a MCPHS- Provider I- Ch 25 Respiratory Care Modalities
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| show | 21%
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| Hypoxemia vs. Hypoxia | show 🗑
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| Manifestation r/t Hypoxemia | show 🗑
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| Late sign r/t Hypoxemia | show 🗑
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| Oxygen toxicity occurs when | show 🗑
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| show | Hyp:decreased O in blood, C:inadequate capillary circulation, A:ineffective hemoglobin concentration, Histo:caused by toxic substance
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| show | Decrease in blood O
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| Normal stimulus r/t Respiration | show 🗑
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| Cannula vs. Partial rebreather vs. Non-rebreather vs. Venturi r/t O flow rate | show 🗑
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| show | LF:combines O w/Pt's inspiration & inspired O changes, HF:Pt's that require constant and precise amount of O
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| show | Inspiration and expiration
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| Non-rebreathing masks prevent | show 🗑
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| Noninvasive mask that provides most reliable/accurate O concentration | show 🗑
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| show | Accurate O supplementation avoid suppressing hypoxic drive
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| show | O level in plasma increases, O levels in tissues increases
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| show | Counteracts dry, irritating effects of compressed O, Moistens secretions
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| show | Incentive spirometry
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| Incentive spirometry functions | show 🗑
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| Volume vs. Flow spirometers | show 🗑
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| show | At least semi-Fowlers
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| Breathing technique to prepare for nebulizer use | show 🗑
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| show | Abd protrudes as far as possible
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| Time r/t Postural drainage | show 🗑
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| show | Sunction secretions
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| show | Cup hands and lightly strike chest wall, Wrists are alternately flexed
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| show | Vibration
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| show | Exhaling
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| Breathing retraining are exercises and practices to achieve more efficient and controlled | show 🗑
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| show | COPD and dyspnea
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| Examples r/t breathing retraining exercises | show 🗑
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| show | Upper airway obstructions, Loss of protective reflexes and tone of pharyngeal muscles
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| Endotracheal intubation Pt indications | show 🗑
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| Cuff pressures are checked | show 🗑
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| Intubation is used no longer than | show 🗑
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| Disadvantages r/t Endotracheal/Tracheostomy tubes | show 🗑
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| Preventing tube removal by Pt | show 🗑
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| show | B/w 2nd and 3rd tracheal rings
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| Inflated portion of tracheostomy tube | show 🗑
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| show | Airway obstruction, Infection, Innominate artery rupture, Dysphagia, Tracheoesophageal fistula, Ischemia, Necrosis
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| show | Tracheal stenosis
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| Tracheostomy tube is kept patent by | show 🗑
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| show | Facilitate ventilation, Promote drainage, Minimize edema, Prevent strain on sutures
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| show | Prevent pulmonary and systemic infections
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| show | > 15 mm Hg, <25 mm Hg
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| Preventing complications r/t Tracheostomy tubes | show 🗑
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| show | Hydrogen peroxide
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| show | Suction source
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| Suction catheter insertion depth | show 🗑
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| show | Withdrawing
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| show | Continuous decrease in PaO(hypoxemia), Increase in PaCO2(hypercapnia), Persistent acidosis
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| show | Volume-cycled ventilator
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| show | Volume of air delivered is relatively constant
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| Examples r/t Noninvasive Positive-pressure Ventilators | show 🗑
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| show | Pt is out of sync w/ventilator
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| show | 3x a day
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| show | Secretion production is always increased
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| show | Lung ascultation at least every 2-4 hours
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| show | Periodic sighs
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| show | Passy-Muir valve
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| show | Gradual removal of ventilator, Tube, Oxygen
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| show | Pt can breathe spontaneously, Maintain patent airway, Effectively cough, Swallow, Move jaw
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| show | (blank)
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| PaO level r/t Medicare/Medicaid reimbursement | show 🗑
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| show | Fat metabolism produces less CO2
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| show | Immobilization, Supine, Decreased consciousness, Prolonged intubation/mechanical ventilation
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| Re-expands lungs and Removes excess air/fluid/blood from pleural spaces | show 🗑
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| show | Lung has reexpanded, Tubing is obstructed, Suction is not properly working
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| Constant bubbling r/t Water seal chamber | show 🗑
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| show | System is kept below Pt chest level
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| show | Water level increase
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| show | Intermittent
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