Practice Med Surg 3- (Exam #3) NSG
223 Questions and Correct Verified
Answers.
Trouble shooting ventilator alarms: - Answer - can pause
- NEVER turn off
- check pt safety first
- check alarm if pt is okay (not in distress)
Non-invasive positive pressure ventilation type patients: - Answer COPD, chronic heart failure,
sleep disorders
**PP during inspiration keeps airway and trachea open during sleep
Signs of ventilator intolerance? - Answer restless, tachycardic
Expected assessments when vented: - Answer ????
VAP ventilator bundle SATA: - Answer elevate head 30-45
"sedation vacation"
PPI prophylaxis
DVT prophylaxis
Daily oral care
Ventilator weaning criteria: - Answer vital capacity 10-15mL/kg
Max inspiratory pressure (MIP) at least -20cm H2O
Tidal volume (TV): 7-9mL/kg
Minute ventilation: 6L/min
Rapid/Shallow breathing index: below 100breaths/min/L: PaO2>60mm Hg w/ Fi)2 <40%
Complications of mechanical ventilation: - Answer Alterations in cardiac function
, Plan of care for vented trach patients: - Answer care every 8hr or more as needed
trach cuff pressure 20-25mm Hg
assist of 2 ppl w/ trach strap
obdurator @ bedside all times (keeps hole open)
Chest tube intervention for accdiental disconnection from drainage system: - Answer Air can
enter pleural space, producing a pneumothorax
- prevent by immersion of chest tube in sterile water will temporarily reestablish a water seal
and prevent collape or restore lung function
Excessive bubbling in the water seal compartment of the chest tube: - Answer leak in drainage
system
Normal water level in chest drainage system - Answer 20cm level
Steps to chest tube insertion: - Answer 1. Insertion of chest tube = consent needed before
action taken
2. discuss the procedure with the patient
3. provide pain medication, the procedure is not pleasant
4. gather all supplies needed to assist with procedure
5. assist the client into position-supine
High frequency oscilator support ventilor- understanding of: - Answer delievers rapid, small
pulses of air down the center of the airways to open up alveoli allowing alveolar air to exit the
lungs along the margins of the airways
Effective coughing techniques after a thoracotomy: - Answer clear sounds after cough
Assessment finding for pulmonary edema: - Answer pink frothy sputum
What is propofol infusion syndrome? - Answer ?????????????
Why pantoprazole when on a vent? - Answer ????????????????????
223 Questions and Correct Verified
Answers.
Trouble shooting ventilator alarms: - Answer - can pause
- NEVER turn off
- check pt safety first
- check alarm if pt is okay (not in distress)
Non-invasive positive pressure ventilation type patients: - Answer COPD, chronic heart failure,
sleep disorders
**PP during inspiration keeps airway and trachea open during sleep
Signs of ventilator intolerance? - Answer restless, tachycardic
Expected assessments when vented: - Answer ????
VAP ventilator bundle SATA: - Answer elevate head 30-45
"sedation vacation"
PPI prophylaxis
DVT prophylaxis
Daily oral care
Ventilator weaning criteria: - Answer vital capacity 10-15mL/kg
Max inspiratory pressure (MIP) at least -20cm H2O
Tidal volume (TV): 7-9mL/kg
Minute ventilation: 6L/min
Rapid/Shallow breathing index: below 100breaths/min/L: PaO2>60mm Hg w/ Fi)2 <40%
Complications of mechanical ventilation: - Answer Alterations in cardiac function
, Plan of care for vented trach patients: - Answer care every 8hr or more as needed
trach cuff pressure 20-25mm Hg
assist of 2 ppl w/ trach strap
obdurator @ bedside all times (keeps hole open)
Chest tube intervention for accdiental disconnection from drainage system: - Answer Air can
enter pleural space, producing a pneumothorax
- prevent by immersion of chest tube in sterile water will temporarily reestablish a water seal
and prevent collape or restore lung function
Excessive bubbling in the water seal compartment of the chest tube: - Answer leak in drainage
system
Normal water level in chest drainage system - Answer 20cm level
Steps to chest tube insertion: - Answer 1. Insertion of chest tube = consent needed before
action taken
2. discuss the procedure with the patient
3. provide pain medication, the procedure is not pleasant
4. gather all supplies needed to assist with procedure
5. assist the client into position-supine
High frequency oscilator support ventilor- understanding of: - Answer delievers rapid, small
pulses of air down the center of the airways to open up alveoli allowing alveolar air to exit the
lungs along the margins of the airways
Effective coughing techniques after a thoracotomy: - Answer clear sounds after cough
Assessment finding for pulmonary edema: - Answer pink frothy sputum
What is propofol infusion syndrome? - Answer ?????????????
Why pantoprazole when on a vent? - Answer ????????????????????
