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MCC Susan resp equip
Question | Answer |
---|---|
nasopharyngeal | conscious patient to open airway, place in nose |
oropharyngeal tube | unconscious patient. place in mouth |
endotracheal tube | in mouth or nose. RN's cannot place, EMS can. Usually in 5-21 days. Not for COPD!! |
tracheostomy | more permanent, can be on a vent or not on a vent. Trach care Qshift. Suction only 7-8 seconds. MUST use ambu bact (hyperoxygenate) after suctioning. |
tracheal polyps | cause narrowing and will prevent a tube from getting in |
nasal cannula. | after 4L humidify, can go up to 6L. There are high flow cannula's that can go up to 10L , but they look different |
venti mask | COPD |
partial rebreather | 75% Oxygen because diluted with exhaled gases |
non-rebreather | 100% but call it 90%, bag is O2 only |
transtracheal catheter | similar to tracheostomy, but very small. for COPD. uses 1/4 amount of O2 as a nasal cannula |
trach collar | used with tracheostomy. If pt doesn't need Oxygen, can still give air flow (humidity) (yellow not green knob) |
tent oxygen | young toddlers |
cat scan | NPO for 4 hrs be. Give oral diabetic meds to keep sugar low? No, because NPO has no intake to increase sugar. check for allergies in case give contrast. |
contrast is given | IV, affects GI. Check for betadine allergies |
chest x-rays | pneumonia, endotracheal tube placement, tumors, central line. Remove metal before sending for x-ray |
pulmonary angiography | pulmonary embolism dx |
V/Q scan | pulmonary embolism dx (ventilation vs perfusion) |
bronchoscopy | (blank) |
bronchoscopy | inside view |
thoracoscopy | outside view |
thoracentesis | pleural effusion. Done in radiology |
endoscopic flurocoscopy | versed is drug used, |
fiberoptic bronchoscopy | (blank) |
4 types of pneumonia | community acquired; nosocomial; immunocompromised host (alcoholic, HIV), aspiration (elderly person usually) |
exam questions on trach events | (blank) |
nasopharyngeal | conscious patient. lube w/ water soluble lube b4 inserting in nose. measure corner of mouth to tip of ear. Open airway, suction |
oropharyngeal | unconscious patient. measure corner of mouth to earlobe. put in upside down. |
endotracheal | EMS can place, RN's cannot w/o taking ACLS. In mouth or nose because can break out teeth. Have to do mouth care Q2H! Yankauer to remove spit. For critically ill. COPD are not done because can't come off vent easily. 5-21 days then tracheostomy tube |
tracheostomy | long term. can be on or off vent. |
tracheal polyps | narrows airway and diff. to place tube, need to place b4 polyps grow worse cuz can't place one in emergency easily |
cough reflex | located in carina. tell them when doing trach suctioning it's ok to cough |