What do we call it if the machine is only doing some of the breathing?
Give this one a try later!
-Intermittent
-If the pt has some spontaneous breathing, they may set the vent RR lower,
and the pt does the rest
-If you set the settings to low they retain CO2 and become acidotic
-If it's set too high then they're blowing off too much and become alkalotic
Why don't we milk?
Give this one a try later!
, -It changes the pressure and causes tension
Assess after extubating?
Give this one a try later!
-Check vitals a lot
-Have them on an O2 mask
Rationales for turning/positioning Q2 in PPV pts:
Give this one a try later!
-They are unable to move/reposition themselves
-Theyre then at an ^ idk for ulcers
-Can also help them breath and take pressure off other organs
What else do we look at if the pts on a vent?
Give this one a try later!
-Restlessness, but they'll be heavily sedated
-Restraints
-Watch for pneumonia (turning and positioning)
Assessment findings of a sucking chest wound?
,Give this one a try later!
-Dyspnea
-Cyanosis
-Frothy secretions
-v O2
-v breath sounds on injured side
What diagnostic test would be definitive for ARDS?
Give this one a try later!
-ABG's: show mild hypoxemia and resp alkalosis from hypervent. Will
become hypercapnia, hypoxic, and will move to metabolic acidosis
-Chest x ray:May be normal. May show infiltrates, as it progresses, we see
"white out"
-Pulm artery wedge pressure: less than/= to 18. doesn't ^, because this is
non cariogenic
-Pulmonary function test: v lung compliance, lung volume, and residual
capacity
-Early: chest x ray may show some infiltrate
-Late: PFT will v, chest x ray may reveal a "white out" from consolidation
What diagnostic tests would a nurse expect to be ordered for diagnosis of PE?
Give this one a try later!
-ABG's *not diagnostic
-Chest xray (atelectasis and pleural effusion)
-ECG(ST seg changes)
-Troponin levels ^
-BNP^
*D-Dimer (elevated w/ clot degradation-not found in healthy ppl BUT it's
not specific, and there are other reasons for ^ fibrin)
, *Spiral CT (uses contrast) -if they think the symptoms are cardiac related
and they go for a cath, they can't do the spiral CT because they can't use
the dye that close
-VQ scan: for pts who can't have contrast. they have a radioactive isotope
for perfusion and an inhaled substance for vent
-Pulmonary angio (like a cardiac cath): most sensitive/specific, but its
expensive. Inject contrast
What are signs of resp distress?
Give this one a try later!
-Dyspnea
-Cough w/ or w/o hemoptysis
-Cyanosis
-Tracheal deviation
-Audible air escaping through the chest wall
-v breath sounds at the site
-V O2 sats
-Frothy secretions
*also assess for cardiac abnormalities
What might you assess on an ARDS pt?
Give this one a try later!
Give this one a try later!
-Intermittent
-If the pt has some spontaneous breathing, they may set the vent RR lower,
and the pt does the rest
-If you set the settings to low they retain CO2 and become acidotic
-If it's set too high then they're blowing off too much and become alkalotic
Why don't we milk?
Give this one a try later!
, -It changes the pressure and causes tension
Assess after extubating?
Give this one a try later!
-Check vitals a lot
-Have them on an O2 mask
Rationales for turning/positioning Q2 in PPV pts:
Give this one a try later!
-They are unable to move/reposition themselves
-Theyre then at an ^ idk for ulcers
-Can also help them breath and take pressure off other organs
What else do we look at if the pts on a vent?
Give this one a try later!
-Restlessness, but they'll be heavily sedated
-Restraints
-Watch for pneumonia (turning and positioning)
Assessment findings of a sucking chest wound?
,Give this one a try later!
-Dyspnea
-Cyanosis
-Frothy secretions
-v O2
-v breath sounds on injured side
What diagnostic test would be definitive for ARDS?
Give this one a try later!
-ABG's: show mild hypoxemia and resp alkalosis from hypervent. Will
become hypercapnia, hypoxic, and will move to metabolic acidosis
-Chest x ray:May be normal. May show infiltrates, as it progresses, we see
"white out"
-Pulm artery wedge pressure: less than/= to 18. doesn't ^, because this is
non cariogenic
-Pulmonary function test: v lung compliance, lung volume, and residual
capacity
-Early: chest x ray may show some infiltrate
-Late: PFT will v, chest x ray may reveal a "white out" from consolidation
What diagnostic tests would a nurse expect to be ordered for diagnosis of PE?
Give this one a try later!
-ABG's *not diagnostic
-Chest xray (atelectasis and pleural effusion)
-ECG(ST seg changes)
-Troponin levels ^
-BNP^
*D-Dimer (elevated w/ clot degradation-not found in healthy ppl BUT it's
not specific, and there are other reasons for ^ fibrin)
, *Spiral CT (uses contrast) -if they think the symptoms are cardiac related
and they go for a cath, they can't do the spiral CT because they can't use
the dye that close
-VQ scan: for pts who can't have contrast. they have a radioactive isotope
for perfusion and an inhaled substance for vent
-Pulmonary angio (like a cardiac cath): most sensitive/specific, but its
expensive. Inject contrast
What are signs of resp distress?
Give this one a try later!
-Dyspnea
-Cough w/ or w/o hemoptysis
-Cyanosis
-Tracheal deviation
-Audible air escaping through the chest wall
-v breath sounds at the site
-V O2 sats
-Frothy secretions
*also assess for cardiac abnormalities
What might you assess on an ARDS pt?
Give this one a try later!
