Question Answer
What is IPPB used for? For preventing or correcting Atelectalis in patients unable to take a deep breath
What are two main Contradictions of IPPB Massive pulmonary hemorrhage and Untreated pneumothorax
What are some hazards of IPPB Hyperventilation,Air trapping,Gastric distention, pneumothorax, Impeding venous return
Name 3 types of Pressure Cycled ventilators Bird Mark 7 Bennett PR II- Respirator Bennett AP4 and AP6
What classification is the Bird Mark 7 Positive pressure Pneumatically powered Time/Patient triggered Pressure cycled Assist, Control modes Flow adjustable
What classification is the Bennett II Positive Pressure Pneumatically powered time/patient triggered pressure limited flow cycled time limited flow adjustable
What classification is the Bennett AP-4 and AP-5 Positive pressure Electrically powered compressor driven patient trigger (AC mode only) flow cycled pressure limited Appropriate for home setting
Control Changes that will change the volume 1. Increasing the pressure 2. Decreasing the flow 3. Increase the flow will increase turbulence and decrease volume 4. Air-Mix and Sensitivity have no effect.
Changes in delivered volume with changing Compliance and Airway Resistance Lung status change:Increase compliance, decrease resistance Volume Change: Increase **Best Scenario**
What cause Loss of pressure Leak or insufficient flow
What causes excessive pressure Obstruction or excessive flow
Why does the machine fail to cycle into inspiration Adjust sensitivity tight seal around mouthpiece
What to check if machine fails to cycle off mouthpiece/mask leak cuff leaking Fenestrated trach tube open loose equipment connection
If pressure does not rise normally what is the problem Insufficient flow
Indications for NPPV 1.To avoid intubation in patients with COPD, CHF and Pulmonary Edema. 2. Facilitate long-term ventilation at home. 3. Provide periodic support- neuromuscular disease , restrictive chest wall disease, central/obstructive sleep apnea
IPAP and EPAP IPAP is always set higher. If you change EPAP, you must change IPAP. IPAP is for Ventilation. EPAP is for oxygenation.CRT

 

Question Answer
When is an Oroharyngeal airway used On an unconscious patient
When is a Nasopharyngeal airway used on a conscious patient
What are some complications of the Oropharyngeal Gagging, vomiting, laryngospasm and airway obstruction
What are some complications of the Nasopharyngeal Trauma to mucosa, epistaxis and increased airway resistance
What kind of lubricant is used with the nasopharyngeal airway water soluble or water based
How do you determine the size of the Oropharyngeal Length should be equal to distance from angle of jaw to tip of chin
How do you determine the size of the nasopharyngeal Tip of earlobe to center of nostrils
How do you insert the oropharyngeal insert opposite its anatomic shape to back of throat and then rotate into its correct position
How do you insert the nasopharyngeal inserted the way it is anatomically shaped with water soluble lubricant
What are the 5 Indications for endotracheal intubation 1. provide a patent airway 2. access for suction 3. means for mechanical ventilation 4. protect the airway 5.Direct instillation of medication
What are the 5 medications that can be directly administered through the ET tube Narcan (narcotic overdose) Atropine (Bradycardia) Valium/Versed (Sedative) Epinephrine (asystole) Lidocaine (PVC)
Cuff pressure should not exceed what level 20 mm Hg or 20 torr
Minimal occluding volume (MOV) listen for air leak as cuff is inflated during positive pressure ventilation
Minimal Leak technique (MLT) slowly inject air into the cuff during positive pressure inspiration until leak stops
Which hand is the laryngoscope held in Left
What are the two types of laryngoscope blades Macintosh/curved- fits into vallecula Miller Blade/Straight- fits under epiglottis
What are the steps in trouble shooting if light does not work on the blade tighten bulb check handle attachment change blade check batteries
What are the two types of ET cuffs High pressure Low volume Low pressure High volume(preferred)
What are the indications for using a double-lumen ET Independent lung ventilation Unilateral lung diseases to improve ventilation Used during surgery Bronchopleural fistulas
Where should the LMA be properly positioned Position at the back of the tongue. The tube is advanced until resistance is felt as the mask settle over the esophagus and larynx
Hi-Lo Evac Tubes are used for what oral or nasal endotracheal intubation that requires continuous aspiration of subglottic secretions.