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How is an ET tube placement confirmed? ➫ From first to last ETCO2 20-40mmHg Chest symmetry Listen to left/right/abdomen Chest X-Ray Describe the A/C vent mode. ➫ The vent does everything for the patient. It delivers a set amount of breaths per minute Describe SIMV vent mode.
Typology: Exams
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How is an ET tube placement confirmed?
ETCO2 20-40mmHg Chest symmetry Listen to left/right/abdomen Chest X-Ray Describe the A/C vent mode.
breaths per minute Describe SIMV vent mode.
What are the different ventilator settings?
FiO Rate Tidal Volume (Vt) PEEP What is PEEP?
longer. It helps with gas exchange. What are some complications of PEEP?
SubQ Emphysema (crepatus) Decreased pre-load
Suction Oral care Q2H Prevent aspiration Lip moisturizer Percussion Give examples of what could cause a high pressure alarm.
Coughing Tension pneumothorax Anxiety/Pain: Sedate them Kinks in tubing Decreased lung compliance: ARDS Assess the patient not the monitor Give examples of what could cause a low pressure alarm.
Air leak in the cuff: Check the pilot balloon Disconnected tubing Low Vt Assess the patient not the monitor What are some things we have to do when caring for a vented patient?
Frequent vital signs (every 4 hours) I&O (look at balances) Foley NPO Nutrition (NG Tube for all vent patients) Skin Care Monitor ABG/labs VTE prophylaxis
Anticoags (heparin/warfarin/fibrinolytics) High Fowlers Telemetry Safety/bleeding precatutions 100% non rebreather What is a pulmonary contusion?
What is the treatment/nursing interventions for a pulmonary contusion?
Monitor ABC's Is an increase in output from a chest tube expected?
What are s/s of a pulmonary contusion?
Hyposix Dyspneic Hemoptysis Crackles,wheezes, decreased O2 sat Describe flail chest.
chest movement. What are the nursing interventions for flail chest?
Chest Tube What is ARDS?
any better Is ARDS reversable?
Failure! What are some common causes of an acute lung injury?
Trauma Serious nervous system injury Pancreatitis Sepsis Fat and amniotic fluid emboli Inhalation of smoke Drug ingestion What are common assessment findings with ARDS?
Dysrhythmias Increased RR Hypoxia Pallor Cyanosis Sternal retractions
For a chest tube, is there supposed to be bubbling in the water seal chamber?
For a chest tube, is there supposed to be bubbling in the suction control chamber?
What is a pheochromocytoma?
tumor releases an excess amount of epinephrine and NE. What is the hallmark symptom of a pheochromocytoma?
True or False. It is appropriate to palpate the abdomen in a patient with a pheochromocytoma?
catacholamines and trigger severe HTN. What are the s/s of a pheochromocytoma?
Headaches Palpitations Severe Anxiety Pallor A-Fib Diaphoresis How is a pheochromocytoma diagnosed?
Elevated levels of catecholamines CT/MRI
Hyperkalemia (watch for dysrhythmias: put on tele) What are lab values of Cushings?
Hypercolemia Hypernatremia Hypokalemia Decreased lymphocytes and Ca What are the s/s of Adddisons?
Anorexia N&V Syncope Orthostatic hypotension Joint muscle pain Salt cravings (r/t hyponatremia)
Fatigue What are the s/s of Cushings?
Weight gain Truncal obesity Buffalo Hump Moon face Thin skin Fragile capillaries Fatigue When disgnosing a patient with either Addisons or Cushings, what question need to be asked?
Basically asking if they have been taking steroids
Fever Hypotension Hypoglycemia Confusion Psychosis What is the treatment for an Addisonian Crisis?
What is normally the cause behind DKA?
What are symptoms of DKA?
Positive ketones in the urine Fruity breath Confusion
Lethargy Kussmaul respirations: Comp. for acidosis At what rate is appropriate for blood sugar to be lowered?
What is the goal of treatment for a DKA pt.?
What is the treatment plan for DKA?
