Lindsay Jones ACCS Respiratory critical care

Lindsay Jones ACCS Respiratory critical careWeaning from NO(Nitric Oxide) - ANSWERreduce by 10ppm every 2 hours. When @ 10ppm reduce by 2.5ppm every 2.5 hour What is methemoglobinemia - ANSWERMethemoglobinemia is a blood disorder in which too little oxygen is delivered to your cells. Inhaled Prostaglanding E1 - ANSWERUsed to treat pulmonary hypertension How does helium reduce FRC - ANSWERdecreases air trapping and facilitates better exhalation Pulsus Parodoxus - ANSWERairway resistance that is so high that BP falls with inspiration Initial Ventilation settings: Rate - ANSWER10-18/Min FiO2: - ANSWER30-60%(if emergency start @ 100%) PEEP - ANSWER0-9(Therapeutic Peep starts at 10) If was on CPAP start at that PEEP If pt has ARDS start peep at - ANSWER10cmH20 Vent modes - ANSWER1)SIMV 2)A/C 3)Pressure control Tidal volume - ANSWER6-8ml/kg of ideal body weight Formula for IBW - ANSWER106 + 6 for every inch over 5' then divide by 2.2 Evidence for ARDS(4) - ANSWER1)Difused bilateral infiltrates