1 of 167
Term
Subcutaneous emphysema usually occurs in the area of the:
-Head
-Neck
-Thorax
-Abdomen
Give this one a try later!
SARS
Severe acute respiratory syndrome (SARS) is a community acquired PNA. Its
incubation period is usually 2-14 days, and the pathogen -- SARS associated
coronavirus -- is spread via droplets. SARS is usually acquired in
underdeveloped areas. THere is no cure and symptoms are treated as they
appear. It is incumbent on the nurse to make certain that the patient is placed in
a negative pressure isolation room and that an N-95 respirator mask is used.
,Heliox
Heliox is a helium-oxygen mixture that can help with the delivery of inhaled
medications, thereby decreasing the work of breathing.
Norepinephrine is a vasocontrictor.
Nebulizers may also work, but if the patient's condition is compromised the
effectiveness is minimal at best.
Thorax
Subcutaneous emphysema usually occurs in the thorax as a result of a
pulmonary air leak. This air leak may be secondary to the patient receiving
positive-pressure ventilation or from alveolar repture from a
pneumothorax. The air travels along under the skin, where it may be easily
palpated and feel like a crackling sensation. Patients who have chest tubes
often have at least a small amount of subcutaneous emphysema at the tube
insertion site. Sometimes the patient will feel pain when palpation is
perfermed because the air tears the tissue. The free air must be
reabsorbed, a process that may take several days.
The amount of time the intubator took to complete the task
Generally, the time it took for the intubator to complete the task is not
documented, although if there was an unusual circumstance or a complication, it
should be properly documented.
The depth of the tube is important to chart because it gives a reference point if
any questions arise about tube migration.
The size of the tube is important to chart. The size of the tube may be too small
or too large, so it would have to be adjusted to the next appropriate size.
A CXR is done to confirm tube placement; the time it is done should be
documented.
Any medications given during the procedure should also be documented as to
reason for administration, patient response, and follow-up such as vital signs and
untoward reactions.
Don't know?
2 of 167
,Definition
Compensated respiratory alkalosis
The pH is between 7.35 and 7.45 so the value is compensated.
Because it's closer to 7.45, the value is considered alkalotic.
To determine whether the alkalosis is respiratory or metabolic, find
the value that represents alkalosis: CO2 < 35 mmHg.
Normal Values:
pH is between 7.35 and 7.45
CO2 is between 35 and 45 mm Hg
HCO3 is between 22 and 26 mEq/L
Give this one a try later!
Analyze the following arterial blood gas results.
pH 7.30
CO2 61
HCO3 25
-Uncompsated metabolic alkalosis
-Compensated respratory acidosis
-Compensated metabolic acidosis
-Uncompensated respiratory acidosis
Analyze the following arterial blood gas results.
pH 7.43
CO2 31
HCO3 20
-Uncomensated metabolic alkalosis
, -Compensated respiratory acidosis
-Compensated respiratory alkalosis
-Uncompensated respirtory alkalosis
What is the interpretation for the following ABG:
pH 7.22
PO2 93 mm Hg
PaCO2 52 mm Hg
HCO3 23 mEq/L
-Uncompensated respiratory acidosis
-Compensated metabolic acidosis
-Uncompensated metabolic alkalosis
-Compensated respiratory acidosis
Analyze the following arterial blood gas results.
pH 7.11
CO2 65
HCO3 17
-Uncompensated (mixed) respiratory/ metabolic acidosis
-Uncompensated metabolic alkalosis
-Compensated metabolic acidosis
-Uncompensated respiratory alkalosis
Don't know?
3 of 167
Term
You ask a fellow nurse to carry a newly drawn ABG specimen to the
lab. She does not plave the sample on ice. What effect will the lack
of icing have on the sample:
Term
Subcutaneous emphysema usually occurs in the area of the:
-Head
-Neck
-Thorax
-Abdomen
Give this one a try later!
SARS
Severe acute respiratory syndrome (SARS) is a community acquired PNA. Its
incubation period is usually 2-14 days, and the pathogen -- SARS associated
coronavirus -- is spread via droplets. SARS is usually acquired in
underdeveloped areas. THere is no cure and symptoms are treated as they
appear. It is incumbent on the nurse to make certain that the patient is placed in
a negative pressure isolation room and that an N-95 respirator mask is used.
,Heliox
Heliox is a helium-oxygen mixture that can help with the delivery of inhaled
medications, thereby decreasing the work of breathing.
Norepinephrine is a vasocontrictor.
Nebulizers may also work, but if the patient's condition is compromised the
effectiveness is minimal at best.
Thorax
Subcutaneous emphysema usually occurs in the thorax as a result of a
pulmonary air leak. This air leak may be secondary to the patient receiving
positive-pressure ventilation or from alveolar repture from a
pneumothorax. The air travels along under the skin, where it may be easily
palpated and feel like a crackling sensation. Patients who have chest tubes
often have at least a small amount of subcutaneous emphysema at the tube
insertion site. Sometimes the patient will feel pain when palpation is
perfermed because the air tears the tissue. The free air must be
reabsorbed, a process that may take several days.
The amount of time the intubator took to complete the task
Generally, the time it took for the intubator to complete the task is not
documented, although if there was an unusual circumstance or a complication, it
should be properly documented.
The depth of the tube is important to chart because it gives a reference point if
any questions arise about tube migration.
The size of the tube is important to chart. The size of the tube may be too small
or too large, so it would have to be adjusted to the next appropriate size.
A CXR is done to confirm tube placement; the time it is done should be
documented.
Any medications given during the procedure should also be documented as to
reason for administration, patient response, and follow-up such as vital signs and
untoward reactions.
Don't know?
2 of 167
,Definition
Compensated respiratory alkalosis
The pH is between 7.35 and 7.45 so the value is compensated.
Because it's closer to 7.45, the value is considered alkalotic.
To determine whether the alkalosis is respiratory or metabolic, find
the value that represents alkalosis: CO2 < 35 mmHg.
Normal Values:
pH is between 7.35 and 7.45
CO2 is between 35 and 45 mm Hg
HCO3 is between 22 and 26 mEq/L
Give this one a try later!
Analyze the following arterial blood gas results.
pH 7.30
CO2 61
HCO3 25
-Uncompsated metabolic alkalosis
-Compensated respratory acidosis
-Compensated metabolic acidosis
-Uncompensated respiratory acidosis
Analyze the following arterial blood gas results.
pH 7.43
CO2 31
HCO3 20
-Uncomensated metabolic alkalosis
, -Compensated respiratory acidosis
-Compensated respiratory alkalosis
-Uncompensated respirtory alkalosis
What is the interpretation for the following ABG:
pH 7.22
PO2 93 mm Hg
PaCO2 52 mm Hg
HCO3 23 mEq/L
-Uncompensated respiratory acidosis
-Compensated metabolic acidosis
-Uncompensated metabolic alkalosis
-Compensated respiratory acidosis
Analyze the following arterial blood gas results.
pH 7.11
CO2 65
HCO3 17
-Uncompensated (mixed) respiratory/ metabolic acidosis
-Uncompensated metabolic alkalosis
-Compensated metabolic acidosis
-Uncompensated respiratory alkalosis
Don't know?
3 of 167
Term
You ask a fellow nurse to carry a newly drawn ABG specimen to the
lab. She does not plave the sample on ice. What effect will the lack
of icing have on the sample:
