3 resp support

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Author:
Anonymous
ID:
89979
Filename:
3 resp support
Updated:
2011-06-09 21:21:25
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resp support
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3 resp support
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  1. what is the ideal breathing patter
    • slow, deep inspiration
    • ins pause 1-3 sec
    • exh slow, passive
  2. sustained maximal inspiration is aka
    incentive spirometry
  3. SMI and IS is used for
    prevention of atelectasis
  4. with IS, pt must be reminded to
    inhale not exhale into the device
  5. what do you use to prevent or correct atelectasis, pulm edema, dec wob
    IPPB
  6. hazards of IPPB
    • dizziness
    • tingling of fingers- instruct pt to breathe slower
    • inc icp
  7. bird mark 7
    • pneumatically powered
    • pressure cycled
  8. IPPB, increasing pressure will
    increase volume
  9. IPPB decreasing flow will
    decrease turbulance, would expand ins time, will increase volume
  10. decrease compliance =
    stiff lungs, decrease vol
  11. increase compliance =
    increase vol, lungs are not stiff
  12. increase airway resistance-
    decrease volume, bad, obstruction, bronchospasms
  13. decrease airway resistance=
    increase volume, good
  14. what type of compliance and resistance is good
    • increase comp
    • dec resistance
  15. ippb- loss of pressure means
    • leak
    • insufficient flow

    check pt firsttttttt
  16. ippb- excessive pressure means
    • obstruction, secretions
    • excessive flow
  17. if the pt fails to cycle into inspiration, what should u do
    • adjust sensitivity
    • tight seal around mouthpiece
  18. ippb- fails to cycle off
    theres a leak somewhere
  19. ippb- pressure does not rise normally
    insufficient flow so INCREASE the flow to solve the problem
  20. what is the purpose for CPAP
    • increase o2
    • support oxygenation at lower fio2
  21. short term, mask cpap is use for improving oxygenation in pts with
    • co2 poisoning
    • pneumonia
    • post op atelectasis
  22. nasal CPAP is useful with neonates since they are obligate
    nose breathers
  23. loss of pressure indicates
    • leak
    • insufficient flow
  24. increased pressure indicates
    • obstruction
    • excessive flow, cont venting of the pop off valve will occur
  25. indications for non invasive pos press vent NPPV
    • copd
    • chf
    • pulm edema
  26. nppv is contraindicated for pts with
    dysphagia- problem swallowing
  27. o2 must be titrated into the sys to achieve a desired
    fio2
  28. IPAP (ventilation) should be greater than
    epap (o2)

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