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What is tactile fremitus: - ANS ✓secretions felt by the tough Crepitus: - ANS ✓indicates presence of subcutaneous emphysema Levels for exhaled carbon monoxide: - ANS ✓Normal: 7 Light smoker: 7-10 Moderate smoker:11-20 Heavy smoker: 20 or more Electrolytes can indicate: - ANS ✓weakness, nausea, mental changes White sputum: - ANS ✓bronchitis Dark/brown sputum: - ANS ✓old blood, anaerobic lung infection Temperature for transcutaneous monitoring: Troubleshooting if cant calibrate: - ANS ✓43-45 C check for torn membrane, poor connections Airway for semi-conscious patient: - ANS ✓nasopharyngeal
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What is tactile fremitus: - ANS ✓secretions felt by the tough Crepitus: - ANS ✓indicates presence of subcutaneous emphysema Levels for exhaled carbon monoxide: - ANS ✓Normal: 7 Light smoker: 7- 10 Moderate smoker:11- 20 Heavy smoker: 20 or more Electrolytes can indicate: - ANS ✓weakness, nausea, mental changes White sputum: - ANS ✓bronchitis Dark/brown sputum: - ANS ✓old blood, anaerobic lung infection Temperature for transcutaneous monitoring: Troubleshooting if cant calibrate: - ANS ✓ 43 - 45 C check for torn membrane, poor connections Airway for semi-conscious patient: - ANS ✓nasopharyngeal
Patient w fenestrated trach tube and needs emergency ventilation, you would replace the: - ANS ✓don't use; place inner cannula Position to increase oxygenation: - ANS ✓prone for ARDS; fowlers for CHF Useful for neonates since theyre obligated nose breathers: - ANS ✓nasal CPAP When to use a mechanical percussor: - ANS ✓when patient doesn't tolerate manual percussion Troubleshooting bubble humidifier sounding: - ANS ✓increase O2; obstruction or kink; clogged When to change HME: - ANS ✓every 24 or 48hrs How to instruct patient to breath using MDI: - ANS ✓breathe slowly; deep breath; exhale normally Oxygen concentration for T-piece: - ANS ✓.21 - 1.0 FiO Appropiate sites for ABG puncture: - ANS ✓radial, brachial, femoral You use bronchoscope bleeding: - ANS ✓saline is serious epinephrine Give patient for coughing control during bronchoscope: - ANS ✓lidocaine Used to disinfect bronchoscope: - ANS ✓glutaraldehyde
Test for carbon monoxide - ANS ✓Arterial O2 content Way to reduce CO2 - ANS ✓Increase pressure support How to lower mean airway pressure in ptr receiving VC - ANS ✓Decrease iT How to adjust I:E ratio - ANS ✓increase the flow Calculation for static compliance: - ANS ✓Pplat-PEEP/Vt Calculation for dynamic compliance: - ANS ✓PIP-PEEP/Vt Used to calibrate bedside spirometer: - ANS ✓3L syringe Evaluating ventilator-patient interface: - ANS ✓capnography In VC, if theres a decrease in expired volume & airway pressure, whats the likely problem: - ANS ✓leak Best measuring for assessing resp muscles & mechanical properties of the lungs & thorax: - ANS ✓vital capacity Test to determine what type of antibiotic patient needs: - ANS ✓culture & sensitivity
Green sputum: - ANS ✓bronchiectasis (infection) Pink sputum: - ANS ✓pulmonary edema Obstructive diseases: - ANS ✓CBABE C-Cystic fibrosis B- Bronchiectasis A-Asthma B- Bronchitis (Chronic) E-Emphysema Max flow for 8yr old receiving O2 via high flow nc: - ANS ✓20L O2 analyzer reading 104%, pt receiving 100% O2: what is the cause: - ANS ✓needs calibration 3 ways to correct auto-PEEP: - ANS ✓increase iT, decrease RR, decrease Vt Name a anxiety med: - ANS ✓Versed Drug used for difficult intubation: - ANS ✓neuromuscular blocking agent (Anectine) Name paralysis medication (3) - ANS ✓PTN P-Pavulon T-Tracrium N-Norcuron
Increased PCWP: - ANS ✓fluid overload; heart failure; cardiac tamponade Decreased PCWP: - ANS ✓vasodilation; dehydration Increased PAP: - ANS ✓fluid overload; heart failure; p. hypertension; P.E; PPTN What is PVR and normal range: - ANS ✓resistance that must be overcome in order to push blood through the pulm. arteries (1-3) Reasons for an increased PVR: - ANS ✓COPD, P.E, PPHN, pulm. hypertension, ARDS, increased PEEP Recommend for chest pain: - ANS ✓EKG