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RES 235 TSS 1 EXAM WITH COMPLETE SOLUTIONS
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Indications for manual ventilation:
- Mechanically ventilated patient is being transported for diagnostic or therapeutic procedures
- Patient is requiring O2 while on MV 1 and 2
List the complications associated with manual ventilation
- hyperventilation
- loss of PEEP/CPAP
- Position changes
- Tachycardia and other dysrythmias
- Equipment failure
- Inadvertant disconnection of IV access
- Movement can cause disconnect from vent support
- accidental extubation
- accidental removal of vascular access
- loss of O2 supply
- ventilator associated pneumonia
Monitoring tools
- ECG
2. BP
3. RR
- Continuous Pulse ox
- breath sounds
H cylinder Tank calculation. PSIG: 4000 and 15 L/min (tank psig x tank size) / flow
4000x3.14 / 15 = 837 min 837/60= 14 hours
E cylinder Tank calculation. PSIG: 2500 and 14 L/min (tank psig x tank size) / flow
2500x.28 / 14 = 50 min
Equipment needed for manual ventilation
- emergency airway supplies
- portable O
- self-inflating bag
- mask
- pulse ox
- pharmacologic agents
- portable monitor (ECG and HR)
- humidifier
Adjustable Flow Restrictor Controls flow of O2 by using a series of calibrated ports and delivers a set flow at a designated pressure. Designed for 50 PSI equipment sources or liquid portable oxygen.
Complication: Hyperventilation may cause respiratory alkalosis, cardiac dysrhythmias, and hypotension.
Complication: Loss of PEEP/CPAP may result in hypoxemia or shock.
Complication: Position Changes may result in hypotension, hypercarbia, and hypoxemia.
Complication: Tachycardia and other dysrhythmias has been associated with transport
Complication: Equipment Failure can result in inaccurate data or loss of monitoring capabilities.
Complication: Inadvertent disconnection of intravenous access for pharmacologic agents may result in
hemodynamic instability.
Complication: Movement (3)
- may cause disconnection from ventilatory support and respiratory compromise.
- may result in accidental extubation.
- may result in accidental removal of vascular access.
Complication: loss of O2 supply may lead to hypoxemia
