Sterilization techniques
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Destroys all microorganisms
Steam sterilization (autoclave): 15 psi @ 121˚
Flash sterilization: Rapid penetration of steam
Low temperature sterilization: EtO, hydrogen peroxide,
hydrochlorofluorocarbon, peracetic acid
Pasteurization
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, Disinfection using moderate temperatures to kill vegetative
organisms
- used for high level disinfection of nondisposable ventilator tubing
Pulmonary edema: Terminology
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Fluffy infiltrates
Butterfly pattern
Batwing pattern
Liquid bulk O2 systems
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- If it spills let it evaporate
- Can cause frostbite
- will leak over time if not used
Steps in Assessment:
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, 1. *Visual examination* = 1st step in assessment
- General appearance, sensorum, chest movement, posture, skin
color
2. *Bedside exam* = 2nd step
- BS, VS, auscultate, percussion, PMH, cap refill
3. *Lab exam *= 3rd step
- ABG, CBC, CXR, lytes
4. *Specials* = 4th step
- urinalysis, gram stain, MIP, VC
Maximum voluntary ventilation
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Measures the muscular mechanics of breathing
- in and out fast and deep
- test is extremely effort dependent
- tests for neuromuscular
Performed for 12-15 seconds
CPAP/NPPV titration study
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In-lab sleep study used to calibrate CPAP and NPPV
Cerebral perfusion
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Normal: 70-90 mm Hg
Lateral neck radiograph: Epiglotitis
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Thumbprint sign
BP drugs: for heart, blood/fluid, vessels
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*Heart:*
- Chronotropic drugs (Atropine) to ↑HR
- β blockers/β antagonsits (end in "lol")
*Blood/Fluid: *Use diuretics (lasix) to ↓ fluids
*Vessels*:
- ACEi (end in "pril")
- Vasodialators (nitroprusside, hydralazine, milrinone)
Exhaled nitric oxide (FEno) testing
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Give this one a try later!
Destroys all microorganisms
Steam sterilization (autoclave): 15 psi @ 121˚
Flash sterilization: Rapid penetration of steam
Low temperature sterilization: EtO, hydrogen peroxide,
hydrochlorofluorocarbon, peracetic acid
Pasteurization
Give this one a try later!
, Disinfection using moderate temperatures to kill vegetative
organisms
- used for high level disinfection of nondisposable ventilator tubing
Pulmonary edema: Terminology
Give this one a try later!
Fluffy infiltrates
Butterfly pattern
Batwing pattern
Liquid bulk O2 systems
Give this one a try later!
- If it spills let it evaporate
- Can cause frostbite
- will leak over time if not used
Steps in Assessment:
Give this one a try later!
, 1. *Visual examination* = 1st step in assessment
- General appearance, sensorum, chest movement, posture, skin
color
2. *Bedside exam* = 2nd step
- BS, VS, auscultate, percussion, PMH, cap refill
3. *Lab exam *= 3rd step
- ABG, CBC, CXR, lytes
4. *Specials* = 4th step
- urinalysis, gram stain, MIP, VC
Maximum voluntary ventilation
Give this one a try later!
Measures the muscular mechanics of breathing
- in and out fast and deep
- test is extremely effort dependent
- tests for neuromuscular
Performed for 12-15 seconds
CPAP/NPPV titration study
Give this one a try later!
In-lab sleep study used to calibrate CPAP and NPPV
Cerebral perfusion
, Give this one a try later!
Normal: 70-90 mm Hg
Lateral neck radiograph: Epiglotitis
Give this one a try later!
Thumbprint sign
BP drugs: for heart, blood/fluid, vessels
Give this one a try later!
*Heart:*
- Chronotropic drugs (Atropine) to ↑HR
- β blockers/β antagonsits (end in "lol")
*Blood/Fluid: *Use diuretics (lasix) to ↓ fluids
*Vessels*:
- ACEi (end in "pril")
- Vasodialators (nitroprusside, hydralazine, milrinone)
Exhaled nitric oxide (FEno) testing
Give this one a try later!
