monitor

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Anonymous
ID:
49649
Filename:
monitor
Updated:
2010-11-15 00:23:41
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monitor
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monitor
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  1. why do we monitor? (4)
    • establish a baseline
    • trend
    • alter treatment plans
    • pt safety
  2. 11 types of monitoring
    • vital signs
    • chest inspection and auscultation
    • fluid balance
    • abg's and other lab values
    • pulse ox
    • capnography
    • spont vol
    • transcutaneous monitoring
    • icp
    • vent waveforms
    • hemodynamic monitoring
  3. 4 types of vital signs monitoring
    • hr
    • bp
    • rr
    • temp
  4. heart rate is monitored via:
    • 5 lead hardwire system
    • telemetry
    • definrillator
    • pulse ox
  5. increase heart rate results in (3):
    • fever
    • pain
    • arrythmia
  6. decrease heart rate results in (2):
    • sedation
    • cardiac instability
  7. blood pressure is monitored via: (2)
    • cuff
    • arterial line
  8. increase bp results in (3)
    • fluid overload
    • vasoconstriction
    • anxiety
  9. decrease bp results in (1)
    decreased volume
  10. resp rate is monitored via
    • ventilator
    • impedance
  11. increase rr results in: (3)
    • failure
    • anxiety
    • acidosis
  12. decrease rr results in (1)
    failure
  13. temperature is monitored via
    • manually (axillary, oral, tympanic)
    • foley
  14. increase temp results in (1)
    infection
  15. decrease temp results in (2)
    • environmental
    • brain involvement
  16. 2 types of movement of chest inspection
    • symmetrical expansion
    • asymmetrical
    • -pnewmothorax
    • -improper tube placement
    • -injury
  17. 2 types of subcutaneous emphysema via chest inspection
    • crepitus
    • chest tube site
  18. wheezing =
    narrowing
  19. rales =
    • atelectasis areas
    • fluid consolidation
  20. rhonchi
    secretions
  21. diminished
    decreased air movement
  22. after intubation- where should you auscultate
    • stomach
    • lungs
    • line placement
    • g-tube placement
  23. dry fluid balance
    • increase hr
    • decrease bp
  24. wet fluid balance
    • increased bp
    • edema
  25. monitor what type of electrolytes
    • na
    • k
    • ca
    • mg
  26. 4 types of fluid balance
    • dry
    • wet
    • electrolytes
    • bun & creatine
  27. vent status (2)
    • paco2
    • petco2
  28. oxy status (4)
    • pa02
    • sa02
    • sp02
    • shunt
  29. uses light emitting through capillary beds
    pulse oximetry
  30. locations of pulse oximetry
    • finger
    • ear
    • forehead
  31. accuracy of pulse ox
    • match hr
    • waveform
    • 3 stars
    • correlate sp02 w/ sa02
  32. measures partial pressure of c02 in exhaled gas
    capnography
  33. capnography is attached to: 4
    • ett
    • cannula
    • mask
    • via cap
  34. accuracy of capnography
    • match rr
    • waveform
    • correlate petc02 w/ pac02
    • used to see trending
    • difference of up to 5 mmHg is acceptable
  35. spont vol is obtained via (3)
    • wright respirometer
    • pressure manometer
    • ventilator
  36. parameters obtained from spont volumes
    • mv
    • vc
    • nif
    • pef
    • rr
  37. transcutaneous monitoring (2)
    • ptc02 and pt02
    • electrode placement
  38. electrode placement is used to
    spot check sites

    does not adhere well in adults
  39. measure with bolt and pressure manometer
    intracranial pressure/ cerebral perfusion pressure
  40. normal ranges for CPP (cranial perfusion pressure)
    70-80 mmhg
  41. normal ranges for ICP
    < 20 mmhg
  42. increase in pressure =
    herniation
  43. decrease in pressure =
    ischmia
  44. formula for CPP
    MAP - ICP
  45. how do u keep ICP down
    manipulate ventilator

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