In each blank, try to type in the
word that is missing. If you've
typed in the correct word, the
blank will turn green.
If your not sure what answer should be entered, press the space bar and the next missing letter will be displayed. When you are all done, you should look back over all your answers and review the ones in red. These ones in red are the ones which you needed help on. Question: Whistle tip Answer: tip is cut at an and has one or more eyes or ports cut in the side. Question: What is the of an eye or port in a catheterAnswer: keeps vacuum from biopsying during suctioning Question: Coude Answer: has a bend or at the distal end, allows for directional entry into right or left mainstem bronchi Question: aeroflow catheterAnswer: donut shaped tip with port holes Question: suction systemAnswer: catheter in sealed plastic for protection, distal end is to modified aerosol T proximal to control valve, replace ea 24 hrs, used on vent Question: Besides , why is a closed suction system usedAnswer: primary is to keep pt VT, FIO2 and PEEP up, secondary is convenient, cheap, less contamination, good for 24 Question: What is a rigid tonsillar aka Answer: hard plastic catheter for oropharynx suctioning Question: airwayAnswer: curved shaped device that separates the from the posterior wall of the pharynx to relieve obstructions in unconscious pt Question: How is a airway insertedAnswer: with tip up, rotate 180 degrees as it goes Question: Why and how is sizing important in oropharyngeal airwayAnswer: to small and soft tissue may still obstruct, to large may push epiglottis against larynx airway, correct is at base of tongue, measure from middle ear to tip of nose Question: Why is oropharyngeal airway not tolerated by conscious Answer: gag reflex may be strongly , may result in vomiting and aspiration Question: What is a airwayAnswer: soft rubber tube placed in one of the , used in a conscious and semiconscious pt when tongue or soft tissue is causing obstruction Question: What is a trumpetAnswer: nasopharyngeal Question: What size trumpet is bestAnswer: largest diameter that can easily pass with minimal or trauma, length should be from the ear tragus (middle pointy on cheek) to the end of the nose. Question: If the nasal is not sized correctly what problems may occurAnswer: to small may not correct airway obstruction, proper fit should rest at base of , to large may cause larynex to block airway Question: What is a regulatorAnswer: reduces the high pressure to a manageable and safe physiological level, single stage, 0-200 mmhg (neg) Question: What is the suction for adultsAnswer: -100 to -120 Question: What is the suction pressure for Answer: -80 to -100 Question: What is the suction pressure for Answer: -60 to -80 Question: Indication for areAnswer: primary is to remove secretions, a patent airway in the presence of evidence of secretions audible and physical ie: crackles, rhonchi, diminished BS, obstruction, CSR with opacity, tachycardia, tactile fremitis, spo2 Question: Contraindications of areAnswer: occlude nasal passages, nasal bleeding, Epiglottitis or croup, acute head face or neck injury, bleeding disorder, laryngospasm, irritable , upper resp tract infection Question: What is a trapAnswer: specimen trap that can be placed in a vacuum circuit to collect Question: What is the only catheter that can go down the left bronchiAnswer: tip Question: What is the biggest hazard of Answer: or hypoxemia Question: of suctioning areAnswer: mechanical trauma-pharynx perf, of nasal turbinate, bleeding, tracheitis, hypoxemia, cardiac dysrhythmia bradycardia, hyper or hypotention, resp arrest, uncontrolled cough, gag, vomit, laryngospasm, bronchospasm, pain, infection, atelectasis Question: How can cause atelectasisAnswer: to big or suction press to high Question: of need for suctioningAnswer: auscultation, of cough Question: Why can suctioning cause Answer: touching the corina with the can stimulate the vagal nerve Question: of outcomeAnswer: breath sounds, removed secretions Question: Pt monitoring during suctioning includeAnswer: BS, skin color, breathing pattern and rte, pulse, rhythm, sputum, bleeding or evidence of trauma, pt subjective response, cough, spo2, ICP if Question: Manual resuscitator flow be set at what prior to suctioningAnswer: 10 to Question: Suction kit Answer: sterile catheter, gloves and Question: preparation for suctioning includesAnswer: resuscitator, suction kit, goggles or face mask, sterile normal saline, sterile distilled water, vacuum regulator, suction trap if needed, ky jelly Question: Sterile distilled water needs how oftenAnswer: every 72 , be sure to date when opening Question: What is of pt for suctioningAnswer: semi fowler sniffing or supine if unable to semi Question: How do we prevent in suctioningAnswer: preoxygenate pt at 100 percent O2 for 1 to 2 Question: Why do we pt prior to suctioningAnswer: helps to hypoxemia and vagal stimulation in vented pts Question: How far does RTT insert Answer: 8 to 10 or until pt coughs Question: How long do we suction a pt Answer: application of vacuum be no longer than 15 seconds Question: Artificial airway Answer: direct below the larynx Question: How much saline is instilled in artificial airway if secretions are Answer: 3 cc Question: How often do we oxygenate pts when artificial airwaysAnswer: each pass Question: How do you estimate the size of a catheterAnswer: 2 x ET tube size and then down one size , so ET tube of 6 is 12 so is 10 french Question: RTT ready to suction pt but no suction, what be problemAnswer: leak at suction trap or vacuum line, canister may be full, not turned on Question: pt has PVC's during , what should RTT doAnswer: stop, give 100 % O2, once continue suction Question: how does RTT trauma to mucosa during suctioningAnswer: rotate catheter, do not exede reconmended pressure, use largest cath possible with out over 1/2 |
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