Respiratory Lab

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  1. Purpose of grounding electrical equipment
    • Low resistance pathway to point zero voltage
    • Need three wire cords, the third ground wire prevents the dangerous buildup of voltage that can occur on the metal frames of some electrical equipment
  2. PASS
    • Pull
    • Aim
    • Squeeze
    • Sweep
  3. RACE
    • Rescue
    • Alert
    • Contain
    • Evacuate
  4. MSDS (Material Safety Data Sheet)
    Document that contains information on the potential health effects of exposure to chemicals
  5. HIPPA
    Health Insurance Portability and Accountability Act
    Protects medical records strictly confidential and health insurance and billing information
  6. What to find in Admission Sheet in medical record
    • Next of Kin
    • Physician
    • Initial Diagnosis
  7. What to find in Physicians Orders in medical record
    Prescription and Orders
  8. What to find in Progress Sheet in medical record
    Recent medial statues
  9. What to find in Specialized Therapy Records and Progress Notes in medical record
    Specialist Referrals
  10. What to find in Vital Sighs Graphic Sheet in medical record
    Vital Signs
  11. What to find in Laboratory Sheet in medical record
    • Diagnosis
    • Lab Results
  12. Organs more sensible to electrical shock
    • Can cause ventricular fibrillation (the heart)
    • Diaphragm dysfunction and death
  13. Is oxygen flammable or compostable
    Oxygen is not flammable but can greatly accelerate rate of combustion
  14. Techniques used to clarify patients responses (when asking to repeat themselves)
    Begin with admission of misunderstanding, Request clarification
  15. Elements of the POMR
    (Problem Oriented Medical Records)
    • Parts:
    • 1. Database
    • 2. Problem list
    • 3. The plan
    • 4. Progress notes
    • Database - Contains routine information about the patient
    • Problem List - Something that interferes with a patients physical or psychological health or ability to function
    • The Plan:
    • Progress Notes: Contain findings of subjective and objective data
    • * Often refereed as SOAP
  16. How to fix charting error
    A single line should be drawn though the mistake and the word "error" printed above it
  17. SOAP
    • Subjective: (Patient Complain) " I can't breath"
    • Objective: (Results of labs & exams) Awake, alert, orientated to time, place and person. vital sighs
    • Assessment: (What is the problem) Retained mucus and possible infection
    • Plan:(How is problem going to be treated) Treatment every 2hrs, continue to monitor lung sounds after and before each treatment
  18. How many people die of HAI
    (Hospital Care Associated Infections)
    1.7 million HAI's accounting got 99,000 deaths
  19. Contact
    • Staphylococcus
    • Pseudomonas aeruginosa
  20. Droplet
    • Meningitis Pneumonia
    • Influenza
    • Steptococcal Pneumonia
  21. Airborne
    • Tuberculosis
    • Varicella
  22. Cleaning blood spills know the dilution for bleach
  23. Amount of time to wash hands
    Least 15 sec
  24. Introduce yourself in Social Space
    4-12 feet
  25. Interview Personal Space
    2-4 feet
  26. Pedal Edema
    • Swelling of the lower extremities
    • Occurs with heart failure
  27. Pitting Edema
    When indentation mark is left on the skin
  28. Weeping Edema
    Small fluid leak occurs at the point where pressure is applied
  29. Tripod
    • The sitting position that emphysema patients use when they are in trouble
    • Sitting upright while bracing elbows on the table
    • Severe pulmonary hyperinflation
  30. Systolic
    • Normal:120
    • Range: 90-140 mmHg
  31. Diastolic
    • Normal:80
    • Range: 60-90 mmhg
  32. Vocal Fremitus
    the vibration created by the vocal cords during speech
  33. Tactile Fremitus
    Vibrations are felt on the chest wall
  34. Fremitus
    • Reduced in obese and overly muscular patients
    • To Asses repeat "99"
    • ↑ Pneumonia & Atelectasis
    • ↓ Emphysema & Pleural Effusion
  35. Pulse Pressure
    30 - 40 mmHg
  36. Wheezes
    • Rapid airflow though obstructed airways
    • Expiratory
    • Seen: Asthma & CHF
  37. Stridor
    • Rapid airflow though obstructed upper airway
    • Monophonic
    • Seen: Croup, Epiglottis & Postextubation
  38. Coarse Crackles
    • Excess airway secretions moving though airways
    • Coarse, Inspiratory & Expiratory
    • Seen: Severe Pneumonia, Bronchitis
  39. Fine Crackles
    • Sudden opening of Peripheral airways
    • Fine, Late inspiratory
    • Seen: Atelectasis, Fibrosis, Pulmonary Edema
  40. Capillary refill time
    • 2 sec or less
    • Bad perfusion
  41. Nitrogen
    • N
    • Black
  42. Helium
    • He
    • Brown
  43. Carbon dioxide
    • CO2
    • Gray
  44. Air
    • AIR
    • Yellow
  45. Oxygen
    • O2
    • Green
  46. Least expensive method for the production of commercial O2
    Fractional Distillation
  47. O2 purity standard for FDA
  48. O2 cannot be stored as a liquid at room temperature
    It reverses to its gaseous state
  49. Who is responsible for structured components for the central piping system in hospitals
  50. Gas pin position
  51. Air pin position
  52. Patient with nasal cannula, at what litter would you set bubblier
    4 L/min
  53. If you have a patient in 2 or 3 liters and are complaining that their nose is dry wha would you do
    Add humidification
  54. Goals of providing humidity therapy
    • Maintain normal physiological conditions in the lower airway
    • Add water to add water vapor to a dry gas
  55. Indications for using warm humidification
    Anything that bypasses the upper airway
  56. Why wouldn't you want to use warm humidification aerosol
    • Tracheal burns
    • Hypovolemia
    • Excess condensation
  57. What can be caused by using gas flow exceeding 4L
    • Immediate heat & Water loss
    • ↑ mucus secretions
  58. What type of humidifiers are used in a clinical /hospital setting
    Bubbler, Passover, Wick and HME
  59. Unheated bubblers are used for what systems
    • Nasal Cannula
    • (Do not connect mask to bubbler)
  60. Highest flow that would be used on a bubbler humidifier
  61. HMEs work
    • With own breath
    • "Artificial Nose"
  62. HMEs are used to do what
    Humidify and warm
  63. Reasons why you would put a patient on O2 therapy
    • Relieve hypoxemia
    • Minimize cardiopulmonary workload
  64. Indications for O2 therapy
    • Documented hypoxemia
    • PaO2 < 60 & SaO2 <90% room air
    • Severe trauma
    • MI
    • Post surgical
  65. When determining need for O2 therapy what to asses
    • Patient severity
    • Age
    • Alertness
    • Mouth or Nose breathers
    • Minute Ventilation
  66. Patients with Chronic Hypercapnia if their are placed on high levels of FiO2 what would happen
    Patient would stop breathing
  67. What would happen if air entrapment mask becomes obstructed with anything
    FiO2 Increases
Card Set:
Respiratory Lab
2016-12-07 07:42:17
Final Exam
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