Patient Evaluation

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Author:
mikeramos611
ID:
125951
Filename:
Patient Evaluation
Updated:
2012-01-04 19:15:22
Tags:
Kettering Pt Evaluation
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Description:
Patient Evaluation - CRT
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  1. What are the 4 critical funtions?
    • Ventilation
    • Oxyenation
    • Circulation
    • Perfusion
  2. What assessment would determine how well a patient is ventilating?
    • Respiratory rate
    • Vt
    • PaCO2
    • Breath sounds
    • Chest movement
  3. How would the therapist determine if a patient has a problem with oxygenation?
    • Heart rate
    • Color
    • Sensorium
    • PaO2
  4. What information would help the therapist determine if a patient's circulation is adequate?
    • Pulse / Heart rate + strength
    • Cardiac output
  5. What changes would indicate that a patient may not have adequate perfusion?
    • Blood pressure
    • Sensorium
    • Temperature
    • Urine output
  6. A proper written order for respiratory care should include what 4 factors?
    • Type of treatment
    • Frequency
    • Medication dosage + dilution
    • Physician signature
  7. What is the normal value for urine output?
    40 mL/hr
  8. What finding might indicate that the patient's fluid intake has exceeded his urine output?
    • Weight
    • Electrolyte imbalance
    • Increase hemodynamic pressures
    • Decrease lung compliance
  9. What is the complication which could be associated with nasal pharyngeal airway?
    • Trauma to mucosa
    • Epistaxis (bleeding)
    • Increase airway resistance
  10. What is the complication which could be associated with oral airway?
    • Gagging
    • Vomiting
    • Laryngospasm
    • Airway obstruction
  11. What are 5 purposes endotracheal intubation?
    • Provide a patent airway
    • Access for suctioning
    • Mechanical ventilation
    • Protect airway
    • Direct instillation of medication
  12. How should the RT maintain airway patency?
    Suction
  13. What level of humidification should be maintained in order to prevent dehydration?
    100% humidity @ 37oC
  14. What are 2 ways to measure cuf pressure?
    • Minimal leak tehnique (MLT)
    • Minimal occluding volume (MOV)
  15. 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
  16. Tracheostomy us preferred over endotracheal tube intubation in what instance?
    Long term ventilation
  17. What are 2 possible immediate complicantions of the tracheostomy procedure?
    • Bleeding
    • Pneumothorax
  18. What are 2 possible late complications of the tracheostomy procedure?
    • Infection
    • obstruction
  19. When should a therapist recommend a fenestrated tracheostomy tube?
    When weaning a patient.
  20. What is the
  21. What is the purpose of the trachea button?
    To maintain stoma.
  22. When using a tracheal speaking valve, the trachealstomy tube cuff must be ________.
    Deflated
  23. What are the goals of humidity therapy?
    • Prevention of mucosal crusting
    • Compensate for humidity deficit
  24. What is the goal of aeosol therapy?
    • Relieve bronchospasm + mucosal edema
    • Thin secretions
    • Humidify the respiratory tract
    • Administer drugs
  25. What are the hazzards of aerosol therapy?
    • Bronchospasm
    • Secretion swelling + airway obstruction
    • Fluid overload
    • Cross contamination
  26. Where should the HME be positioned within the ventilator circuit?
    Between the wye + patient.
  27. What percent body humidity can be delivered with a wick humidifier?
    100%
  28. What are 2 drugs used to treat atrial arrhythmias?
    • Quinidine
    • Propranolol
  29. What are 2 drugs used to treat bradycardia?
    • Atropine
    • Epinephrine
  30. What are 4 drugs used to treat ventricular arrhythmias?
    • Lidocaine
    • Procainamide
    • Verapamil
    • Amiodarone
  31. What drug is commonly used to treat angina pectoris?
    Nitroglycerin
  32. Vasodilator drugs are used for what purpose?
    Decrease blood pressure
  33. What condition is treated with Dopamine?
    High blood pressure
  34. What condition is treated with Mannitol?
    • Cerebral edema
    • Drug toxicity
    • Overdose
  35. What conditn is treated with Sodium Nitroprusside?
    • Low Blood Pressure
    • Decrease ventricular preload
  36. Pulmozyme is recommend for patient's with what lung pathology?
    Cystic Fibrosis
  37. Changes in what reading can indicate hypo / hypervolemia?
    Central venous pressure (CVP)

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