Correct Answers
acronym for vent alarms - Correct Answer HOLD:
Hi pressure alarm= Obstruction
Low pressure alarm= Disconnection
assessment findings for PE - Correct Answer - sudden dyspnea
- chest pain
- feeling of impending doom
- JVD
- tachy
- chest petechiae
- ECG changes
- abnormal heart sounds
assessment of patient on vent - Correct Answer - vitals
- O2 saturation
- auscultate breath sounds
- pain/anxiety
- tube placement
- vent settings
can a person with flail chest recover - Correct Answer managable with vigilant respiratory care
how does the patient usually present with flail chest - Correct Answer - anxious
- short of breath
- in pain
how is flail chest usually stabilized - Correct Answer positive pressure ventilation
how to calculate MAP - Correct Answer (SBP + 2DBP)/3
, how to diagnose ARDS - Correct Answer - refractory hypoxia
- chest x ray shows glossy + white out (diffuse patchy infiltrates)
- normal wedge pressure
- pO2/FIO2 < 200
how to diagnose PE - Correct Answer - CT angiography
- CT with contrast
- VQ scan
- V = airflow in lungs
- Q = blood flow in lungs
- D-dimer can rule out PE but not diagnose
hypovolemic shock assessment findings - Correct Answer - weak, thready pulse
- tachy and hypo
- cold clammy skin
- decreased CO = decreased tissue perfusion
inhalation injury assessment - Correct Answer - face or neck burns
- singed nasal hairs
- soot in upper airway
- assess sputum
interventions for burns - Correct Answer - secure airway
- support circulation (fluid replacement)
- prevent infection
- maintain body temperature
- provide emotional support
Interventions for PE - Correct Answer - continuous pulse oximetry
- hypotensive = give fluids