General Patient Care

Card Set Information

Author:
Anonymous
ID:
203617
Filename:
General Patient Care
Updated:
2013-02-26 17:21:48
Tags:
Respiratory Therapy
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Description:
Respiratory Therapy
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  1. Nicotine Replacements
    • Nicotine Patch (nicotrol, Nicoderm)
    • Nicotine-oral (nicorette)
    • Nicotine nasal spray
    • Nicotine inhaler
  2. Disinfection
    Destroying vegative pathogeneic microorganism
  3. Steraliztion
    Destruction all microorganisms
  4. Vegetative organisms
    Growing microorganisms
  5. Contaminated
    Disease causing microorganisms
  6. Static
    Growth inhibited
  7. Cidal
    Microorganisms killed
  8. Spore
    Resistant form certain species of bacteria
  9. Steam under pressure (steam autoclave)
    • Steralization 121 @15ps for 15 min
    • Plastics or heat sensitive items
    • Heat sensitive tap or biological indicators
  10. Pasteruization
    • Disinfection uses moderate temps to kill vegetative organisms 
    • Submersed hot water bath 63-70 for 30 min
  11. Incineration
    Best treating contaminated disposable items & supplies
  12. Alkaline gluteradehyde (cidex)
    • Disinfection or sterilization process
    • reusable plastics 
    • sterilizing flexible fiberoptic bronchsco
  13. Acid gluteradehyde (sonacide)
    disinfection or sterilization process
  14. Alchol
    • Disinfection process
    • Not sporicidal
    • Its bactericidal & fungicidal
  15. Chemical indicators
    • Located packaging tape & will change color indicating conditions met 
    • Assures package been through sterilization process
  16. Biological indicators
    package sterile
  17. Longer term benefits or goals pul rehab
    • Remove severity dyspnea
    • Improve ability ADL
    • Increases physical capacity of efficiency 
    • skeletal muscle
    • decreased frequency hospitalizations
    • reduce resting heart rate
    • improve sputum clearance
    • improve diaphragmatic breathing 
    • improve appetite
  18. Pulse dose oxygen delivery system
    • In place flowmeter w/ nasal cannula, reservoir cannula, transtracheal catheters
    • Sense start inspiration & delivers oxygen during inspiration
  19. Liquid bulk oxygen systems
    • Last longer than cylinders
    • Liquid oxygen very cold, frostbite and other skin damage 
    • Connections can freeze up 
    • Not used as back up system
  20. Oxygen concentrators
    • Molecular sieve removes nitrogen & other gases form RA to concentrate O2. 
    • Ow: 1-2 L/min continuously 
    • If not working check circuit breaker/fuse
  21. Myasthenia Gravis
    • Auto immunize response
    • slow, fatigue improves w/rest 
    • Descending (mind to ground)
    • Positive tensilon test
    • Monitor VC/MIP 
    • Drugs:neostigmine, pyridostigmine, intubation /mechan vent short term.
  22. Guillain Barre Syndrome
    • Delayed reaction viral infection 
    • Acute sudden weakness
    • Ascenidng (ground to brain) 
    • Spinal tap-protein spinal fluid 
    • Monitor VC/MIP 
    • Drugs: steroids, prophylatic antibotics, mech vent/trach longer term/ plasmapheresis
  23. What is ARDS ?
    Series reactions leading to inflammation decease in lung compliance shunting & hypoxemia
  24. ARDS Treatment
    • CPAP? PEEP-increase FRC & decrease WOB
    • Titrate PEEP & FIO2 
    • Use IMV/SIMV w/PEEP
    • Consider pressure control ventilation
  25. What is PNA
    Infectious bacteria or virus enters lung inhalation or aspiraiton
  26. PNA Treatment
    • O2 if needed 
    • Bronchial hygiene
    • Antibiotcs
    • Mechanical vent: PaCO2>45 torr, PaO2<60torr

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