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Special Procedures 1 Test

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1.
How can the presence of a pleural effusion be established?
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2.
Treatment for CENTRAL SLEEP APNEA would include?
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3.
Describe the movement of water in the water seal chamber during spontaneous ventilation.
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4.
How does the disposible drainage unit differ when there is no suction applied to the control system?
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5.
EXUDATE FLUID is indicated by what pH level?
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6.
What does continuous bubbling in the water seal bottle indicate?
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7.
How would a TRANSUDATE FLUID appear?
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8.
Briefly Describe the THORACENTESIS procedure?
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9.
Describe the indication of apnea monitoring for infants who are at risk for SIDS?
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10.
List 4 indications for an excercise tolerance test?
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11.
How does the movement of water in the water seal chamber differ during POSITIVE PRESSURE ventilation.
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12.
List the formula to calculate the PTs maximum heart rate?
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13.
Voloume lost through the peripherial airways and chest tube is calculated by?
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14.
What piece of equipment is used when performing a BRONCHALVEOLAR LAVAGE of an entire Lung?
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15.
How much water should be in a water seal chamber?
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16.
List the criteria for discontinuing an Apnea monitor.
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17.
What type of fluid is associated with EMPYSEMA?
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18.
What are three types of SLEEP APNEA disorders?
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19.
Explain how PULMONARY EDEMA may result following insertion of a chest tube?
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20.
List the equipment necessary to perform an Exercise TOLERANCE test?
A.
weight loss, surgery,respiratory stimulants,Tracheostomy, Nasal/mask CPAP and/or NIPPV therapy
B.
there will be no bubbling in the suction control chamber; the unit will resemble a two-bottle gravity drainage unit
C.
Delivered Tidal Volume (800ml) --- Exhaled tidal volume (600ml) = lost tidal volume(200ml)
D.
CENTRAL APNEA due to loss of ventilation effort OBSTRUCTIVE APNEA due to blockage of the upper airway Mixed APNEAa combination of the Central and Obstructive types
E.
220- Age in years
F.
has an opaque appearance and is called EXUDATE FLUID
G.
treadmill or riding a cycle ergometer (bike)
H.
PT sitting up leaning forward, 3-10 ml of a 2% lidocaine is used,25 gauge neddle used, A longer neddle/anesthetize the thickness of chest wall, neddle is inserted the 7th 0r 8th intercostal space, neddle inserted to flud level reached,100-300ml/50syringe
I.
2 months free of event, No monitor alarms on apnea settings of >20 sec and heart rate at <60/min
J.
complaint of dyspnea on exertion Determine Ventilatory limitations to work Determine Cardiac limitations to work Determine Maximum workload
K.
One or more Apperent Life Threating Episodes. the infant has apnea,cyanosis,choking,or lifelessness that require stimulation or CPR, Sibling of a SIDS baby, Preterm infant, Snoring in infant
L.
a CARLENS TUBE (double lumen tube) is inserted to ventilate lung while other is filled saline and a complete lavage is done
M.
it can be assumed that 10cm of negative pressure is being maintained by the suction contral bottle and applied to the drainage system
N.
Physical Exam- revals flatness to percussion and diminished breath sounds and tracheal shift away from site. X-RAY- Lateral decubitus film shows concave upper border or a continual line from the diaphragm to apices. Ultrasound techniques
O.
the movement of water is reversed due to positive pressure within the thorax and the pleural cavity
P.
Approximately 1 to 2cm of water
Q.
clear/has a light straw color fluid also called serous fluid
R.
may result if there is a malfuction that creates
S.
the water rises toward the PT side of the chamber during inspiration and returns to the other side on expiration. Normal movement of water is 2 t0 6 cm. The movement is accentuated during greater inspiratory and expiratory effort
T.
pH less than 7.30
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21.
List the two common conditions requiring chest tube insertion?
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22.
What is the most common disorder that requires a thoracentesis?
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23.
What type of disorder is associated with TRANSUDATE FLUID?
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24.
PURULENT FLUID is defined as:
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25.
a chronic, irreversible disease of the lungs characterized by abnormal enlargement of air spaces in the lungs accompanied by destruction of the tissue lining the walls of the air spaces.

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