| Arterial Blood Gasses | Mechanical Ventilation | Oxygenation | Acute Lung Injury | Grab Bag |
|---|---|---|---|---|
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What is a modified allen's test?
The test completed before drawing arterial blood gasses to ensure proper blood flow.
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What is neuromuscular blocking agents?
Medications given to patients to paralyze the lung muscles to increase ventilator compliance
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What is capnography/end tidal Co2?
The censor placed on the end of an endotracheal tube after intubation to determine correct placement.
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What is adequate oxygenation and ventilation?
Goals of therapy for acute lung injury.
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What is sleep deprivation?
The most common reason for sleep deprivation in critical care patients.
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What is uncompensated respiratory acidosis?
pH 7.12, CO2 85, HCO3 24, pO2 50
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What is oral care?
A task performed every four hours to decrease ventilator associated pneumonia.
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What is corner of mouth to the end of the jaw?
The correct way to measure the sizing of an oral airway.
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What is empiric therapy?
Antibiotic therapy geared towards most likely cause for infection.
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What is coughing, increased respiratory rate, visualized secretions, low saturations?
Clinical signs that patient needs suctioning.
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What is metabolic acidosis?
Most likely ABG result for a patient in DKA.
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What is high pressure alarm?
The alarm that sounds when ventilator tubing is kinked.
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What is intubation?
A patient's PaO2 continues to decrease despite high levels of oxygen being provided through a non-rebreather. This is what the nurse should prepare for next.
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What is providing oxygen with no response in PaO2?
A sign of acute respiratory distress syndrome that occurs in all types.
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What is tachycardia, RR> 30 or <10, SpO2< 90%, accessory muscle use, signs of fatigue or pain, abnormal chest wall movement, cardiac irritability, hypertension, increased CO2, decreased pH, agitation/anxiety?
Signs of weaning intolerance. (Name a few...)
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What is compensation?
The body's natural response to an alteration of pH due to metabolic or respiratory issues.
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What is PEEP?
The ventilator setting that prevents the lungs from collapsing on expiration.
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What is assess the patient?
The first action the nurse should perform if low O2 sats are noted on the monitor.
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What is direct injury?
The type of lung injury associated with covid-19 or aspiration.
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What is decrease stimulation, lowering lights, lowering volume, clustering cares, massage, family presence, day/night schedule?
Ways to increase sleep in ICU patient.
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What is 109?
The P/F ratio in a patient with PaO2 of 82 and FiO2 of 75.
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What is chest x-ray?
The definitive way to assess for correct endotracheal tube placement.
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What is oxygen and bag valve mask.
The equipment that should be kept at bedside for all patients receiving mechanical ventilation. (2)
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What is 24 hours or more?
When the radiographic evidence of ARDS should occur.
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What is oxygenating, positioning, protecting them from external factors?
The most important factor when patient is receiving neuromuscular blockade medications.
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