Lindsey Jones 1B- Patient Data
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each of the black spaces below before clicking
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| VD/VT | show 🗑
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| show | (FIO2*7) – (PaCO2 +10)
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| A-a Gradient (A-aDO2) | show 🗑
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| show | (Hb*1.34*SaO2) + (PaO2 * .003), range 17-20%
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| show | (Hb*1.34*SvO2) + (PvO2 * .003), range 12-16%
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| Arterial-Venous Oxygen content difference, C(a-v)O2 | show 🗑
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| Shunt Equation , QS/QT | show 🗑
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| Fick Equation for Cardiac Output (QT) | show 🗑
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| show | CO / BSA, RANGE 2.5 - 4 L/m/m2
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| Types of Chest X-rays : AP(Anterior to posterior) | show 🗑
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| show | most often done standing
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| show | Helps to visualize the lungs as a 3-dimensional body
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| Types of Chest X-rays : Lateral decubitus | show 🗑
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| Types of Chest X-rays : Oblique | show 🗑
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| Neck X-rays : Lateral Neck | show 🗑
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| show | 1. Use a A-P chest radiograph. 2. Determined by radio-opaque line on the ET tube. 3. End of line should be 2cm above the carina (or 1 inch)
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| show | should be in the pleural space
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| show | 1)tip should rest in the right atrium or vena cava 2)distal end in the pulmonary artery, not wedged(i.e. balloon not inflamed.)
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| Placement X-rays : Nasogastric tube positioning | show 🗑
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| show | 1. Bilateral radiolucency 2. sharp costophrenic angles 3. Hemi-diaphragms dome shaped, right higher than left 4. Trachea is midline
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| show | Pneumothroax, hemotorax, significant atelectasis
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| Radiological Description : Obliterated costophrenic angles-Associated Problem | show 🗑
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| show | COPD, significant air trapping
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| show | Normal
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| Radiological Description : Fluffy infiltrates-Associated Problem | show 🗑
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| show | Pulmonary embolus
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| show | Pneumonia
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| show | Pulmonary edema
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| Radiological Description : Plate like or patchy infiltrates-Associated Problem | show 🗑
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| Radiological Description : Ground glass or Honeycomb pattern- Associated Problem | show 🗑
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| Radiological Description : Reticulongranular pattern | show 🗑
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| show | pleural effusion
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| show | 1.Perfusion- abnormal when blood flow around the alveoli is hindered.2. Ventilation-abnormal/missing gas flow in areas of the lungs. Xenon gas is used to monitor gas flow. - V/Q is associated w/ pulmonary emboli.
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| Diagnostic Radiology : Computed Tomography CT / CAT | show 🗑
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| Diagnostic Radiology : Magnetic Resonance Imaging (MRI) | show 🗑
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| Diagnostic Radiology : Bronchogram | show 🗑
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| Diagnostic Radiology : Barium Swallow | show 🗑
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| K+ Potassium | show 🗑
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| Na+ Sodium Major: | show 🗑
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| show | Major: Extracellular Anion. Normal: 80-100 mEq/L range HYPERchloremia: (Metabolic ACIDOSIS ) Hypochloremia: (Metabolic alkalosis)
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| show | Changes in Total CO2 content reflect changes in blood base. Normal: 22-26 mEq/L range HIGH HCO3- (Metabolic ALKALOSIS) Low HCO3- (Metablolic acidosis)
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| show | 1. Both indicates kidney function. 2. Ceratine is more accurate than BUN. 3.Acceptable range- 8-25 mg/dl. 4. Acceptable range- 0.7-1.3 mg/dl.
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| Coagulation Studies : Platelet count | show 🗑
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| Coagulation Studies : PT (Prothrombin time) | show 🗑
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| show | APTT done when pt. taking Heparin therapy. PTT Normal Value (12-15 secs.)
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| Complete Blood Count(CBC) : Hb | show 🗑
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| show | 1. cells that carry Hb. 2.Acceptable range-4-6 mill/cu mm.
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| show | 1.Range 5000-10000/cu mm.(higher indicates infection-txt. antibiotics)2. Types:Neutrophils A)Bands4%-increased w/bacterial infection. B)Segs60%-decreases w/bacterial infection.C)Esinophills2%-causes asthma yellow sputum. D)Monocytes-elevation causes TB.
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| Transcutaneous PO2 and PCO2 monitoring | show 🗑
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| show | 1. Helpful in checking urinary tract infections. 2. Useful when suspecting diabetes (check ketones in blood).
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| Sputum:Gram stain | show 🗑
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| show | Identifies the actual organism.
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| show | Identifies the organism-killing antibiotics.
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| show | Used to detect the organism associated w/ TB (mycobacterium TB)
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| Sputum: clear | show 🗑
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| Sputum: White or mucoid | show 🗑
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| Sputum: Yellow | show 🗑
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| show | stagnant sputum- Bronchiectasis, pseudomonas.
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| show | Hemoptysis - bleeding, TB.
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| show | old blood.
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| Sputum: Pink frothy | show 🗑
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| Ventilation : Definition | show 🗑
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| show | 1. Chest movement 2. RR & depth 3. Vt 4. Breath Sounds
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| show | 1. Intercostal & Sternal retractions - associated with upper airway obstruction 2. Accessory muscle use.
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| show | PaCO2 level
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| Oxygenation : Definition | show 🗑
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| show | 1. Color 2. HR(Tachycardia is poor oxygenation) 3. Mental Status(confused, stuporous) 4. Sensorium
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| show | 1. Oxygen saturation 2. PaO2(blood gas)
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| Circulation: signs | show 🗑
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| show | 1. BP 2. Sensorium 3. Urine Output (best indicator of perfusion)
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| show | Hemodynamics
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| Visual Inspection : General Appearance | show 🗑
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| show | Hypoxemia.
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| Visual Inspection : Color - ashen/pallor | show 🗑
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| Visual Inspection : Color- jaundice | show 🗑
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| show | redness, infection and inflammation.
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| Visual Inspection : Color -normal, good color | show 🗑
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| show | seen in pt. with COPD or chronic air-trapping such as cystic fibrosis.
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| show | curvature of the spine. Kyposis is hunchback. Scoliosis curvature. PFT will show restrictive component.
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| Visual Inspection : respiratory rate and pattern- Eupnea | show 🗑
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| show | RR over >20 bpm
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| Visual Inspection : respiratory rate and pattern: Bradypnea | show 🗑
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| show | Increased RR,depth and regular rhythm. Associated w/ metabolic disorders.
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| show | cessation of breathing.
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| Visual Inspection : respiratory rate and pattern: Kussmaul breathing | show 🗑
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| Visual Inspection : respiratory rate and pattern: Biots breathing | show 🗑
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| Visual Inspection : respiratory rate and pattern: cheyne-stokes | show 🗑
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| Visual Inspection : Acessory muscle use - normal muscles | show 🗑
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| show | 1. Intercostals 2. scalene. 3. Sternocleidomastoid 4. Oblique, rectus abdomial muscles.
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| Visual Inspection : Nasal flaring | show 🗑
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| show | 1. strenght of cough effort. 2. frequency. 3. Productive or not:> a. Blood(hemoptysis)-TB. B. Dry or non-productive- Lung cancer/foreign body. Yellow sputum-infection.
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| show | 1. COPD. 2. Flail chest(broken ribs. 3. Pneumothorax. 4. ET tube advanced too far into one lung. 5. Significant atelectasis.
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| show | 1. Thorax moves out on inspiration. 2. Abdomen moves out on inspiration.
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| Visual Inspection: Digital clubbing | show 🗑
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| show | 1. Veins of the neck protrude during breathing. 2. Associated w/CHF and COPD.
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| Visual Inspection: Diaphoresis(Heavy sweating) | show 🗑
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| show | 1. Found in extremities esp. in the lower legs. 2. Associated w/CHF and any fluid-shift disease.
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| show | 1. It is caused by Bronchoconstriction. 2. Bilateral wheeze is treated w/ a bronchodilator. 3. Unilateral wheeze could be caused by a foreign body obstructiob or a bronchial mass as seen w/ lung cancer and treat w/ bronchoscope.
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| show | 1. secretions in the large airways. 2. Often remedied by suctioning.
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| show | 1. Secretions in the middle-sized airways. 2.Treated w/ CPT including postural drainage. 3. Fine crackles/rales indicates atelectasis- treat w/ hyperinflation therapy.
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| show | 1. Upper airway obstruction. 2. Possible foreign body aspiration. 3. If mild- Treat w/cool mist and hydration. 4. If moderate-treat w/racemic epinephrine. 4. If severe-intubate the pt. 5. If foreign body-perform bronchoscopy. Croup and epiglottis occurs.
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| show | 1. Indicates decresed air movement in the area. 2. Egophony- associated w/consolidation of secretions such as Pneumonia. 3. Bronchophony-Indicates consolidation. Whispered pectoriloquy is similar.
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| Bedside Assessment :Adventious(abnormal) Breath Sounds-friction rub | show 🗑
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| Bedside Assessment : Breath Sounds-Vesicular | show 🗑
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| show | Done by tapping the knuckles while placed over the thorax.
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| show | normal lungs.
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| show | found in cases w/significant air-trapping, such as COPD and with Pneumothorx.
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| Bedside Assessment : Breath Sounds-tones Percussion-Dull | show 🗑
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| Bedside Assessment : Breath Sounds-tones Percussion-Flat | show 🗑
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| show | 60-100 bpm
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| show | >100 bpm associated w/ Hypoxemia - pt. need more O2.
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| Bedside Assessment : Breath Sounds-Pulse-Bradycardia | show 🗑
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| Bedside Assessment : Breath Sounds-Pulse-Pulses Paradoxus | show 🗑
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| show | Should be @least 5ml/kg otherwise pt. needs ventilatory assistance.
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| show | Should be @least 10ml/kg otherwise pt. needs ventilatory assistance.
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| Bedside Assessment : Breath Sounds-Ventilation-Maximum Inspiratory pressure(MIP/MIF/NIP/NIF) | show 🗑
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| Bedside Assessment : Breath Sounds-Tracheal Palpation-Deviation toward the problem | show 🗑
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| Bedside Assessment : Breath Sounds-Tracheal Palpation-Deviation away the problem | show 🗑
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| Bedside Assessment : Breath Sounds-Blood Pressure-Acceptable range | show 🗑
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| show | Associated w/shock/ significant fluid loss and dehydration.
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| Bedside Assessment : Breath Sounds-Blood Pressure - Increased | show 🗑
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| show | Normal- S1 and S2. Abnormal- S3 and S4 indicates cardiac dysfunction-ECG is indicated.
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| show | 1. Diagnosis 2. Chief complaint 3. objective information(signs) 4. subjective information(symptoms)
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| Patient History: Patient Medical Record - Occupational exposure | show 🗑
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| show | pack years = # of yrs. X # of pack/day smoked. 1. Cigars 2. Injuries 3. Current vital signs&medication 4. current repiratory care orders 5. Progress notes.
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| show | 1.Orientation-name,place,day,language 2.Resp. ability-Dsypnea present&Orthopnea 3.Emotional State a)angry-electrolyte imbalance b)panic-hypoxemia,asthma,pneumothorax c)Euphoria-ingestional error(drug overdose) 4.Social Support System 5.Proper ques. tech.
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| show | 1. Home environment 2. Current care plan 3. pain location, quality and persistance 4. triggers to dyspnea 5. family medical history
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| show | Computer Manages polarity(+ve/-ve) of each electrode. Helps in tracing hearts electro physiology
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| show | A lead may be an individual electrode or a a line of electricity between 2 electrodes. There are total of 12 electrodes.
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| show | V1-intercostal space, rt. Of sternum. V2-intercostal space just lft. Of sternum. V3- is b/w V2 &V4. V4- 5th-intercostal space in the lft. Of mid-clavicular line. V5- b/w V4 & V6. V6-intercostal space in the lft. Of mid-axillary line.
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| show | LeadI- Left arm to rt. Arm. LeadII-left leg to rt. Arm. LeadIIIleft leg to left arm. - AVR-rt. Arm. AVL-left arm. AVF-left leg.
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| show | All precordial leads are positive.
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| show | leads involving 2 electrodes, one must be +ve & other -ve. GUIDELINES:1.(Looking @ pt.), electrode most right is +ve. 2. electrode most downward is +ve. 3. Of lead I,right arm -ve,left arm +ve. 4.Of lead II,right arm -ve,left leg +ve.
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| ECG/EKG : recording equipment & supplies-Interpretations- 5 Rate Definition | show 🗑
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| show | Normal. All the bumps (PQRST)are there especially the P wave.
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| ECG/EKG : recording equipment & supplies- Rhythms- Sinus Tachycardia | show 🗑
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| ECG/EKG : recording equipment & supplies- Rhythms- Sinus Bradycardia | show 🗑
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| ECG/EKG : recording equipment & supplies- Rhythms- Premature ventricular contraction(PVC) | show 🗑
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| show | 1. confirm in 2 chest leads. 2. Do not defibrilliate. 3. Treated w/ chest compression, epinephrine and atropine
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| ECG/EKG : recording equipment & supplies- Rhythms-Ventricular Fibrillation(v-fib) | show 🗑
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| ECG/EKG : recording equipment & supplies- Rhythms- Ventricular tachycardia(V-tach) | show 🗑
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| show | 1. The distance between the beginning of the P-wave to the beginning of the QRS-complex (P-R interval) is greater>.20 secs. 2. Caused by ischemia/digitalis. 3. Treated w/ Atropine.
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| show | 1. Normal P-wave. 2. Missing QRS-comples. 3. Irregular rhythm. Treated w/ Atropine and electrical pacemaker is made ready.
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| show | 1. PR interval cannot be determined. 2. QRS is widened. 3. cannot identify waves consistently. 4. Pt. needs a pacemaker.
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| show | 1.It is the angle in which electricity flows to the heart. 2. It flows down and to the left. 2.It only deviates from the normal for 2 reasons: a. Hypertrophy and b. Infarction.
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| show | 1. It means size of the heart has increased. Therefore will require more electricity and slower conductivity. 2.Usually to the left is the axis deviation direction as seen in the CHF.
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| ECG/EKG : recording equipment & supplies- Axis -Infarction | show 🗑
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| show | 1. Myocardial Ischemia. 2. Myocardial Injury. 3. Myocardial Infarction.
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| show | 1. Lack of O2 to the cardiac Muscle. 2. T-wave is depressed and will show a -ve deflection.
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| show | 1. Damage of cardiac tissues -is in the dying stage. 2. S-T waves will be elevated or spiked from the baseline.
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| ECG/EKG : recording equipment & supplies- Myocardinal Infarction | show 🗑
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| show | 1. Maximum volume a patient can exhale after a maximal inhalation 2. It is to measure restrictive lung disease.
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| PFT:Forced Vital Capacity(FVC) | show 🗑
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| show | 1. Relates to muscle endurance & general function. 2. it is the max. amount of gas that pt. moves in & out of the lungs in 12-15 secs. 3. but this is not a good test bcoz it is difficult to get adequate cooperation.
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| PFT:Flow-volume Loop(FVL) | show 🗑
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| show | 1.PURPOSE to determine FRC&RV 2.procedure involves breathing 100% O2 while exhaled nitrogen is analyzed until depleted then a calculation is made to project lung volume.3.He&N analyzer must be caliberated. He should read 0% caliberated to room air.
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| PFT:Gas Distribution(SBN2) | show 🗑
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| show | 1. measures FRC & total thoracic gas volume(TLC). 2. replaces He&N dilution methods 3. also measures RAW
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| PFT:Diffusion studies(DLCO/DCO) | show 🗑
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| show | 1. determines ability to provoke bronchoconstriction.
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| show | 1. needed to determine effectiveness of bronchodilator medications & help determine dosage. 2. Helpful in determining reversibility of bronchoconstriction.
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| show | Study shows change in ventilation as a response to increases CO2 while keeping PaO2 steady.
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| show | 1. FEV1/FVC - If less than 75% then pt. is Obstructive. If FV1/FVC is not available then check or FEV1 by itself and if FEV1- less than 80% then pt. is obstructive too.
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| Restrictive Impairment | show 🗑
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| Diffusion impaired Vs Normal Diffusion | show 🗑
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| show | 1.Normal-80%. 2. Mild-60-80%. 3. Moderate-40-60%. 4. Severe- <40% .
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| show | Best Test = Highest (FEV1 + FVC)
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| Spirometer | show 🗑
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| show | C BABE-1.Cystic Fibrosis 2. Bronchiectasis 3. Asthma 4. Bronchitis 5. Emphysema
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| show | Emphysema
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| Hemodynamics | show 🗑
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| Anatomy of Circulatory system | show 🗑
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| show | 120/80 mmHg(mean-93 mmHg)
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| show | Mean BP =((1 x systolic) + (2 x diastolic)) / 3
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| show | 1. Heart 2. Blood 3. Vessels
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| show | CVP:2-6 mmHg(mean 4-12 cmH2O) PAP:25/8mmHg(mean-14 mmHg) 3. PCWP:4-12 mmHg(normal 8 mmHg) 4. CO:4-8 L/min 5. Stroke Volume(SV):60-130mL 6. Ejection Fraction: 65-75% 7. Cardiac Index(CI):2.5-4.0m2
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| Central Venous Pressure(CVP) | show 🗑
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| show | 1. Right Atrial Pressure 2. Right side preload 3. Right ventricular filling presure 4. Right ventricular end-diastolic pressure 5. ALL descriptions use the word RIGHT for CVP.
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| Pulmonary Artery Pressure(PAP) | show 🗑
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| Pulmonary Capillary Wedge Pressure(PCWP) | show 🗑
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| Pulmonary Capillary Wedge Pressure(PCWP): Other Names | show 🗑
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| show | 1.expressed as vol. than pressure. 2.also expressed by Cardiac index CI=QT/BSA 3.relates condition of Lft.ventricle 4.measured by a computer thru thermal dilution. 5.calculated by Fick eq.& SV*HR. if QT is decreased - treat w/cardiac medications-Digitalis
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| Hemodynamic measurements are taken from various ports in a catheter that is inserted via | show 🗑
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| show | ((MAP-CVP)/QT) x 80, normal: 1600 dynes/sec/cm-5
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| show | ((Mean PAP-PCWP)/QT) x 80, normal: 200 dynes/sec/cm-5
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| Echocardiogram: Adults | show 🗑
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| Echocardiogram:Infants | show 🗑
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| show | 1. Transpostion of the Great Vessels 2. Tetralogy of Fallot 3. Atrial septal defect (ASD) & Ventricular septal defect (VSD) 4. Patent ductus arteriosis (PDA) 5. Coarctation of the aorta.
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| ECG Technology | show 🗑
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| ECG Indications | show 🗑
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| Intracranial Pressure (ICP) Monitoring: Acceptable Range, define Increased ICP | show 🗑
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| Intracranial Pressure (ICP) Monitoring: Technology | show 🗑
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| Intracranial Pressure (ICP) Monitoring: Treatment & Prevention | show 🗑
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| Intracranial Pressure (ICP) Monitoring: Causes of increased ICP | show 🗑
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| show | Determines electrical activity of the brain
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| show | 1. sleep disorders 2. Evaluate for epilepsy 3. Determine degree of retradation 4. Unexplain loss of brain function 5. head trauma.
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| show | 1.Useful in diagonising pulmonary embolism 2.definitive than V/Q Scan but expensive. 3.it involves injecting a contrasting solution thru a catheter into pulmonary artery. Pt. is monitored radiologically&areas of good, poor&absent blood flow are identified
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| Assessment of the Newborn upon Birth & Routine : APGAR | show 🗑
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| Assessment of the Newborn upon Birth & Routine : APGAR Scoring | show 🗑
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| show | 1. Normal Pulse:110-160bpm. 2. >170-tachycardia-give O2 3. Pulse can be taken brachially or femorally(not radially). 4. Any Cardiopulmonary challenge will cause will cause an increase in infant's heart rate (not an increase in contractility).
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| show | 1.Range:30-60/min. 2. Normal Apnea:10 secs. 3. Acceptable Apnea:lasting 10-20 4. if apnea > 20 secs, infant needs further investigation & apnea monitoring
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| show | 1. Normal : 60/40 mmHg. 2. Pre-term infants: 55/33 mmHg
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| Assessment of the Newborn upon Birth & Routine : Routine Assessment: Vital Signs - Temperature | show 🗑
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| Newborn Medical History : Perinatal History | show 🗑
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| show | 1. Term infant-38-42 weeks. 2. pre-term infant-<38 weeks. 3. post-term infant->42 weeks.
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| Newborn Medical History : Birth Rate | show 🗑
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| Newborn Physical Assessment : Color | show 🗑
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| show | sign of ventilatory distress 1)Retractions: a)Intercostal b)Subcostal c)Substernal d)Supraclavicular 2)Grunting:upon exhalation causes natural PEEP. 3) Nasal Flaring
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| show | Increased refill times indicates problems with cardiac output.
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| show | Normal PaO2:50-80 mmHg. 2)done conservatively because infant's blood is scarce
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| show | If PaO2 from right radial artery(pre-ductal) & umbilical artery(post-ductal) is greater>15mmHg then infant is +ve for PDA then send to surgery for correction.
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| show | Range- greater>30mg/dL 2)for pre-term infants Range:greater>20mg/dL
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| Newborn Lab Assessment : Lenithin/Sphinogomyelin(L/S Ratio) | show 🗑
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| show | accurate lung maturity even in the presence of diabetes.
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| Newborn Lab Assessment : Phosphatydlchloride (PC Level) | show 🗑
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Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
johnfaar
Popular Respiratory Therapy sets