med surg test ch 10- vent

Health history

smoking tobacco

occupital- like they job what they work as

OTC meds

oral/inhalant respiratory meds

last x- ray and tubeculosis screen

allergies - meds/envoirment

sputum production

SOB, chest pain, anoerxia, weight loss, dyspena

physical assessment of a pt in respiratory distress

insection of the head, neck, chest, and fingers

if pt is using accessory muscles , barrel chest, bilateral beathing, gasrping/open month breathing, nasal flaring , strenal retraction

bradycardia - less than 10

tachycradia - more than 20

assess rate/depth and altered patterns

adnormal breath sounds

cheyne storks- cyclical with apenic periods

biots—cluster breathing

apneustic - grasping inspiration

kussmaul - deep, regular, fast

ABG

can do questions on chat

o2 delivery devices

fio2 - fraction in oxygen

room air - 21 percent - 0.21

nasal canal - 0.24-0.44

high flow - 0.60-0.90 - think the highest

simple mask - 0.30-0.60

partial - 0.35-0.60

nonrebrether - 0.60-0.80

manual resusicatation bags

15L/min to deliver 1.00 FIO2

Ventilator alarms

high peak pressue

low pressure - low PEEP/CPAP

low exhaled tidal volume

low min vent

high exhaled tidal volume

high min vent

apena

apnea - ventilator alarm

means pt not breathing

high peak pressure

when something is blocking the flow of o2 to the pt

like kinked cord, biting on it

low peak pressure

like low PEEP/CPAP

air is leaking out, like air is escaping

high min vent

when too much o2 is entering into the pt per min

high exhaled tidal voulme

when too much air is coming out

low exhaled tidal voulme

when too little air comes out

low min vent

when too little coming in the pt per min