RATED A+ 2026
How is an ET tube placement confirmed?
From first to last
ETCO2 20-40mmHg
Chest symmetry
Listen to le"/right/abdomen
Chest X-Ray
Describe the A/C vent mode.
The vent does everything for the pa+ent. It delivers a set amount of breaths per minute
Describe SIMV vent mode.
The pt a0empts to breath and the vent assists with their breaths
What are the different ven+lator se3ngs?
Mode
FiO2
Rate
Tidal Volume (Vt)
PEEP
What is PEEP?
It is posi+ve pressure that tells the alveoli in the lungs to stay open a li0le longer. It helps with
gas exchange.
What are some complica+ons of PEEP?
Pneumothorax
SubQ Emphysema (crepatus)
Decreased pre-load
What are the 3 bu0ons that a nurse is able to touch on a vent?
Silence
Restart
100% Oxygen (before suc+oning a pa+ent)
, When is it acceptable to shut off a vent alarm?
NEVER
What should be done when a pa+ent is in respiratory distress?
Call for help, disconnect the vent, start bagging the pa ent, then reassess
What are ways to prevent VAP?
Remove water from circuits
HOB up to 30 degrees
Turn Q2h
Suc+on
Oral care Q2H
Prevent aspira+on
Lip moisturizer
Percussion
Give examples of what could cause a high pressure alarm.
Blocked airway
Coughing
Tension pneumothorax
Anxiety/Pain: Sedate them
Kinks in tubing
Decreased lung compliance: ARDS
Assess the pa ent not the monitor
Give examples of what could cause a low pressure alarm.
Not ge3ng enough air (in or out)
Air leak in the cuff: Check the pilot balloon
Disconnected tubing
Low Vt
Assess the pa ent not the monitor
What are some things we have to do when caring for a vented pa+ent?
Lung assessment
Frequent vital signs (every 4 hours)
I&O (look at balances)