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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| show | multiply ETT size by 3 then divide by 2. (CG)
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| How do we increase a low PaO2 on MV? (RQ) | show 🗑
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| show | Peep, FiO2, I Time (KMH)
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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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| You have a patient is a PaO2 of48mmHg on 40%. You want your PaO2 to be 80mmHg. What FiO2 do they need? (AzQ) | show 🗑
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| show | RA- >100mmHg
100%- >650mmHg (MK)
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| show | increase Itime (MK)
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| show | Refractory Hypoxemia (MK)
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| how many changes can be made for eaither oxygen or ventilation at a time? (RQ) | show 🗑
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| show | Pao2, spo2, fio2, fao2/fio2, PAo2, cardiovasular status, ventilation. (RK)
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| show | no change. this is a metabolic issue. not respiratory. (RK)
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| What settings are used to improve oxygen and in the right order? (AzQ) BL | show 🗑
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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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| show | Respiratory rate, Tidal volume, PC level, Pressure support for Spontaneous breaths. (ACE)
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| When does changing the RR not change ventilation? (ap q) | show 🗑
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| show | After checking the settings are correct, we would change the RR. Desired RR = 67 * 16/45. Change the RR to 24 bpm. (ACE)
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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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| what number or oxygenation settings and ventilation settings are we allowed to change at the same time. | show 🗑
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| Increasing PEEP also increases what? | show 🗑
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| show | Decrease RR, Decrease Vt or PC, Decrease sponatneous Vt by increaseing PS. (KRM)
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| show | PEEP that is created by the internal characteristics of the lungs, also called "autoPEEP". This PEEP is BAD and can be measured by using and expiratory hold on the ventilator. (BH)
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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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| show | FiO2, PEEP, Itime, (MB)
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| show | Increase peep to 5-8 cwp (MB)
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| show | measuring the PaCO2 (MB)
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| show | Acidotic, confusion, lethargic
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| show | We first assess vent settings and also pts BP and Hg.
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| show | 902ml.
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| show | By improving alveolar ventilation, reducing physiological dead space, and reducing carbon dioxide (CO2) production.
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| show | The patient has respiratory acidosis. The PaO2 indicates moderate hypoxemia. An increase in CO2 of 1 mm Hg will reduce the the PaO2 by 1.25 mm Hg. The most appropriate way to increase the PaO2 is to increase ventilation.
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| What are the goals of PEEP/CPAP therapy? (AL) | show 🗑
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| What is one thing we can change that will be directed more towards patient comfort instead of an oxygenation change? (RQ) | show 🗑
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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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| show | Fast enough, deep enough (KAH)
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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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| show | ventilatory settings, RR, VT, or increase PS to achieve larger spontaneous VT
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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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| Calculate the catheter size for a size 7 ETT. (ApQ) | show 🗑
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| show | At least 650 mm Hg. (Marianne B.)
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| What are common parameters used to assess O2 stats in a pt?(RQ) | show 🗑
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| If your pt is not ventilation your O2 will do what? (ApQ) | show 🗑
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| a woman in the er has a current FiO2 of .5 and and PaO2 of 75, you want a desired PaO2 of 90...(AzQ) | show 🗑
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| Pt is not breathing fast and deep enough would show what? (RQ) | show 🗑
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| show | permissive hypercapnia(JB)
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| your pt has a Cstat of 69 and a desired VT of 700, whats desired PC level?????????(AzQ) | show 🗑
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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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| show | An untreated pneumothorax or tension pneumothorax (NB)
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| show | These pt's are highly likely to suffer from excessive fluid/secretions In the alveoli & capillaries due to increased permeabilty from the inflammatory process.
Crackles (NB)
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| show | 5-15cm H2O
A pt with OSA
FRC (NB)
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| show | PEEP, holds alveoli open and allows them to be oxygenated. (KJ)
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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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| show | A device that provides a constant pressure throughout expiration regardless of the rate of gas flow. (AB)
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| show | Postural drainage and chest percussion. (AB)
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| You go to do a routine neb tx and your pt is very lethargic and has a decreased LOC, what should you do? (AzQ) | show 🗑
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| What can result from an inverse I:E ratio? (Jenn B) | show 🗑
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| show | Start or increase PEEP. If this has no effect then the patient has ARDS (73/.65=112).
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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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