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What are the 4 critical funtions?
What assessment would determine how well a patient is ventilating?
- Respiratory rate
- Breath sounds
- Chest movement
How would the therapist determine if a patient has a problem with oxygenation?
- Heart rate
What information would help the therapist determine if a patient's circulation is adequate?
- Pulse / Heart rate + strength
- Cardiac output
What changes would indicate that a patient may not have adequate perfusion?
- Blood pressure
- Urine output
A proper written order for respiratory care should include what 4 factors?
- Type of treatment
- Medication dosage + dilution
- Physician signature
What is the normal value for urine output?
What finding might indicate that the patient's fluid intake has exceeded his urine output?
- Electrolyte imbalance
- Increase hemodynamic pressures
- Decrease lung compliance
What is the complication which could be associated with nasal pharyngeal airway?
- Trauma to mucosa
- Epistaxis (bleeding)
- Increase airway resistance
What is the complication which could be associated with oral airway?
- Airway obstruction
What are 5 purposes endotracheal intubation?
- Provide a patent airway
- Access for suctioning
- Mechanical ventilation
- Protect airway
- Direct instillation of medication
How should the RT maintain airway patency?
What level of humidification should be maintained in order to prevent dehydration?
100% humidity @ 37oC
What are 2 ways to measure cuf pressure?
- Minimal leak tehnique (MLT)
- Minimal occluding volume (MOV)
What steps should the therapist take if the light on the larynoscope blade does not work?
- Tighten buld
- Check handle attachment
- Change blade
- Change batteries
Tracheostomy us preferred over endotracheal tube intubation in what instance?
Long term ventilation
What are 2 possible immediate complicantions of the tracheostomy procedure?
What are 2 possible late complications of the tracheostomy procedure?
When should a therapist recommend a fenestrated tracheostomy tube?
When weaning a patient.
What is the purpose of the trachea button?
To maintain stoma.
When using a tracheal speaking valve, the trachealstomy tube cuff must be ________.
What are the goals of humidity therapy?
- Prevention of mucosal crusting
- Compensate for humidity deficit
What is the goal of aeosol therapy?
- Relieve bronchospasm + mucosal edema
- Thin secretions
- Humidify the respiratory tract
- Administer drugs
What are the hazzards of aerosol therapy?
- Secretion swelling + airway obstruction
- Fluid overload
- Cross contamination
Where should the HME be positioned within the ventilator circuit?
Between the wye + patient.
What percent body humidity can be delivered with a wick humidifier?
What are 2 drugs used to treat atrial arrhythmias?
What are 2 drugs used to treat bradycardia?
What are 4 drugs used to treat ventricular arrhythmias?
What drug is commonly used to treat angina pectoris?
Vasodilator drugs are used for what purpose?
Decrease blood pressure
What condition is treated with Dopamine?
High blood pressure
What condition is treated with Mannitol?
- Cerebral edema
- Drug toxicity
What conditn is treated with Sodium Nitroprusside?
- Low Blood Pressure
- Decrease ventricular preload
Pulmozyme is recommend for patient's with what lung pathology?
Changes in what reading can indicate hypo / hypervolemia?
Central venous pressure (CVP)
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