| Question | Answer |
| Levophep | Vasopressor, increases B/P
Decreases Pressures First
RT has to establish a CVP to administer |
| Norepinephrine | Decreases B/P |
| CVP | 2-6 mmHG
Measures RA pressure
Increased Cor Pul
decreased Vaso dilation |
| Plat | <30
Alveoli
Compliance drops PLAT would increases
Measured at end Inspiration |
| PIP | <40
Upper Airway + Alveoli
Compliance Drops PIP would increases |
| Low Pressure Alarms | Leak, Low Vt, Rupture in ETT or Cuff
Withdraw of ETT |
| High Pressure Alarms | Bitting ETT, Kinking , Secretions, Mucus plug, Pnemo
Right mainstem, Increased/too much Vt due to decreased compliance |
| Pneumothorax | B/P decrease's
Radiolucent-black
Hyperlucency-Black
Tracheal Deviation to opposite side from affected side
Tympanic/Hyyperreasonce
Unequal breath sounds
Unstable- Needle Depression Midclavicular 2-3
Stable- Chest Tube |
| Continuous Bubbling only acceptable in | Drainage seal
In-active Inhalation and exhalation |
| If there is continuous bubbling | Replace Tubing
Notify Physician |
| SBT | Ps/CPAP -30min- 2hrs
HR. RR, WOB, B/P, signs of resp distress
RR >35 for 5 mins (D/C SBT)
HR >130/20% increase for 5 mins or (D/C SBT) |
| RAW | 0.6-2.4 cmH20 (up to 6 for vented pts)
Secretions/Bronchoconstriction
Pip-Plat/Flow (L/S)
Secretions- SXN
Bronchoconstriction- Bronchodilator
If effective PIPS would decrease |
| Pre/Post Bronchodilator Test | Assess for revisability of disease
1st- Get baseline
2nd- Get post measurement
assess increase of 12% in FEV1 & FVC 200 ml |
| Flow loops | if they don't get back to baseline
-Airdropping/Obstruction/Decreased Exhalation |
| Secretions | Course crackles BS
Flow wave form (Snake)
Increased PIP
Vibrations in the chest
Q4 CPT |
| Pul. E | Sudden Desat
Young Kids
Long bone fracture
Rib Fractures
Chest pain
Post Ob pt in long periods of bed rest
Cough Nonproductive if productive it would be hemoptysis
Cyanotic |
| ARDS | P/f ratio <200
Increased PLAT
Refectory Hypoxemia
Ground glass / Honey combing
Increase PEEP Low VT
ARDS net Low Fio2 at 60% and High PEEP |
| when weaning off ARDs net | Drop first FIO2
then
Drop PEEP |
| Normal PEEP | PEEP 4-6 ml/Kg |
| VC | Pressure is SET
MG/GB |
| PC | Volume is SET
ARDS |
| Insp Flow | Increased insp flow it fix air trapping (autoPEEP) and air hunger
it will then Decreased i-Time |
| Increase PIP | Increase VT |
| Decrease MAP | Decrease itime, and Increase PIP
(improves Oxygenation and Improves Distribution of ventilation) |
| IPV | Hyperinflation/High freq pulse delivery
Improves ventilation, Mobilize secretions
Promoter Bronchial Hygiene
Vent Patients (Unconscious Patients)
But if they are in floors they don't qualify ( Unconscious patient) |
| IPPB | Correct Atelectasis
Improves & promotes Cough Mechanism
Follow commands
Surgical Patients |
| Cd | 40-60 cmH20
Measured at Inspiratory Hold and Expriatory |
| Cs | 60-100 cmH20
Measured at Inspiratory Hold |
| ICP | 5-10
to Decease ICP hyperventilate |
| CBC | Hb, Hct, RBC, Platelets |
| Auscultation of the chest | Asses for breathrng Pattern
SOB, Increased RR
Fever |
| Blood Cult | Asses for sepis |
| Confirm ETT | EZ-Cap 5% yellow |
| Position ETT | |
| Placement ETT | |
| Chest Xray findings | Broken Ribs, Diseases, |
| Toxicology Screen | Overdose/Alcohol Use/Pt fall down-Unresponsive |
| LOC | Mental Status
Orientation
Can they Follow commands
GCS >9 |
| Integrity of ET and Airway | To asses patency
Increase PIP, Decrease PIP -Proper placement |
| Nasal SX | Weak/nonproductive cough
IF they are desating and large of continuous of secretion consider Intubation |
| Patient on 3L NC smoking leads to fire brought in brought by ambulant | NRB
Co-ximetry /hemoximeterr
Pink Cherry Red
Sp02 100% inaccurate |
| 12 ECG | Chest Pain
Increased HR
Cardiac Arrthtymias |
| Check electrolytes in what type of patients | Weak patients /nuromuscular disorders |
| If PIPs are high what do you give | Bronchodilator |
