Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
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

Egan Ch 45

NPPV

QuestionAnswer
Define Hypoxemic Respiratory Failure. the inability to maintain norm oxygen in art blood: P/F ratio<300; PaO2<60mmHg w/supp O2
Pt receives NPPV for hypoxemic resp failure, w/o improv how long should wait to intubate? No more than 1-2 hours. If pt declines w/in first 30 mins, don't wait.
What 3 conditions assoc w/hypoxemic resp fail qualify NPPV as 1st Line therapy? 1)immunocomprmised 2) awaiting transplantation 3)post lung resection
Name 3 other indications for the use of NIV therapy in acute care 1)DNI orders 2)Facilitate weaning for COPD & CHF 3)Post-opt in abdominal surgeries
Name 5 Restrictive Thoracic Diseases (RTD) for which NPPV is used in chronic care Post polio;chest wall deform.;spinal injuries;severe kyphoscholeiosis;NMD
What are 3 benefits gained by NPPV in Restrictive Thoracic Diseases 1)Improved lung compliance,volume/FRC,dead space 2)Rest muscles of insp 3)lower PaCO2
Name 6 predictors of successful NPPV use in the acute care setting 1)low severity illness 2)Resp Acid PCO2 45-92 3)pH 7.22-7.35 4)min air leak 5)rapid improved gas x-change (30min-2hrs) 6)improved RR & HR
What 3 types of ventilators are used for NPPV Non-invasive Ventilator;Critical Care Ventilator;Portable Volume Ventilator
Name 4 disadvantages of full face mask vs. nasal mask 1)increased dead space 2)risk of aspiration 3)claustrophobia 4)diff communic./expectorate
What % of acute respiratory failure patients should start w/ full face mask? 90%
Name the 5 patient Interfaces used w/NPPV Nasal mask,full face mask,mouth pc,total face mask,nasal pillows,helmet
Name the selection criteria for NPPV in care of Acute Respiratory Failure 2+ present: Paradoxical breath;access muscle use;RR>25;dyspnea;PaCO2>45;pH<7.35;P/F<200
Name the exclusion criteria for NPPV in care of Acute Respiratory Failure copious secretions;hemodynamic instability; apnea;face burns/trauma;abnor anat;uncooperativ
Name the 4 ways NIV can be provided Negative Pressure Ventilator;Positive Pressure Ventilator;Rocking Bed; Pneumobelt
How is NPPV typically administered? Nasal or oral/nasal mask
What condition must be present to add NPPV therapy with CPAP in Acute Pulm Edema? Hypercarbia (ventilatory failure)
Name the 3 "constant" end expiratory pressures that support oxygenation (all mean same thing) CPAP, EPAP, PEEP
What is the 1st line therapy for Acute Pulmonary Edema? CPAP 8-12 cmH2O w/ 100% oxygen
What is the standard of care in patients w/ acute COPD exacerbations? NPPV (as an alternative to intubation & conventional mechanical ventilation)
Name the 5 goals of NPPV in the chronic care setting 1)avoid hospital 2)increase survival 3)relieve symptoms 4)improve mobility 5)enhance life
What is the application of positive pressure w/o intubation to augment alveolar ventilation Non-invasive Positive Pressure Ventilation aka: NPPV, NIPPV, NIV
what is a rubber bladder strapped around the abdomen, when inflated assists w/ inp & exp Pneumobelt
What is the device that rocks from Trendel-enburg position to reverse to aid breath Rocking Bed
Which mode of ventilation re-establishes FRC and recruits alveoli? EPAP (or CPAP or PEEP)
what 5 nocturnal hypoventilation signs must be seen for NPPV therapy to be considered w/RTD? cognitive dysfunction;headache;fatigue; dyspnea; daytime hypersomnolence
NPPV for pt w/ severe COPD & signs of nocturnal hypoventilation must also have (3): 1)PaCO2>55mmHg 2)PaCO2 50-54mmHg PLUS noc-turnal desaturat 3)2+ hosp for ventilatorfail
When IPAP is increased... ...Tidal Volume increase, Ventilation increases, and PaCO2 decreases
When EPAP is increased.. . ...Tidal Volume decreases, PaO2 increases, and FRC increases
When rate control is increased... ...Minute Volume increases, PaCO2 decreases
Created by: wickelbie
Popular Respiratory Therapy sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards