QUESTIONS AND CORRECT ANSWERS GRADED
A+ HONDROS
What does the LPN do before suctioning a vent patient?
- Set up sterile field
- Hyperoxygenate
What should the LPN do if the alarm on the vent keeps ringing?
- Check pump
- Check for kinks
- Disconnect
- Ambu bag on patient
Vent care
- SCDs
- Suction for 10 seconds
- Suction at bedside
- No NS into endo tube or trach
- No peroxide
- Hyperoxygenate before suction
- HOB 30-40 degrees
,- Mouth care
- Apply suction pulling out
- VS frequently
Prevention of VAP
- HOB 30-45 degrees
- Oral care
- Peptic ulcer prophylaxis (decrease bacterial growth) using Pepcid, Zantac,
Protonix
Respiratory acidosis
- COPD
- Asthma
- Emphysema
- Chronic bronchitis
- Apply O2
- S/S anxious, SOB, cyanotic, increased respirations
Respiratory alkalosis
Hyperventilation
,Metabolic acidosis
- Diarrhea
- DKA
Metabolic alkalosis
- Vomiting
- NG tube
Metabolic syndrome
- Quit smoking
- Lose weight
- Carb control, no fatty food
- Take statins (Lipitor)
- Check BS if diabetic
Interventions for a patient w/ burns on 80% of body
- Fluids
- Reverse isolation
- Antibiotics
- Pain meds
, - Foley to monitor I&O's
- Tetanus toxoid injection
Emergent stage of burns
- 1st 48 hrs
- Hypovolemic shock
- Acute RF
- Hyperkalemia
- Insert IV
- LR
- Antibiotics
- Indwelling foley cath
- Pain meds