How is an ET tube placement confirmed? - ANS >> From first to last
ETCO2 20-40mmHg
Chest symmetry
Listen to left/right/abdomen
Chest X-Ray
Describe the A/C vent mode. - ANS >> The vent does everything for the patient. It
delivers a set amount of breaths per minute
Describe SIMV vent mode. - ANS >> The pt attempts to breath and the vent assists with
their breaths
What are the different ventilator settings? - ANS >> Mode
FiO2
Rate
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, Tidal Volume (Vt)
PEEP
What is PEEP? - ANS >> It is positive pressure that tells the alveoli in the lungs to stay
open a little longer. It helps with gas exchange.
What are some complications of PEEP? - ANS >> Pneumothorax SubQ
Emphysema (crepatus)
Decreased pre-load
What are the 3 buttons that a nurse is able to touch on a vent? - ANS >> Silence
Restart
100% Oxygen (before suctioning a patient)
When is it acceptable to shut off a vent alarm? - ANS >> NEVER
What should be done when a patient is in respiratory distress? - ANS >> *Call for help,
disconnect the vent, start bagging the patient, then reassess*
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, What are ways to prevent VAP? - ANS >> *Remove water from circuits*
*HOB up to 30 degrees*
Turn Q2h
Suction
Oral care Q2H
Prevent aspiration
Lip moisturizer
Percussion
Give examples of what could cause a high pressure alarm. - ANS >> Blocked airway
Coughing
Tension pneumothorax
Anxiety/Pain: Sedate them
Kinks in tubing
Decreased lung compliance: ARDS
*Assess the patient not the monitor*
Give examples of what could cause a low pressure alarm. - ANS >> Not getting enough air
(in or out)
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