Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
SPC Clinical 2 Final
| Question | Answer |
|---|---|
| High blood pressure or head trauma would be a ______ of placing a pt in a head down position. | Contraindication |
| What rules should always be followed when giving CPT? | Never just after meals, watch pt's face, furthest bed railing up |
| Prone position w/ foot of bed elevated drains what segments/lobes? | Posterior basal & lower |
| Percussive Therapy is best described as: | Cupped hands trapping air as hand strikes pt's chest |
| Splinting is: | Support of incision during coughing to ease pain |
| Postural draining typically indicated with: | Pneumonia |
| Hazards of postural drainage: | Increased intracranial pressure, transient hypoxemia, & acute airway obstruction |
| How many segments in the R & L lungs? | 10 & 8 |
| Supine position, pillow under knees, w/ foot of bed slightly elevated drains what segment/lobe? | Anterior basal, lower |
| Pt laying 1/4 turn from prone w/ a pillow between legs, draining which segment/lobe? | Lateral, lower |
| Prone w/ a pillow under pt's stomach & foot of bed elevated, draining which segment/lobe? | Posterior basal, lower |
| CPT does not treat: | Plural abscess |
| Race Epi (what,dose) | Bronchodilator(rescue drug),0.25-0.5ml |
| Mucomyst (what,dose) | Mucolytic, reduce mucus volume & viscocity, 10% recomm. but 20% also avail., give w/ bronchodilator, stinks, don't give to nauseated pts, short-term use |
| Atrovent(ipratropium bromide) (what, dose) | Anticholinergic, prevent constriction in larger intermediate airways, SVN: 0.5mg w/ 2-3ml saline, MDI: 18ug/puff - 2 puffs QID |
| Combivent(ipratropium bromide & albuterol sulfate) (what, dose) | Anticholinergic(larger airways) & sympathomimetic(smaller/lower airways), MDI: 18ug ipratropium 90ug albuterol, not for pts w/ soy or peanut allergies |
| Advair(fluticasone & salmeterol) (what, dose) | Corticosteroid & sympathomimetic, DPI Discus or MDI: 100/250/500ug fluticasone 50ug salmeterol/puff (1 BID) |
| Xopenex(levalbuterol) (what, dose) | Sympathomimetic, smaller/lower airways SVN: 0.63/1.25mg w/ 3ml saline, MDI: 45ug/puff |
| Pulmozyme(dornase alpha) (what, dose) | Proteolytic, thin infectious mucus, 2.5mg ampoule |
| Spiriva(tiotropium bromide) (what, dose) | Anticholinergic, larger airways, DPI: 18ug/capsule (QD) |
| Asepsis | Free from infection |
| Aseptic technique | Methods used to prevent contamination |
| Colonization | Presence & growth of microbes in a host |
| Disinfection | Complete destruction of vegetative microorganisms - not spores |
| Gram-negative | Bacteria that DO NOT retain their basic stain after alcohol wash |
| Gram-positive | Bacteria that DO retain their basic stain after alcohol wash |
| Nosocomial infection | Hospital acquired infection |
| Pathogenic | Disease producing |
| Pseudomonis aeruginosa | Gram negative bacilli known for rapid appearance in water reservoirs (ex: nebs) |
| Sterilization | Process that results in the absence of living microorganisms - includes spores |
| Sterile | To be absent of living microorganisms - includes spores |
| Ziehl-Neelsen stain(AFB) | Acid-fast stain used to identify acid-fast organisms |
| Dry Heat method | Sterilize, 160-180C, 2hrs, only glass & metals |
| Ethylene Oxide (ETO) method | Sterilize, 50-56C, 30-60% humidity, 3-4hrs, items must be dry, kills by alkylation, mix w/ 10-15% CO2 otherwise explosive, don't ETO PVC, aerate plastics up to 12hrs. |
| Glutaraldehyde method | Alk form 10mins disinfection - 10hrs for sterilization, Acid form 20mins disinfection - if heated to 60C will sterilize in 1 hr, denatures proteins, very irritating |
| Quaternary method | Disinfectant, bactericidal activity is limited |
| Gamma Radiation method | Sterilize, very effective, expensive, requires extensive facility & equipment |
| Ultraviolet method | Limited use, kills most - not all - bacteria |
| Betadine(iodophor) | Disinfectant, less irritating than iodine though less bactericidal |
| Isopropyl alcohol | Disinfectant |
| Output Sampling surveillance | Test in-use or cleaned equip, colony counts, quantitative, amounts & types compared to ambient air, excessive = positive |
| Rinse Sampling surveillance | Monitor effectiveness of process method, sloshed in sterile broth, broth incubated, quantitative, sensitive to growth |
| Swab Sampling surveillance | Monitor in-use equip, sterile swab on single location, swab inoculate auger plate or broth for incubation, qualitative *most common method |
| Glutaraldehyde requires what to be activated? | NaHCO3 |
| Steam autoclaving used what level of pressure? | 15psi |
| Autoclave & glutaraldehyde are effective against? | Tuberculosis organisms |
| Autoclave & ETO are effective in killing? | Spores |
| What older bronchodilator has more cardiovascular effects? | Metaprel (metaproterenol or alupent) |
| Hypoventilation can be caused by? | High FiO2 delivered to CO2 retainer |
| What happens to FiO2 if resistance builds up in a venturi device? | Increases |
| IPPB breathing issues | Breathing pattern unnatural, pt should relax & allow vent to fill lungs, exhalation passive |
| IPPB sensitivity | Set auto-trigger, then slowly decrease until pt able to trigger easily |
| IPPB hazards/complications | Hypocapnea, hyperventilation, decreased CO, increased ICP, pneumothorax |
| After reviewing the physician's order & the CXR, what next would best help determine where CPT should be concentrated? | Ausculate & percuss |
| CPT/PD contraindications | Cardiovascular instability, undrained empyema, lung abscess, hemoptysis |
| High Flow devices | Air Entrainment Mask (venti mask) |
| Low Flow devices | Nasal cannula, simple O2 mask, partial re-breathing mask, non-rebreather |
| Suction pressure should not exceed | 120 when end of suction tube occluded |
| Autoclave | Sterilization, 15psi @ 121C for 15 min, very effective, limited use on certain materials due to high heat |
Created by:
vgflgirl
Popular Respiratory Therapy sets