Student Study Note Cards
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| show | irritating the airway, anxiety, discomfort, coughing, hemorrhage, airway edema, and ulceration of the mucosal wall if preformed improporly. (CG)
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| How do you calculate the size of the correct catheter size based on ETT size? (ApQ) | show 🗑
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| How do we increase a low PaO2 on MV? (RQ) | show 🗑
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| What 3 main settings we set that improve oxgenation? (RQ) | show 🗑
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| If your patients FiO2 is set at 80% and there is little to no change in PaO2 what is the next setting you would change? (ApQ) | show 🗑
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| show | 80x 40/48=67% (KMH)
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| What is the normal PAO2 on room air? And what is the normal on 100%? (RQ) | show 🗑
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| If you have tried increasing FiO2 and PEEP, and neither are working, what is the next thing you could do to try to improve the patients oxygenation? (ApQ) | show 🗑
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| Increasing the PEEP will increase the FRC and surface area for gas exchange to happen. what will this treat? (AzQ) | show 🗑
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| how many changes can be made for eaither oxygen or ventilation at a time? (RQ) | show 🗑
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| what tells us a pt is oxygenating well? (APQ) | show 🗑
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| show | no change. this is a metabolic issue. not respiratory. (RK)
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| show | 1)FiO2 2)PEEP 3)Itime 4)High Frequency Ventilation, ECMO, VDR
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| When increasing Itime, what must you be careful not to do unless it's ordered? (RQ) BL | show 🗑
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| show | (48x10)/40 = 12bpm
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| What can you change to improve ventilation? (RQ) | show 🗑
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| show | When the patient is initiating breaths greater than the set RR. This is because they are still breathing the same RR. To make a change you would have to set it higher than what they are currently breathing. (ACE)
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| A patient on VC with a RR of 16 bpm, FiO2 of 40%, VT of 0.6 L, I time of 0.8 sec, and flow of 45 lpm. PaCO2 is 67 mmHg and we want it at 45 mmHg. What is the first thing we would change? What would you change it to? (az q) | show 🗑
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| show | Upper AW infections and VAP(RQ)(TM)
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| show | FiO2 b/c we want them to get O2 plus has the least affect or chance of causing barotrauma(AzQ)(TM)
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| A pt with ARDS has an ideal body weight of 53kg. An acceptable Vt would be what and why?(AzQ)(TM) | show 🗑
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| show | One of each. (KRM)
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| show | FRC and the surface area for gas exchange to occur. (KRM)
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| show | Decrease RR, Decrease Vt or PC, Decrease sponatneous Vt by increaseing PS. (KRM)
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| What is intrinsic PEEP? Is it good or bad? How do we measure this with the ventilator? (AzQ) | show 🗑
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| Why are respiratory rate and FiO2 the first things changed when we want to improve oxygenation or ventilation? (RQ) | show 🗑
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| show | Ventilation, Increase the RR to 16-17 (BH)
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| What are three setting to improve Oxygenation and in order of importance? (RQ)(MB) | show 🗑
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| You have a patient on the vent in VC; with Vt:450,FiO2 100%, Itime 1sec, Peep 3, RR 14. with ABG 7.38/40/65/24. what would you do to increase Oxygenation? (AzQ) (MB) | show 🗑
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| show | measuring the PaCO2 (MB)
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| show | Acidotic, confusion, lethargic
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| What is the first step we take when we our patient has a decreased PaO2? Ac | show 🗑
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| If your patient has a PaCO2 of 58 what would their desired Vt be? Current VT is 700ml. Desired value for PaCO2 is 45. AC | show 🗑
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| show | By improving alveolar ventilation, reducing physiological dead space, and reducing carbon dioxide (CO2) production.
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| A patient with myasthenia gravis is placed on mechanical ventilation. Initial ABGs on 0.25 FIO2 20 minutes after beginning ventilation are as follows:7.31/62/58/31. What changes in ventilator setting need to be made? (AL) | show 🗑
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| show | •Enhance tissue oxygenation •Maintain a PaO2 ≥ 60 mm Hg and SpO2 at 90% or greater, at an acceptable pH •Recruit alveoli and maintain them in an aerated state •Restore functional residual capacity
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| show | I-time, this can be changed to make the patient have more comfort (KAH)
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| show | HFV, ECMO, VDR, consideration should be taken if the pt is severely ill and we are having to use this lat option as survival rate is very low (KAH)
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| If we have a high PaCO2 = patient not breathing _________and/or _________ enough? (ApQ) | show 🗑
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| What are the three easiest ways to improve a pt's oxygenation while on a ventilator? RQ MC | show 🗑
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| A pt on a vent has the following ABG's after 1 hr 7.27/55/88/23 what settings should be assessed? ApQ MC | show 🗑
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| If a pt is continually having ABG's with low PaCO2 what should you do to try to increase it? AzQ MC | show 🗑
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| show | It increases PaO2, it does this by increasing FRC and surface area for gas exchange. (Marianne B.)
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| show | (7x3)/2 = 10.5 (Marianne B.)
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| show | At least 650 mm Hg. (Marianne B.)
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| show | FiO2 and ABGs(JB)
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| If your pt is not ventilation your O2 will do what? (ApQ) | show 🗑
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| show | 0.6 (JB)
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| show | high PaCO2 (JB)
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| show | permissive hypercapnia(JB)
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| show | 10.1 cmH2O (JB)
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| What are the two depths for suctioning and how far do they each go? (RQ) | show 🗑
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| What additional setting do ARDS patients need while mechanically ventilated? What also does this restore? (ApQ) (CZ) | show 🗑
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| A patient comes in with chest trauma from a tornado. What mode, range of Vt, and RR should this patient be set on initially? (CZ)(AzQ) | show 🗑
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| What is an absolute contraindication for PEEP? (RQ) | show 🗑
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| In a patient with ALI or ARDS inflammation of the pulmonary capillaries & alveolar epithelials can result in what? What type of breath sounds are you likely to idetify with these types of pt's? (ApQ) | show 🗑
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| show | 5-15cm H2O
A pt with OSA
FRC (NB)
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| What setting treats refractory hypoxemia when FIO2 isn't working? (RQ) | show 🗑
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| You have a pt that is on the ventilator and they are on SIMV with a PS of 20, and still aren't reaching the Vt. In this case you will do what? As you are experiencing this, you will watch for what changes in the pt? (AzQ) | show 🗑
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| show | Severe ARDS, sepsis, and pneumonia. (KJ)
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| What is a threshold resistor? (RQ) | show 🗑
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| Your pt who has an ET tube in place is not tolerating being suctioned, what other therapies can you provide to help your pt with secretion clearance? (ApQ) | show 🗑
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| show | Determine if CO2 is increased and make appropriate changes. (AB)
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| show | Air trapping.
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| If your patient has PaO2 73 on FiO2 65% what would you do to correct this? If this correction does not work what condition does this patient probably have? (Jenn B) | show 🗑
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| show | An expiratory hold will show you the total PEEP. If you subtract the set PEEP from the toal PEEP you will have the intrinsic PEEP.
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