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SOPN Handouts Test 7
Question | Answer |
---|---|
Accessory Muscles of Ventilation External? | Inspiration |
Accessory Muscles of Ventilation Internal? | Expiration |
Lobes Right | Three |
Lobes Left | Two |
Nasal Cannula | Low 02 delivery upto 6L/min, advantage pt can move, eat, and talk with out disrupting 02 delivery. |
Simple Mask | Low to medium delivery must use liter flow greater than 5L/min Must remove to eat, drink or meds. |
Non-rebreathing Mask | Highest Concentration, Useful in emergency situations. Not for long term use. |
Primary purpose of chest tube and underwater seal drainage is? | To re-establish Negative Pressure. |
Hemothorax Tube Insertion for: | Blood in pleural space, trauma to chest wall, lung tissue or mediastinum |
Pneumothorax Tube Insertion for: | Air in the pleural space |
Spontananeous Pneumothorax Tube insertion for: | Air in pleural space without apparent cause for chronic lung disorders such as emphysema. |
Tension Pneumothorax Tube Insertion for: | Air enters plueral space with each inspirateon becomes trapped causing pressure build up as it accomulates. |
Major sign of Tension Pnuemothorax | Shirt of mediastinum to unaffected side |
Mediastinal Shift Tube Insertion for: | Deviation of larynx and trachea from midline to unaffected side Major med emergency |
Hemopneumothorax Tube Insertion for: | Air & blood in plural space, with possible clotting |
Never raise chest drainage device above what? | Patients chest level. |
Pnuemothorax surger for? | To remove air or fluid from plueral cavity, re-expand lung, maintin or restore negative pressure in the lung. |
Why is incision sealed with vaseline gauze? | To prevent pneumothorax |
Slower the rate of respiratory from? | Narcotic analgesics, anethetics, brainstem injury, pain |
Factors influencing increased respiratory rate? | Abnormal blood cell function such as sickle cell, high altitudes, anxiety, |
Negative pressure ventilators: | Drinker respirator tank (iron lung), no intubation required, reliable but cumbersome |
Positive Pressure Ventilator, Pressure-cycled | Inspiration is terminated when a PREDETERMINE PRESSURE is reached, used short term such as in the PACU. |
Positive Pressure Ventilator, Volume-cycled | Inspiration terminated when a preset VOLUME is acheived |
Biots (ataxic) Respirations | Irregular breathing with variations in rate, rhythm and depth |
Funnel Chest | Depression of the sternum starting at the se cond intercostal space and most marked at the xiphoid process, exaggerated on inspiration. |
Pigeon Breast | Protrusion of the sternum with depressions at the costochondral juntions and backward sloping of the ribs |
Barrel Chest | Anteroposterior diameter enlarged to equal the transverse diameter, ribs are horizontal rather than downward sloped. |
Kyphosis | Exaggerated posterior curvature to the thoracic spine. |
Scoliosis | Lateral S-shaped cuvature of the thoraic and lumbar spine |
Respiratory Alkalosis | Ph: up PC02: down Bicarb: normal until compensation. Kidneys will drecrease NaHCO3. This cannot be done quickly. |
Respiratory Acidosis | Ph: down PC02: Up Bicarb: Normal until compensation: Kidney will incrase NaHC03. This cannot be done quickly |
Metabolic Alkalosis | Ph: Up PCO2 Increase, Normal until compensation Bicarb: Up, Lungs will try to increase C02. This can be done quickly. |
Metabolic Acidosis | Ph: Down PC02: Down, normal until compensation, BiCarb: down, Lungs will try to decrease C02. This can be done quickly |
Metabolic Alkalosis from: | Excessive vomiting, prolonged gastrick suctioning, hypokalemia or hypercalcemia, excess aldosterone |
Metabolic Acidosis from: | Staration, Diabetic Ketoacidois, renal failure, lactic acidois from heavy exercise, asprin |
Respiratory Alkalosis from: | Hyperventilation, asthma, pneumonia, inappropriate mechanical ventilator settings |
Respiratory Acidosis from | Respiratory failure, cystic fibrosis, pneumonia, airway obstruction |
What is my favorite color | Red |