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Resp. Management ATI 53, ppt

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show performing a respiratory assessment along with obtaining a complete set of vital signs  
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show cellular oxygenation  
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Maintaining a pt airway is?   show
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What is a pulse oximeter?   show
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A pulse oximeter measures?   show
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show tasteless or colorless gas that accounts for 21% of atmospheric air  
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Pulse oximetry is indicated for conditions or situations in which a pt's?   show
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show increased work of breathing, wheezing, coughing, cyanosis  
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O2 stat may be slightly lower for?   show
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show hypothermia, poor blood flow, too much light  
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show adequate cellular oxygenation  
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show inadequate level of oxygen in the blood  
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show tachypnea, tachycardia, restless, pale, increase BP, confusion, bradycardia, hypotension, cardiac dysrhythmias  
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What are s/s of hypercarbia (elevated CO2)?   show
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What are s/s of respiratory depression?   show
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show nasal canula, simple mask, venturi mask, nonbreather mask, fact tent  
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show high concentration of oxygen  
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show cough, pain, nasal stiffness, N&V, fatigue, headache, sore throat  
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show COPD who have chronic hypoxemia and hypercarbia  
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mucus and aspiration can?   show
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show infants, clients with neuromuscular disorders, clients who are quadriplegic, and clients with cysstic fibrosis  
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show artificial suctioning at moving secretions into the upper trachea  
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Nubulization breaks up?   show
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show the use of chest percussion, vibration and postural drainage to assist the client to mobilize secretions  
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Early morning postural drainage mobilizes secretions that have?   show
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Suctioning can be accomplished?   show
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show when indicated  
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show of tracheal suctioning to avoid bacterial contaminiation of the airway  
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show early in the morning  
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show Wait 1 to 2 hrs  
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show routine cultures and acid fast bacillus  
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show cytology  
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What should be attached to the suction catheter when getting mucus?   show
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show 30 min  
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What are different types of chest physiotherapy?   show
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What is percussion?   show
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What is vibration?   show
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What is postrual drainage?   show
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show 1 hr before meal or 2 hr after and at bedtime  
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show apical secretion from upper lobes  
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show posterior secretions of the upper lobes  
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show trendelenburg  
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show high fowlers  
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What type of suction is used for oropharyngeal suctioning?   show
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show flexible  
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Endotracheal suctioning is performed through?   show
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Suction pressure should be no higher than?   show
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show 10-15 sec  
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How many attempts should be made at suctioning?   show
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show hyperoxygenate  
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Who is a single lumen used for?   show
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show Guide for instering outer cannula, okay with pt with excess secretions  
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What is a cuffed tume?   show
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What is a cuffless tube?   show
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show one large or multiple openings, balloon, also has inner cannula, mechanical ventilation, can speak  
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show one larger or multiple openings, no ballow, has inner cannula, can speak  
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How many extra tracheostomy tube should you have?   show
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show hydrogen peroxide  
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show 6-8 weeks  
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show between 14-20  
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Check cuff pressure?   show
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Cardiac and respiratory must?   show
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What is ventilation?   show
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Oxygen transfer occurs at the?   show
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show physiological, developmental, lifestyle, environmental  
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show cardiac, chest wall movement, illness  
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What are lifestyle factors affecting oxygenation?   show
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What are environmental factors affecting oxygenation?   show
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show infections, medications  
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show Subjective  
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Is dyspnea subjective or objective?   show
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Cough only at night=   show
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Cough only with temp changes?   show
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show distress? Comfortable? Posture, expression, color of skin, clubbing, RR, muscle on chest wall, flail chest  
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What do you palapte for resp.?   show
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show Resident (echo), hyper resident (higher echo, seen in emphysema and children)  
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show hear air moving in and out  
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Rales and crackels=   show
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show snoring sound  
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show 922-923 (SHE SAID SO)  
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show labs, TB, Radiology, heart, pulmonary function  
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For O2 you need?   show
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For oxygen running greater than 4l/ml needs what?   show
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show relieve hypoxia  
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Masks are?   show
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show humidified, bag must be inflated, higher o2 delivered  
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show CONTROLLED AMOUNT of o2 delievered, humidified, not easy for pt to manipulate  
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show unable to clear secretions  
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show pharynx  
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Who is orpharygeal/nasopharyngeal used on?   show
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show pt cannot manage secretions by coughing and no artifical airway is present  
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What is an et tube or trach?   show
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show 1/2 diameter of opening of ube  
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show no suction  
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show intermittent  
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Rotate cath while moving it?   show
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show used only one time, set up sterile area  
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Closed?   show
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show suctioning  
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show corner of mouth to angle of jaw just below ear  
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show turn curve toward cheeck, over tongue, then when it is in all the way turn the curve so it is pointing down  
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show simple, prevent obst.  
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When is endotracheal used?   show
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If ventilation is needed for extended time, may need to move forward to?   show
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Trach is a ?   show
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