NURS 434: Exam 1 Study Guide
questions and answers passed
What is CPAP used for? - correct answer ✔✔ Chronic Problems
What is BiPAP used for? - correct answer ✔✔ Acute Problems
A patient with mild sleep apnea has
____-____ events per hour. - correct answer ✔✔ 5-10
A patient with moderate/severe obstructive sleep apnea has ____-_____ events per hour. -
correct answer ✔✔ greater than 15
How is air deliver with the CPAP? - correct answer ✔✔ Continuously at a single pressure
How is air delivered by a BiPAP? - correct answer ✔✔ Changes with the patients inspiration and
expiration. Maintains positive airway pressure during inspiration and expiration
What education should you provide a patient with obstructive sleep apnea? - correct answer
✔✔ -Weight loss
-Avoid Alcohol and Drugs
-Try not to sleep on back
Which sleeping device should be used for mild sleep apnea? - correct answer ✔✔ NONE
,What are common signs that a patient may be having issues with sleep apnea? - correct answer
✔✔ a. Insomnia, Waking up frequently/snoring
b. Daytime Sleepiness
c. Morning Headaches
d. Personality changes/Irritability
When conducting a physical exam for sleep apnea what are we looking for? - correct answer
✔✔ Macroglossia (big tongue) and Micrognathia (lower jaw smaller than the upper
What diagnostic test is often done for patients that are suspected to have sleep apnea? - correct
answer ✔✔ Polysomnography
What does polysomnography look at? - correct answer ✔✔ Sleep study that tracks breath
pattern, HR, Brain activity, and O2 Sat
What is our main goal when conducting a sleep study? - correct answer ✔✔ look for how many
pauses the patient has per hour
What surgical procedure can be performed for patients with obstructive sleep apnea? - correct
answer ✔✔ Uvulopalatopharyngoplasty
What is done during a Uvulopaletopharyngoplasty? - correct answer ✔✔ Gives more space for
air to move by cutting downsize with a laser
What education must you provide to a patient getting a Uvulopaletopharyngoplasty done? -
correct answer ✔✔ Takes weeks to be effective and they must be on a soft diet
A patient that has just received a Uvulopaletopharyngoplasty should call the doctors office if
they experience what? - correct answer ✔✔ Fever or are coughing up blood
, If the patient has severe life threatening sleep apnea what is done? - correct answer ✔✔
Tracheostomy or Bariatric surgery to promote weight loss
What should V/Q be ideally? - correct answer ✔✔ 1
What happens when a patient experiences acute respiratory failure? - correct answer ✔✔ They
fail to ventilate/oxygenate the body
With acute respiratory distress syndrome (ARDS) what injuries the capillary membranes? -
correct answer ✔✔ Systemic Inflammation
What happens when the capillary membrane is injured (commonly seen in ARDS) - correct
answer ✔✔ The injuries Capillary membrane allows fluid to leak into the lung spaces causing
the patient to drown in their lungs
What causes SARS (severe acute respiratory distress syndrome) - correct answer ✔✔ Viral
Infection causing an inflammatory response
What is a normal pH? - correct answer ✔✔ 7.35-7.45
What is a normal PaCO2? - correct answer ✔✔ 35-45 mmHg
What is a normal PaO2 - correct answer ✔✔ 80-100
What is a normal HCO3? - correct answer ✔✔ 22-28
questions and answers passed
What is CPAP used for? - correct answer ✔✔ Chronic Problems
What is BiPAP used for? - correct answer ✔✔ Acute Problems
A patient with mild sleep apnea has
____-____ events per hour. - correct answer ✔✔ 5-10
A patient with moderate/severe obstructive sleep apnea has ____-_____ events per hour. -
correct answer ✔✔ greater than 15
How is air deliver with the CPAP? - correct answer ✔✔ Continuously at a single pressure
How is air delivered by a BiPAP? - correct answer ✔✔ Changes with the patients inspiration and
expiration. Maintains positive airway pressure during inspiration and expiration
What education should you provide a patient with obstructive sleep apnea? - correct answer
✔✔ -Weight loss
-Avoid Alcohol and Drugs
-Try not to sleep on back
Which sleeping device should be used for mild sleep apnea? - correct answer ✔✔ NONE
,What are common signs that a patient may be having issues with sleep apnea? - correct answer
✔✔ a. Insomnia, Waking up frequently/snoring
b. Daytime Sleepiness
c. Morning Headaches
d. Personality changes/Irritability
When conducting a physical exam for sleep apnea what are we looking for? - correct answer
✔✔ Macroglossia (big tongue) and Micrognathia (lower jaw smaller than the upper
What diagnostic test is often done for patients that are suspected to have sleep apnea? - correct
answer ✔✔ Polysomnography
What does polysomnography look at? - correct answer ✔✔ Sleep study that tracks breath
pattern, HR, Brain activity, and O2 Sat
What is our main goal when conducting a sleep study? - correct answer ✔✔ look for how many
pauses the patient has per hour
What surgical procedure can be performed for patients with obstructive sleep apnea? - correct
answer ✔✔ Uvulopalatopharyngoplasty
What is done during a Uvulopaletopharyngoplasty? - correct answer ✔✔ Gives more space for
air to move by cutting downsize with a laser
What education must you provide to a patient getting a Uvulopaletopharyngoplasty done? -
correct answer ✔✔ Takes weeks to be effective and they must be on a soft diet
A patient that has just received a Uvulopaletopharyngoplasty should call the doctors office if
they experience what? - correct answer ✔✔ Fever or are coughing up blood
, If the patient has severe life threatening sleep apnea what is done? - correct answer ✔✔
Tracheostomy or Bariatric surgery to promote weight loss
What should V/Q be ideally? - correct answer ✔✔ 1
What happens when a patient experiences acute respiratory failure? - correct answer ✔✔ They
fail to ventilate/oxygenate the body
With acute respiratory distress syndrome (ARDS) what injuries the capillary membranes? -
correct answer ✔✔ Systemic Inflammation
What happens when the capillary membrane is injured (commonly seen in ARDS) - correct
answer ✔✔ The injuries Capillary membrane allows fluid to leak into the lung spaces causing
the patient to drown in their lungs
What causes SARS (severe acute respiratory distress syndrome) - correct answer ✔✔ Viral
Infection causing an inflammatory response
What is a normal pH? - correct answer ✔✔ 7.35-7.45
What is a normal PaCO2? - correct answer ✔✔ 35-45 mmHg
What is a normal PaO2 - correct answer ✔✔ 80-100
What is a normal HCO3? - correct answer ✔✔ 22-28
