Ken\'s Final Part 1.txt

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MagusB81
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120550
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Ken\'s Final Part 1.txt
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2011-12-03 21:25:01
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Final RESP 131
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Final RESP 131
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  1. Provides essential information for an acuraate assessment so that the correct therapy can be ordered or discontinued, double check the work of others, assess the physiological and sociological as well as the physical impact of the illness on the patient, and creates and maintains therapist/patient rapport.
    the purpose for the reapeated interview
  2. Common causes of fever in the resp. PT?
    Pneumonia, TB, severe acute bronchitis, and atelectasis
  3. Rapis Breathing
    Tachypnea
  4. Rapid deep breathing
    Kussmaul breathing
  5. intermittent breathing with periods of apnea.
    Cheyne-stokes breathing
  6. rapid deep breathing withperiods of apnea
    biot's breathing
  7. prolonged inhalation
    apneustic breathing
  8. a portion or all of the chest wall goes in on inhalation and out with exhalation
    paradoxical breathing
  9. Signs of upper airway obstruction
    used of auxillary muscles to breathe and stridor/snoring
  10. Pneumothorax, Fibrothorax, massive atelectasis, and congenital hemiatrophius all cause what to the thorax?
    hyperexpansion
  11. With stethoscope over trachea inflate cuff until the sound of leaking gas stops (make note of gas volume in cuff), leaking gas can no longer be heard at peak pressure, Withdraw gas from cuff until the sound of gas leaking around the cuff can be heard at peak inspiratory pressure only. What is this technique called?
    MLT (minimal leak technique)
  12. The biggest problem with endotracheal tubes and tracheostomy tubes is?
    over inflation of the cuff
  13. Cuff pressure > 30 torr
    stops arterial capillary blood flow (ischemia)
  14. Cuff pressure >18 torr
    venous flow obstruction (construction)
  15. Cuff pressure > 5 torr
    lymphatic flow obstruction (edema)
  16. The minimal volume for a cuff to be safely inflated and exert minimal pressure on the trachea and esophagus. The procedure for this involves inflating the cuff until there is a slight leaking sound through auscultation, and then slowly adding 1 cc until the sounds are gone. Chart the volume needed to inflate the cuff.
    MOV (minimal occlusion volume)
  17. The maximum volume that should be injected into the cuff of the endotracheal tube is?
    10cc or 24 torr
  18. If the cuff requires more than 10 cc or 24 torr, what does it mean?
    the endotracheal tube is too small
  19. Cylinders should be equipped with a pressure relief mechanism. Tthere are three:
    frangible disk, fusible plug, and spring-loaded device
  20. Cylinders should be tagged with?
    contents
  21. What two valvues should the cylinders have?
    direct and indirect valves
  22. Direct vavles are capable of holding pressure greater than?
    1500psig
  23. indirect or diaphragm valves are less prone to leaks and are used on what types of cylinders?
    Cylinders containing flammable gases
  24. Safey device: used for small cylinders A-E. The pin and hole are specified for each gas by the CGA.
    PISS
  25. Safety device: Used for large cylinders E and above.
    ASSS
  26. Safety device: Similar to the ASSS but it is intended for equipment that is arrached to gas sources of less than 200psig. Prevents inappropriate connections by changing bore sizes in opposide directions
    DISS
  27. Formula to calc duration of gas in tank
    Tank factor X psig left in tank (-500 if on PT) = minutes remaining
  28. Tank factor for an E cylinder
    0.28
  29. Tank factor for an H cylinder
    3.14
  30. A device used to lower gas pressure, control it, and meter its flow.
    Medical gas regulator
  31. When a restriction or high-resistance device is attached to the outlet of a non-pressure compensated Thorpe tube flow meter, the reflected flow on the flow meter scale is?
    lower than the actual flow.
  32. What are the seven classes of oxygen analyzers
    Paramgnetic, electrical, chemical, electrochemical, mass spectoscopy, zirconium cell, and raman scattering
  33. What is the priciples of operation for paramagnetic, electrical, chemical, and electrochemical analyzers
    Amperometric principle
  34. What is the priciple of operation of Mass Spec, zirconium call, and raman scattering?
    Gas molecules can be identified by their Mass:Charge ratio when passed through a magnetic field
  35. Particles with a MMAD of 10 or above are trapped where?
    in the upper airway
  36. Particles with a MMAD of 5-10 are generally targeted for delivery to?
    into the upper lung
  37. Particles with a MMAD of 1-5 are generally targeted for delivery into?
    the lower lung
  38. Particles with a MMAD of .5-1 are generally targeted for?
    the aveoli
  39. What will determine the particle size on a USN?
    tthe preset frequency of 1.35
  40. What will determine the output of the USN?
    the amplitude
  41. Internal impaction, gravity, kinetic activity, physical nature of the particle, temp. and humidity, and ventilatory pattern and characteristics of the PT's airway. are all factors that effect?
    aerosol deposition
  42. What are the four catagories of aerosol therapy?
    bland aerosol, upper airway, lower airway, and lung parenchyma
  43. What tonicity of aerosols will deposit in the upper airway?
    Hypertonic
  44. What tonicity of aerosols will deposit in the middle airway? These remain reasonably stable in theri size.
    Isotonic
  45. What tonicity of aerosols will deposit in the lower airway?
    Hypotonic
  46. Oral pharyngeal airway (OPA), Guedel (down the center), Berman (down the sides), Rosser-safar (s-tube), Connel waters (murphy eye tube), Nasal pharyngeal airway (NPA), Rysch, Bardex, Argyle, and Sakalad (murphy eyes) are all what kind of artificial airways?
    Upper aritificial airways
  47. Tumor, bleeding, edema, vomitus, lesions, and foreign bodies can cause what in the upper airway?
    obstruction
  48. What is the most common upper airway obstruction?
    soft tissue obstruction
  49. is similar to other trach tubes but has one added feature. It has a hole in the outer cannula. This hole allows air to pass from your lungs up through your vocal cords and out through your mouth and nose. It therefore, lets you breathe normally, as if you did not have a tracheostomy. It also allows you to speak and cough out secretions through your mouth.
    Fenestrated Trach
  50. Whay are fenestrated trachs used?
    allows a trial run to see how you do breathing normally and coughing up secretions on your own. Also, allows you to speak if trach is not need to be open all the time.
  51. Parts of the fenestrated trach?
    outer and inner cannula, obturator, cuff plug, and murphys eye.
  52. Endo. Markings
    ID, OD, length, I.T. or Z-79, and brand name.
  53. what does I.T. mean?
    implant tested
  54. what does Z-79 mean?
    conforms to stabdards of the american national standards institutes and is non-toxic
  55. FiO2 and flow of NC?
    22-44% @ .5-6lpm
  56. FiO2 and flow of simple O2 mask?
    35-50% @ 5-12lpm
  57. FiO2 and flow of partial rebreathing mask?
    35-60% @ 6-10lpm
  58. FiO2 and flow of non-rebreathing mask?
    55-70% @ 6-10 lpm
  59. Lobe segments of the right upper?
    apical, anterior, and posterior
  60. Lobe segments of the right medial?
    lateral and medial
  61. lobe segments of the right lower?
    superior, medial basal, anterior basal, lateral basal, and posterior basal.
  62. Lobe segments of the left upper?
    apical, anterior, and posterior
  63. Lobe segments of the left middle?
    superior and inferior lingula
  64. Lobe segements of the left lower?
    Superiorm anteromedial basal, lateral basal, and posterior basal.

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