| Hb | Normal Range: 12-16 Low: Anemia |
| Hypernatremia means... | Elevated Sodium (Na) |
| Hypokalemia means... | Low Potassium (K) |
| what is the normal Range for MPAP? | 9-18 Hint/Tip: in the TEENS |
| Cardiomegaly (A-P Chest X-ray) | Enlarged Heart Size Due to fluid build up, "Pericardial effusion" |
| Cardiogenic Shock | Heart failure to pump blood, Decrease in BP |
| M.I | Blockage in cardio arteries so blood stops pumping to that area and that portion of the heart dies |
| Pulmonary Embolism | Blood clot that gets lodge in the lungs and gets back up in blood |
| Increased PAP means | Pul HTN Solution: Oxygen to Vasodilate |
| Patient with Frothy Secretions, Moist crackles, Tachypnea, Marked Dyspnea and with a history of heart Disease | Give 100% Oxygen First due to "Marked Dyspnea" despite secretions |
| Fine Crepitant Crackles | Fluid in the alveoli (Pul. Edema) caused by the heart due to CHF |
| Pt with Cardiopulmonary arrest and CPR is initiated, What to do expect on the ETCO2? | Initially Low, then is Rises (CO is Rising) |
| If the Transducer is placed low on the patient. how would that affect your reading? | It would read high BP Vice-versa If placed High it would read Low BP |
| 4 Yr old with vigorous cough and unilateral wheezing indicates | aspirated a Foreign Object |
| What are side affects of Lasix and nitroglycerin , What would you want to monitor? | Serum Electrolytes |
| How do calculate Aortic pulse pressure | Systolic pressure - Diastolic pressure |
| How to calculate MAP? | Systolic + Diastolic + Diastolic /3 |
| How to calculate CO? | Stroke x HR x 10 |
| How do you calculate SVR? | MAP-CVP/CO x 80 Normal Range: 1600 dynes <20 mmhg |
| Radiolucency | Air |
| Pulmonary Artery Systolic Pressure | Systolic: 25 Diastolic: 8 |
| If they ask a patient to say E but it sounds like A | this indicates PNA |
| IF TcPO2 is 42 torr with a temp of 38 C and an Umbilical Artery sample of PO2 of 72 torr.... what is the issue? | Temp is too low so re-adjust temp up to 43-45 C to get better perfusion |
| what affects the accuracy of Spo2 reading | Hypotension |
| If possible PNA/Infection, what is this the primary thing to do? | Antibody therapy should be recommended |
| IF a premature baby's RR increases when you raise CPAP from 5 to 7 what do you recommend? | Draw ABG to get more info |
| Pleural Effusion | Fluid build up, First, Lateral Decubitus (X-ray) Then, Thoracentesis |
| V/Q | Diagnosis Pul. Embolism |
| IF CVP is high PAP is high PCWP is high but MAP is low | This indicates that its PCWP (CHF) |
| HIgh BP indicated too much fluid , High Urine output so what would this affect | Potassium (K)/ Electrolytes |
| How would you palpate a tension pneumothorax? | Tracheal Deviation |
| What has the greatest impact on the patient ability to deliver oxygen to the body? | Hb |
| How do you fix a dampened waveform on a pulmonary arterial pressure tracing | Check first- Air bubbles in transducer/catheter Kinking of the tube Blood clot |
| A patient has a history of left heart failure, what would be a good medication to increase the contraction of the heart to improve CO | Digitalis- for stronger contraction |
| Isuprel | Used to increase rate good for Bradycardia |
| PVR | Mean PAP - PCWP/ CO x 80 |
| Weak Pulse/Thready (Low BP) | This Indicates Shock |
| Bacterial infection vs Viral Infection | Bacterial infection will have an impact on WBC (High WBC) rather than Viral infection (Low WBC) |
| Small amplitude change with a mean pressure reading of 2 points below the PA-end-diastolic pressure indicates what? | Normal Wedge tracing |
| Tensilon Challenge test is used for what patients | Myasthenia Gravis Patients, to reverse the effects of MG and muscle strength will improve but its only temporary |
| Antidote for tensilon | Atropine |
| what does a bright illumination mean during a transillumination diagnostic? | pneumothorax, Insert a chest tube |
| Hyperresonance/Tympanic Percussion indicates what? | Pneumothorax |
| Dull/Flat Percussion indicates what? | Pleural Effusion |
| Hyperresonance/Tympanic Percussion Indicates what? | Too much Air accumulation, Pneumothorax and Gastric distension |
| Endocarditis | Inflammation of the heart tissue |
| Best way to asses oxygen status of CO poisoning | Co-oximetry |
| What does it mean when all hemodynamics are increased? | Too much fluid (Hypervolemia) |
| what do you do if there is No BP or Pulse | Start Compressions |
| what would you do with Lethal Arrythmias? | Defibration |
| What pathology is associated when patient says 99 but its a "LOUD sound" ? | PNA, there's consolidation |
| What is the normal range for cardiac Index? | 2-4 L/min/m2 *2.5* |
| Mean Pulmonary Artery Pressure (MPAP) Equation | 2 x Diastolic + Systolic / 3 |
| The tip of the catheter measures what? | Pulmonary Artery |
| Apnea is considered when its ... | <20 secs-30 secs |
| In a MVA with long bone fracture, complains of chest pain, tachypneic and tachycardiac | V/Q Scan |
| Streptokinase | Clot Buster after you have done a V/Q scan and confirm its a Pul. Embolism |
| If SPo2 is <80% , How do you confirm the accuracy of the Pulse Oximeter? | Confirm with hemoximetry |
| Viral PNA | Low WBC |
| Normal Cuff Pressure | 20mmHg- 24mmHg 25mmH20-35mmH20 Best way to confrim is with a cuff pressure manometer |
| MVA patient cold and clammy, Low BP, With a ECG that is tachycardia | Check Hb and Hct |
| What medication is administered to decrease BP and also Ventricular afterload? | Sodium Nitroprusside |
| Norepinephrine | Increases BP, vasoconstriction |
| Propranolol | Beta blocker, which slows down tachycardia |
| Procainamide | Treats ventricular tachycardia |
| Sodium Nitroprusside Prefix with Nitro- | Vasodilator, Helps lower BP |
| Grimacing | Patient is in pain |
| Patient has a history of 2 packs of cigarette per day with a Carboxyhemoglobin of 6.4% what does this indicate? | Expected Level of this patient (Baseline) |
| Pleural Friction Rub | PNA, TB, Pleurisy |
| Concave shape appearance | Pleural effusion |
| Any Cardiac Problem in infants you would want to recommend what diagnostic test? | Pre- and Post- ductal blood gas studies or ECO |
| If Hypervolemia | All Hemodynamics would be increased |
| MVA: Long Bone Fracture/ Sudden Chest Pain | V/Q scan |
| WBC | Normal Range: 5,000-10,000 |
| Shock | Anemia, Low BP, MVA patients |
| Normal Carboxyhemoglobin | <2 |
| Light Smoker Carboxyhemoglobin | 7-10 |
| Heavy smokers/ House Fire Patient | >20 |
| Pleurisy | Inflammation to pleural walls making a main cause for pleural friction rub |
| TcPO2 Normal Temp | 41-45 degrees <41 is will have a lower number for PaO2 compared to ABG |
| During TcPO2 | it needs to read above 70 if not, Temp is to low |
| Normal Urine Output | |
| Wedge Shaped | Pulmonary Embolus |
| Dampened Waveforms | Check for air bubbles, Blood Clot, Kinking |
| Aortic pulse Pressure | Systolic - Dystolic |
| IF the baby is not to severe you would want to do what | ABG not a CPAP/Bipap despite a bit of distress |
| RT requires to suction patient but the Disconnects the vent and brady rhythm happens what does this indicate | Loss of PEEP, due to disconnection of the VENT |
| Difficulty oral intubation factors are | Small Mouth opening & Macroglossia (Tongue that is large) |
| Esophageal Tracheal Combitube | Used for pre-hospital airway management (temporary) It should be replaced with an endotracheal tube as soon as possible (immediately) |
Created by:
Fabian.559
Popular Respiratory Therapy sets