Questions and CORRECT Answers
How is an ET tube placement confirmed? - CORRECT ANSWER - From first to last
ETCO2 20-40mmHg
Chest symmetry
Listen to left/right/abdomen
Chest X-Ray
Describe the A/C vent mode. - CORRECT ANSWER - The vent does everything for the
patient. It delivers a set amount of breaths per minute
Describe SIMV vent mode. - CORRECT ANSWER - The pt attempts to breath and the
vent assists with their breaths
What are the different ventilator settings? - CORRECT ANSWER - Mode
FiO2
Rate
Tidal Volume (Vt)
PEEP
What is PEEP? - CORRECT ANSWER - 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? - CORRECT ANSWER - Pneumothorax
SubQ Emphysema (crepatus)
Decreased pre-load
, What are the 3 buttons that a nurse is able to touch on a vent? - CORRECT ANSWER -
Silence
Restart
100% Oxygen (before suctioning a patient)
When is it acceptable to shut off a vent alarm? - CORRECT ANSWER - NEVER
What should be done when a patient is in respiratory distress? - CORRECT ANSWER -
*Call for help, disconnect the vent, start bagging the patient, then reassess*
What are ways to prevent VAP? - CORRECT ANSWER - *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. - CORRECT ANSWER -
Blocked airway
Coughing
Tension pneumothorax
Anxiety/Pain: Sedate them
Kinks in tubing
Decreased lung compliance: ARDS
*Assess the patient not the monitor*