Unit I Lecture
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Tracheostomy: Tube of equal or _______ kept at bedside for emergency reinsertion? | Smaller size
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| Tracheostomy: Tapes not changed for at least __ hours after insertion? | 24
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| First change by physician no sooner than __ days after tracheostomy? | 7
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| Indicated when head and neck manipulation is risky. | Nasal ET Intubation
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| Surgical procedure performed when need for an artificial airway is expected to be long-term | Tracheostomy
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| Obtain portable chest x-ray to confirm tube location? | Adults 3-5cm above carina.
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| Obtain ABGs within __ minutes after intubation to determine oxygenation and ventilation status. | 25
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| Stay with patient and maintain airway, Support ventilation, Secure help immediately, If necessary, ventilate with BVM and 100% O2. | Incorrect Tube Placement Mngmt
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| Normal arterial tracheal perfusion is estimated at? | 30 mmHg
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| Cuff pressure should be maintained at __ to __ mm Hg? | 20-25
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| Change in mental status (e.g., confusion), anxiety, dusky skin, dysrhythmias? | Hypoxemia
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| Use of accessory muscles, hypoventilation with dusky skin, hyperventilation with circumoral / peripheral numbness / tingling. | Respiratory distress
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| Inflate cuff with minimum amount of air to form seal. | Minimal Leak Technique
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| Tissue forms in __ to __ hours . Opening will close in several days without surgical intervention? | 24 to 48
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| What is the treatment for Respiratory Acidosis? | Improve Ventilation
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| Used to treat hypoxemia caused by respiratory, cardiovascular, or nervous system disorders. | Oxygen
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| Always give _____ agent before Paralytic agent. | Sedative
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| Rapid, concurrent administration of a paralytic agent and a sedative agent during emergency airway management. | Rapid Sequence Intubation
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| Initial best way to check tube placement. | End-tidal CO2 (Chest X-ray next)
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| Monitor ETT placement Q ___ to ___ hours? | 2;4
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| Most common sign of hypoxemia is _______. | Restlessness
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| Assess pt routinely to determine need for suctioning, but do not suction routinely. | Maintain Airway Patency
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| Oral care q2hrs will decrease the risk of this by decreasing sub-glottic secretions. | Ventilator Associated Pneumonia
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| If an artificial is in use HOB should be at 30 to ___ degrees. | 45
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| Anytime you deflate a cuff you must ______ first. | Suction (<120 mmHg)
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| Regulate rate, depth, and other characteristics of ventilation, tuned to match patient. | Mechanical Ventilation
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| RR x TV | Minute Ventilation
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| Used primarily in acutely ill patients, pushes air into lungs under positive pressure during inspiration. | Positive Pressure Ventilation
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| Ventilator does all the WOB. | Controlled Mandatory Ventilation (CMV)
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| Delivers breath at set rate per minute and set VT, independent of patient’s ventilatory efforts, Patient performs no WOB and cannot adjust respirations to meet changing demands. | Controlled Mandatory Ventilation (CMV)
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| Delivers preset VT at preset frequency, when patient initiates a spontaneous breath, present VT is delivered. | Assist-Control Ventilation (AC)
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| Complication with Assist-Control Ventilation. | Respiratory Alkalosis
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| Delivers preset VT at preset frequency in synchrony with patient’s spontaneous breathing, etween ventilator-delivered breaths, patient is able to breathe spontaneously | Synchronized Intermittent Mandatory Ventilation (SIMV)
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| What are the 4 modes of mechanical ventilation. | CMV, AC, SIMV, PSV
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| Positive pressure applied to airway only during inspiration. | Pressure Support Ventilation (PSV) Caution for hypoventilation
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| Positive pressure applied to airway during exhalation, exhalation remains passive, but pressure falls to preset level > 0, often 3 to 20 cm H2O. Helps keep alveoli open. | Positive end-expiratory pressure (PEEP)
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| Pressure delivered continuously during spontaneous breathing. | Continuous Positive Airway Pressure (CPAP)
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| Two levels of positive pressure support, Higher inspiratory positive airway pressure, Lower expiratory positive airway pressure along with oxygen. | Bi-level positive pressure (Bi-PAP)
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| Word for fighting the ventilator. | Ventilator Disynchrony
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| Air can escape into pleural space from alveoli or interstitium, accumulate, and become trapped –pneumothorax. | Barotrauma
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| Relates to lung injury that occurs when large tidal volumes are used to ventilate noncompliant lungs, results in alveolar fractures and movement of fluids and proteins into alveolar spaces. | Volutrauma
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