Student Study Note Cards
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| When should you document on the ventilation record? (RQ) | show 🗑
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| show | PIPxCt=30cmH2Ox1.5ml/cmH2O=15ml (CG)
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| show | Inspiratory Hold, switch from volume ventilation to pressure ventilation, and maintain PIP<35 cmH2O. (CG)
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| If your BP decreases below 60, where does all the blood in the body go? (RQ) | show 🗑
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| What are major organs of the respiratory system and what are some things we can monitor without any big machine? (ApQ) | show 🗑
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| show | Rid of waste and fluid balance--urine sample, BUN, Creatinine, Ultrasound, I/O, Electrolytes (KMH)
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| show | spleen, lymph nodes, thymus (MK)
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| If you think someone has a problem with their respiratory system, what are some things you can check right on hand without an order or leaving the room for machines? (ApQ) | show 🗑
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| What is made up of the skeletal system and the muscular system? And what are some assessments you can monitor for both? (AzQ) | show 🗑
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| how many body systems are there in the human body. name them (RQ) | show 🗑
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| show | BUN, I/O urine sample, ct, ultrasound.
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| name organs and structures, ways to test and what they test for in the respiratory system. (AZQ) | show 🗑
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| show | heart, brain, and large muscles (fight or flight)
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| What test can you perform to test diaphragm strength? What part of ventilation will this tell you? (AzQ) BL | show 🗑
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| Name the organs and 5 assessments you can do for the respiratory system? (ApQ) BL | show 🗑
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| Before connecting a pt to the vent, the RT should verify what?(RQ)(TM) | show 🗑
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| show | 400-140=260ml/breath(ApQ)(TM)
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| show | It's an assessment of transdiaphragmatic pressure during inspiration and its a way of estimating the contributions of the diaphragm during inspiration.(AzQ)(TM)
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| What will cause an inaccurate measurement of Pplat? | show 🗑
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| What is the most common cause of excessively high cuff pressure? | show 🗑
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| show | Make sure the cuff is properly inflated and is in the appropriate position.
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| show | If there is low BP there wouldn't be as much perfusion, and low blood volume could cause low Hgb, therefore low oxygen carrying capacity. Also, if there were blood clots that can become a PE.
Monitoring: HR, BP, EKG, VQ scan, Qt, albumin
(BH)
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| show | Anything increasing AW resistance will increase the PIP, this can be bronchoconstricition, secrections or obstructions. A high PIP can result in barotrauma and damage to the lungs. To monitor we set high pressure alarms or use a PC setting. (BH)
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| show | Ausculation of breath sounds
Look for chest rise
CXR
(BH)
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| show | Cardiac, smooth, and skeletal muscle (MB)
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| What is a test we preform to see if a patient is ready to be weaned from the ventilator? RpQ (MB) | show 🗑
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| What are things we as Respiratory student check on a patient to assess their respiratory status? (RpQ) (MB) | show 🗑
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| show | Indirect Calorimetry uses oxygen consumption and carbon dioxide production to estimate the patient's energy expenditure. (CZ)
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| show | They have a resistance problem as their PIP is changing but their Pplat is not. (CZ)
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| How is Cstat and Cdyn affected by CHF? What type of medication is given to help these values? (AzQ)(CZ) | show 🗑
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| What does NIF test for? AC | show 🗑
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| Name some skeletal system tests? AC | show 🗑
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| show | patient is retaining fluids
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| show | Respirometer (ACE)
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| You've intubated a patient and placed a capnometer on the ET tube. The capnometer is blue. What does that tell you? AzQ | show 🗑
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| What organs are involved in the endocrine system? | show 🗑
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| show | A checklist used to verify that the ventilator systems are fully functional and safe before use with a patient.
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| show | Desired range for the arterial carbon dioxide partial pressure (PaCO2), transcutaneous carbon dioxide partial pressure (PtcCO2), or end-tidal carbon dioxide partial pressure (PETCO2) and for the arterial oxygen partial pressure (PaO2), oxygen saturation.
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| show | •Complete blood count (CBC) •Blood chemistries (glucose, sodium, potassium, chloride, carbon dioxide [CO2], blood urea nitrogen, creatinine, phosphate, magnesium) •Prothrombin time, partial thromboplastin time, and platelet count •Blood, sputum.
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| show | To determine if the pt has the strength and ability to breath on their own during weening. MC
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| show | If a pt is spontaneously breathing while doing the inspiratory hold.
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| What organs receive blood if the BP drops to an extremely low pressure? RQ MC | show 🗑
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| What are some of the organs involved in the nervous system? (RQ) | show 🗑
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| show | Kidneys, bladder, urethra, ureters and tts would be BUN, I/O, CT, ultrasound, electrolytes (KAH)
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| If we were to check a patients swallow test results what system would be checking and why? (Apq) | show 🗑
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| show | An ET tube needs to be repositioned once every shift (8-12 hrs) to prevent pressure injuries to the gums, mouth and lip. (AB)
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| show | To reduce pt leak and damage to the AW. (AB)
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| What is a Scalar? (RQ) | show 🗑
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| show | To look at their nutritional state and see how that might be affecting their ventilation. (Marianne B.)
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| What is a definitive way to know the ET tube is in the right place? (RQ) | show 🗑
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| What indicates diaphragm strength? Why is this important? (AzQ) | show 🗑
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| What is airway resistance? (RQ) | show 🗑
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| What are some values that are measured during each patient-ventilator system check? (ApQ) | show 🗑
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| The assessment for a pt about to go on a ventilator should have what? (AzQ) | show 🗑
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| show | pulse oximeters, capnographs, transcuateous monitors. (JB)
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| show | insight about the nutritional status of pts. (JB)
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| the work of breathing is influenced by what???(AzQ) | show 🗑
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| 30 minutes after your pt has been placed on a vent what should you check on your vent? What are 2 items you may need to recommend be ordred? (ApQ) | show 🗑
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| All hospitalized pt's on vent support must be continuously monitored with what? (RQ) | show 🗑
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| What 4 conditions will ensure an accurate indirect calorimetry measurement? What will this reading tell you about your pt? What type of pulmonary diseased pt's often do we find that are not getting their caloric needs met? (ApZ) | show 🗑
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| show | make sure they are free of nail polish, that their fingers are warmed (having cold fingers gives false reading), and make sure that they are still (KJ)
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| show | (PIP-PLAT)/ flow/ 60. Raw tells us that it takes a lot of flow to pass through the airway because it is obstructed. To reduce Raw, we give inhaled bronchodilators. (KJ)
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| show | most common cause is high cuff pressure is an overinflated cuff. Causes could be the ET is too small for the pt. If changes aren't made this can cause tracheal injuries. (KJ)
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| What is Capnography? (RQ) | show 🗑
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| show | Work of breathing is very high. (AB)
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| After getting the following ABG's (7.30/6288/24) you make a few changes to the settings, what should you do after this? (AzQ) | show 🗑
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| show | Ventilator flow sheet.
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| show | 145.2 ml
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| How do you determine a patient's Pplat? If you have Vt 500ml, PIP 35cmH2O, Pplat 27cmH20, PEEP 5cmH2O, and TCF 3; what is the static compliance? (Jenn B) | show 🗑
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