Dobutamine
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-stimulates beta receptors for myocardial strength
Mask delivery rates (and order)
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-NC-1-4L/min
-simple mask-5-8L/min
-partial rebreather-8-10L/min (50-75% O2)
-nonrebreathing-10-15L/min (80-95% O2)
Tidal volume
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Amount of air that moves in and out of the lungs during a normal breath
*based on ideal wt
Residual volume
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what's left in the lungs (can't breathe everything out except pre-term
babies)
Babies who receive too much O2 can
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go blind
, Some complications of Mechanical Ventilation
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-aspiration and dental damage
-mucosal damage to oral, nasal, tracheal, or laryngeal tissues
-traumatic unplanned extubation
-stretch injuries (volume trauma) from over distention of alveoli
-mucus plugs can impair ventilation
-GI bleeding dt stress ulcer
-O2 toxicity
-ADH secretion causing positive H2O balance
-hypotension from decreased cardiac output or increased ICP from
reduced venous return dt positive pressure ventilation
-infection from sinusitis with nasal intubation or VAP (ventilator associated
pneumonias)
-tracheal-esophageal fistula
-cuff herniation a rare but serious complication since it can occlude the
airway
-hemodynamic instability from positive pressure ventilation
Neurogenic Shock
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-a form of distributive shock
-attributed to severe CNS damage
-results from loss of balance between parasympathetic and sympathetic
stimulation
*sympathetic NS not able to respond --> low BP, decreased hr, and WARM
DRY SKIN
-tx-immobilization/preventing further damage, fluids, vasoactive meds, and
thermoregulation
*head trauma, spinal cord trauma (above T6), decreased glucose, etc.
*SNS damaged and can't respond --> low bp, LOW HR, WARM DRY SKIN,
and LOW RR
Give this one a try later!
-stimulates beta receptors for myocardial strength
Mask delivery rates (and order)
,Give this one a try later!
-NC-1-4L/min
-simple mask-5-8L/min
-partial rebreather-8-10L/min (50-75% O2)
-nonrebreathing-10-15L/min (80-95% O2)
Tidal volume
Give this one a try later!
Amount of air that moves in and out of the lungs during a normal breath
*based on ideal wt
Residual volume
Give this one a try later!
what's left in the lungs (can't breathe everything out except pre-term
babies)
Babies who receive too much O2 can
Give this one a try later!
go blind
, Some complications of Mechanical Ventilation
Give this one a try later!
-aspiration and dental damage
-mucosal damage to oral, nasal, tracheal, or laryngeal tissues
-traumatic unplanned extubation
-stretch injuries (volume trauma) from over distention of alveoli
-mucus plugs can impair ventilation
-GI bleeding dt stress ulcer
-O2 toxicity
-ADH secretion causing positive H2O balance
-hypotension from decreased cardiac output or increased ICP from
reduced venous return dt positive pressure ventilation
-infection from sinusitis with nasal intubation or VAP (ventilator associated
pneumonias)
-tracheal-esophageal fistula
-cuff herniation a rare but serious complication since it can occlude the
airway
-hemodynamic instability from positive pressure ventilation
Neurogenic Shock
Give this one a try later!
-a form of distributive shock
-attributed to severe CNS damage
-results from loss of balance between parasympathetic and sympathetic
stimulation
*sympathetic NS not able to respond --> low BP, decreased hr, and WARM
DRY SKIN
-tx-immobilization/preventing further damage, fluids, vasoactive meds, and
thermoregulation
*head trauma, spinal cord trauma (above T6), decreased glucose, etc.
*SNS damaged and can't respond --> low bp, LOW HR, WARM DRY SKIN,
and LOW RR
