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62 Cards in this Set
- Front
- Back
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What difference b/w partial rebreathing and nonrethreating mask for the inhalation? |
not full collapse nonrethreating |
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Before you change the trach tube for the replacement with a new one, what do you need to check? |
Size |
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During the inserting the tube, pt is coughing, what is the nurse intervention? |
Sip water |
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Why use distilled water to rinse the tube |
Distilled water is free bacteria and mineral |
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Nasal cannula fio2 |
1-6 L/min 24-44 % O2 |
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Simple face mask fio2 |
5-8 L/min 35-55% O2 |
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Venturi mask fio2 |
4-10 L/min 24-55 % O2 |
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Partial and non rebreather mask fio2 |
Partial 6-12L/min 60-90% O2 Non 6-15L/min 70-100% O2 |
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How long can we use the ET? |
Less then 2 weeks |
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Normal O2 mmHg |
80-100 |
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O2 of 70 or older |
80-85 |
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Why avoid dairy product for O2 therapy |
Thicken secretion |
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Why take free caffeine and sugar fluid |
Cause dehydration |
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Who can initiate O2 delivery devices? |
resp therapist Nurse Emt Licensed HCP |
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Humidified air used for |
Provide moisture to prevent drying nasal and oropharyngeal mucosa |
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How is O2 like in color, odor, taste? |
Colorless, odorless, tasteless |
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What happened to admin O2 > 2L/min? |
Eliminate resp drive, then breathing may stop |
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What to look on ear during O2 therapy |
Erythema, and skin breakdown |
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A device with 2 prongs inserted in nares for O2? |
Nasal canula |
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When changing trach ties what action you take? |
Secure new ties before removing old ones |
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How long can suction be applied when suctioning a trach |
Max 10 sec |
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What is hypoxia |
Lack of O2 in blood stream |
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Signs of hypoxia |
Restlessness, confusion, tachycardia, anxiety, rapid breathing |
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A pt with trach, cuff is inflated. What for? |
Keep trach in place |
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Signs need for suctioning? |
Gurgling breath sounds Decrease O2 sat Drooling or excess secretion in mouth Pt request suctioning Emesis in mouth Restlessness |
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Solution to clean inner trach canula |
Hydrogen peroxide |
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Pt teaching for home O2 therapy |
No smoking signs Check replacement of canula frequently Report nasal stuffiness, nausea and fatigue |
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You care for a pt 2 days post op trach, what type of therapy would you expect for trach? |
Humified O2 |
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Nurse intervention for endo tube pt |
Reposition every 2 hrs Constant airway humidification Elevate head Equipment should be changed of cleaned every 8 hrs NPO |
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Test taking strategies |
Go with 1st choice Obviously wrong choice |
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What rate to flush tube and prongs with O2 |
6-10 L/min |
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Why do we auscultate lung sounds? |
Verify adequate O2 and patency of airway |
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How long do we remove mask to eval the skin? |
2-4 hrs |
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A trach is used for what kinds of pt? |
Exp apnea Resp obstruction To prevent aspiration of secretion and blood Provide easier access to lower airway |
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What size of the sterile gauze place on neck? |
4x4 precut drain gauze |
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What func of the gauze underneath the trach device for? |
Protect skins during healing process Decrease the risk of infection |
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Vac settings for wall suction unit |
Infant 60-80 mm Hg Children 100-120 mm Hg Adult 120-150 mm Hg
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Common catheter sizes |
Infant 6-Fr to 8-Fr Children 10-Fr to 12-Fr Adult 12-Fr to 14-Fr |
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How do we lubricate the catheter for t tube or trach |
Water soluble jelly, sterile saline, or water |
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How to insert the cath to nasopharyngeal? |
Hold cath angled up then downward |
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How long do we wait between each suction? |
1-2 mins |
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Why COPD pt requires a lower O2 concentration therapy? |
To not suppress their respiratory center |
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Yankaurer or tonsillar cath used for |
Oropharyngeal suctioning |
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Who can perform the trach care suctioning? |
Nurse, pt, or caregivers |
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Why encourage pt to cough during suctioning procedure? |
to move secretion from lower airway to mouth and upper airway for suction |
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What is FiO2 |
Percentage or concentration of O2 delivered is called fraction of inspired O2 |
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What is flowmeter |
Device to set the prescribed rate of O2 |
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When to observe nasal area, nares and superior area for skin impairment |
6-8hr |
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When to observe nares and cannula prongs for irrigation or breakage |
At least once a shift |
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What solution used to wash neck and remove dried exudate? |
Hydrogen peroxide |
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How to comfort and prevent skin impairment for ears? |
Place cotton ball or gauze over ear under plastic straps |
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Before placing mask on pt, what to do? |
Cover the reservoir hole in mask and allow reservoir bag to completely fill |
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What to doc for O2 admin |
Date, time, flow rate, method of O2 delivery, eval resp rate, pt response, changes in HCP order, adverse rxn or side effects, assess cond of skin, pt teaching |
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PaO2 |
Arterial partial P O2 level aka the amt O2 found in arterial circulation |
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Trach care and suction require which technique? |
Sterile technique |
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What is true regarding a pt receiving O2 via transtracheal method? |
O2 is usually achieved w/t less O2 flow than other systems |
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Which skill can be delegated to staff other than licensed personel Iv therapy, ear irrigation, eye irrigation, cold compress app |
Cold compress app |
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Older adult receiving Iv therapy, nurse knows this pt is at the greatest risk for? |
Infiltration |
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A pt receiving iv infusion of blood, once it begins, what length of time nurse should stay to monitor VS and allergic rxn? |
15-20 mins |
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If flowmeter has a metal ball, O2 is turned on until….? |
The middle of metal ball positions on the line |
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Where is the resistance met during the cath insertion? |
Junction of main bronchi |
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What is the risk of older adult during iv therapy |
Fluid overload |
