BKAT Study Set
r r
Normalrbloodrgases;rpHr-r7.35-7.45
Normalrbloodrgases:rCO2r-r35-45
Normalrbloodrgases:rHcO3r-r22-26
Normalrbloodrgases:rPO2r-r80rorrabove
Normalrvacuumrpressuresrforrsuction?r-r120-140rmmHg
Whatrmayrarhighrpressurerventralarmrindicate?r-
rPtrisrbitingronrthertubing,rexcessiversecretionsrinrthertubing,rkinked rtubing
Whatrmayrarlowrpressurerventralarmrindicate?r-
rcuff rleakrorrthertubingrisrdisconnected rsomewhere
Howrdoryourverifyrpositioningrofranrendotrachealrtube?r-r-
auscultaterlungrbasesrandrapicesrforrbilateralrbreathrsounds
-observerchestrforrsymmetricrchestrwallrmovement
-confirmrwithrendrtidalrCO2rmeasure
GOLDrSTANDARD:rchestrx-ray
t/f:rpeoplerwithrETrtubesrshouldrbersuctionedrroutinelyr-rFALSE--
rtheyrshouldrbersuctionedronranrasrneededrbasis
whatrshouldrETrtubercuffrpressurerberkeptrat?r-r20-25rmmHg
WhatrmeasuresrshouldrnursesrtakertoravoidrETrtuberproblems?r-r-
confirmrthatrexitrmarkronrETrtuberremainsrconstantrwhenrprovidingrpatientrcare,rrepositionin
g,randrtransportingrpatient
-maintainrproperrcuffrinflationr(listenrforranrairrleak--rifrptrcanrtalk,ryourmustrinflatermore)
-continuallyrmonitorrSpO2,rRR,rHRrandrrhythm,rmentalrstatus,randrABGs
-pre-oxygenaterbeforersuctioning
WhatrshouldrberdonerifrarpatientrisrnotrtoleratingrETrtubersuctioning?r-
rSTOP randrmanuallyrhyperventilate rwithr100%roxygen
Measuresrtorpreventraspiration?r-r-avoidrbolusrtuberfeedings
-monitorrtuberfeedingrresiduals
-maintainrHOBratrLEASTr30rdegreesrorrgreater
-maintainrproperrETrtubercuffrinflation
, -performrfrequentroralrpharyngealrsuctioning
-
maintainranrNGrtuberconnectedrtorlow,rintermittentrsuctionrifrfeedingrtuberisrplacedrbelowrth
erpylorus
whatrarerrecommendationsrforrpreventingrventilatorrassociatedrpneumonia?r-r-
managerventilatedrpatientsrwithoutrsedativesrwheneverrpossible
-interruptrsedationroncerardayr(spontaneousrbreathingrtrials)
-providerearlyrexerciserandrmobility
-providerregularroralrcare
-minimizerpoolingrofrsecretionsrabovertherETrtubercuff
-
userETrtubesrwithrsubglotticrsecretionrdrainagerforrpatientsrlikelyrtorrequirergreaterrthanr72rh
oursrofrintubation
-keeprHOBrelevatedr30-45rdegress
-changerventilatorrcircuitronlyrifrvisiblyrsoiledrorrmalfunctioning
Whatrisrtherbiggestrcomplicationrassociatedrwithrhighrcervicalrspinalrcordrinjuries?r-
rBREATHING--rthe rdiaphragm risrinnervatedrbyrC3-C5rlevels
C4-diaphragm
willrlikelyrneedrmechanicalrventilationrmgmt
signsrandrsymptomsrofrincreasedrintracranialrpressure?r-r-alteredrLOC
-headache
-bradycardia
-decreasedrrespirations
-acuterHTNrwithrwideningrpulserpressure
-N/V
-worseningrneurordeficits
-pupilsrthatrarernonreactive
Whatrarerthercomponentsrofrarneurorexam?r(7)r-r1.rLOC
2.rmentalrstatusrandrcognitiverfunction
3.rcranialrnerves
4.rmotor
5.rsensory
6.rcoordination
7.rreflexes
Whatrarertherthreercomponentsrofrtherglasgowrcomarscale?r-r1.reyeropening
2.rmotor
3.rverbal
r r
Normalrbloodrgases;rpHr-r7.35-7.45
Normalrbloodrgases:rCO2r-r35-45
Normalrbloodrgases:rHcO3r-r22-26
Normalrbloodrgases:rPO2r-r80rorrabove
Normalrvacuumrpressuresrforrsuction?r-r120-140rmmHg
Whatrmayrarhighrpressurerventralarmrindicate?r-
rPtrisrbitingronrthertubing,rexcessiversecretionsrinrthertubing,rkinked rtubing
Whatrmayrarlowrpressurerventralarmrindicate?r-
rcuff rleakrorrthertubingrisrdisconnected rsomewhere
Howrdoryourverifyrpositioningrofranrendotrachealrtube?r-r-
auscultaterlungrbasesrandrapicesrforrbilateralrbreathrsounds
-observerchestrforrsymmetricrchestrwallrmovement
-confirmrwithrendrtidalrCO2rmeasure
GOLDrSTANDARD:rchestrx-ray
t/f:rpeoplerwithrETrtubesrshouldrbersuctionedrroutinelyr-rFALSE--
rtheyrshouldrbersuctionedronranrasrneededrbasis
whatrshouldrETrtubercuffrpressurerberkeptrat?r-r20-25rmmHg
WhatrmeasuresrshouldrnursesrtakertoravoidrETrtuberproblems?r-r-
confirmrthatrexitrmarkronrETrtuberremainsrconstantrwhenrprovidingrpatientrcare,rrepositionin
g,randrtransportingrpatient
-maintainrproperrcuffrinflationr(listenrforranrairrleak--rifrptrcanrtalk,ryourmustrinflatermore)
-continuallyrmonitorrSpO2,rRR,rHRrandrrhythm,rmentalrstatus,randrABGs
-pre-oxygenaterbeforersuctioning
WhatrshouldrberdonerifrarpatientrisrnotrtoleratingrETrtubersuctioning?r-
rSTOP randrmanuallyrhyperventilate rwithr100%roxygen
Measuresrtorpreventraspiration?r-r-avoidrbolusrtuberfeedings
-monitorrtuberfeedingrresiduals
-maintainrHOBratrLEASTr30rdegreesrorrgreater
-maintainrproperrETrtubercuffrinflation
, -performrfrequentroralrpharyngealrsuctioning
-
maintainranrNGrtuberconnectedrtorlow,rintermittentrsuctionrifrfeedingrtuberisrplacedrbelowrth
erpylorus
whatrarerrecommendationsrforrpreventingrventilatorrassociatedrpneumonia?r-r-
managerventilatedrpatientsrwithoutrsedativesrwheneverrpossible
-interruptrsedationroncerardayr(spontaneousrbreathingrtrials)
-providerearlyrexerciserandrmobility
-providerregularroralrcare
-minimizerpoolingrofrsecretionsrabovertherETrtubercuff
-
userETrtubesrwithrsubglotticrsecretionrdrainagerforrpatientsrlikelyrtorrequirergreaterrthanr72rh
oursrofrintubation
-keeprHOBrelevatedr30-45rdegress
-changerventilatorrcircuitronlyrifrvisiblyrsoiledrorrmalfunctioning
Whatrisrtherbiggestrcomplicationrassociatedrwithrhighrcervicalrspinalrcordrinjuries?r-
rBREATHING--rthe rdiaphragm risrinnervatedrbyrC3-C5rlevels
C4-diaphragm
willrlikelyrneedrmechanicalrventilationrmgmt
signsrandrsymptomsrofrincreasedrintracranialrpressure?r-r-alteredrLOC
-headache
-bradycardia
-decreasedrrespirations
-acuterHTNrwithrwideningrpulserpressure
-N/V
-worseningrneurordeficits
-pupilsrthatrarernonreactive
Whatrarerthercomponentsrofrarneurorexam?r(7)r-r1.rLOC
2.rmentalrstatusrandrcognitiverfunction
3.rcranialrnerves
4.rmotor
5.rsensory
6.rcoordination
7.rreflexes
Whatrarertherthreercomponentsrofrtherglasgowrcomarscale?r-r1.reyeropening
2.rmotor
3.rverbal
