Clinical Assessment in Pulmonary Care

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Questions and Answers

Which of the following is NOT included in monitoring data related to pulmonary mechanics?

  • Minute Volume (correct)
  • Vital Capacity
  • Maximum Expiratory Pressure (MEP)
  • Lung Compliance

Which monitoring task assesses the patient's overall cardiopulmonary status?

  • ECG
  • Lung Compliance
  • Inspection (correct)
  • Blood gas analysis

What is the cognitive level of the question "What is the normal range for a patient's tidal volume?"

  • Recall (correct)
  • Evaluation
  • Application
  • Analysis

Which monitoring data is NOT directly related to the mechanics of breathing?

<p>ECG (B)</p> Signup and view all the answers

A patient's respiratory rate is measured via:

<p>Respiratory monitoring (C)</p> Signup and view all the answers

Which of the following is NOT considered a task related to respiratory monitoring?

<p>Evaluating arterial blood gases (C)</p> Signup and view all the answers

What is the cognitive level of the question "Interpret the waveforms displayed on the respiratory monitor to determine the patient's lung function."?

<p>Analysis (D)</p> Signup and view all the answers

Which of the following is NOT included in the category of "pulmonary mechanics"?

<p>Minute Volume (A)</p> Signup and view all the answers

Which of the following devices is NOT used for oxygen administration?

<p>Incentive breathing devices (B)</p> Signup and view all the answers

Which of the following is NOT a type of humidifier?

<p>Aerosol generator (A)</p> Signup and view all the answers

What is the primary function of a metered dose inhaler (MDI)?

<p>To administer medication directly to the airways (D)</p> Signup and view all the answers

Which of the following is a type of equipment used for continuous positive airway pressure (CPAP)?

<p>PEEP valve assembly (C)</p> Signup and view all the answers

Which of the following is NOT a type of aerosol generator?

<p>Incentive breathing devices (B)</p> Signup and view all the answers

Which of the following is NOT a method for correcting malfunctions in oxygen administration devices?

<p>Adjusting the nebulizer settings (C)</p> Signup and view all the answers

Which of the following is a type of equipment used for continuous mechanical ventilation?

<p>IPPB (A)</p> Signup and view all the answers

Which of the following is NOT a type of quality control procedure for blood gas analyzers?

<p>Adjusting the nebulizer settings (A)</p> Signup and view all the answers

Which of the following is NOT considered a component of monitoring data related to pulmonary mechanics?

<p>Pulse oximetry (D)</p> Signup and view all the answers

Which monitoring task directly assesses the patient's response to therapy?

<p>Noting effects of therapy (C)</p> Signup and view all the answers

Which of the following monitoring data is NOT included in the category of "pulmonary mechanics"?

<p>Heart rhythm (C)</p> Signup and view all the answers

Which monitoring task is MOST directly related to assessing the effectiveness of bronchodilator therapy?

<p>Auscultating breath sounds (A)</p> Signup and view all the answers

Which monitoring data provides information about the patient's oxygen saturation level?

<p>Pulse oximetry (A)</p> Signup and view all the answers

What monitoring task is most directly associated with assessing the patient's ability to clear airway secretions?

<p>Evaluating sputum characteristics (C)</p> Signup and view all the answers

Which of the following is NOT a component of monitoring data related to the patient's overall cardiopulmonary status?

<p>Sputum production (D)</p> Signup and view all the answers

Which monitoring task assesses the patient's ability to effectively move air in and out of their lungs?

<p>Auscultating breath sounds (B)</p> Signup and view all the answers

Which symptom indicates possible muscle wasting and peripheral edema?

<p>Venous distention (A)</p> Signup and view all the answers

Which condition may be recognized by changes in pneumothorax or subcutaneous emphysema?

<p>Consolidation (A)</p> Signup and view all the answers

What symptom is associated with extra-pulmonary air?

<p>Atelectasis (D)</p> Signup and view all the answers

Which of the following is NOT a general appearance symptom?

<p>Capillary refill (B)</p> Signup and view all the answers

Which sign could indicate severe airway obstruction?

<p>Cyanosis (C)</p> Signup and view all the answers

What condition might lead to muscle wasting and diaphoresis?

<p>Pneumothorax (C)</p> Signup and view all the answers

Which of the following does NOT relate largely to respiratory assessment?

<p>Muscle wasting (A)</p> Signup and view all the answers

What could indicate an improvement in oxygenation status?

<p>Reduced venous distention (B)</p> Signup and view all the answers

Which of the following is NOT an oxygen administration device?

<p>Ventilator (A)</p> Signup and view all the answers

Which method is used for transcutaneous oxygen administration?

<p>Face tent (D)</p> Signup and view all the answers

Which analysis method provides information on the blood's gas exchange efficiency?

<p>Co-oximetry (A)</p> Signup and view all the answers

What is the main purpose of a humidifier in respiratory care?

<p>Add moisture to the air (D)</p> Signup and view all the answers

Which device is appropriate for providing Continuous Positive Airway Pressure (CPAP)?

<p>CPAP device (C)</p> Signup and view all the answers

Which of the following devices is used for aerosol generation?

<p>Ultrasonic nebulizer (D)</p> Signup and view all the answers

In respiratory care, which analysis assesses the difference in oxygen partial pressure between the alveoli and arterial blood?

<p>P(A-a)O2 (A)</p> Signup and view all the answers

Which component is crucial in assessing lung mechanics?

<p>Ventilator flow waveforms (D)</p> Signup and view all the answers

Which of the following devices is specifically used for providing manual ventilation?

<p>Resuscitator (bag-valve) (C)</p> Signup and view all the answers

What is the role of the PEEP valve assembly in respiratory devices?

<p>To provide positive end-expiratory pressure (B)</p> Signup and view all the answers

Which type of airway is NOT included in the classification of artificial airways?

<p>Oculomotor airway (D)</p> Signup and view all the answers

Which of the following devices is used to measure respiratory pressure?

<p>Manometer (A)</p> Signup and view all the answers

What is the primary function of electrocardiography devices?

<p>To monitor electrical activity of the heart (D)</p> Signup and view all the answers

Which of the following components is included in the broad category of suctioning devices?

<p>Specimen collector (A)</p> Signup and view all the answers

Which type of ventilators operates using a microprocessor?

<p>Fluidic ventilators (D)</p> Signup and view all the answers

Which of the following devices is purposefully used to observe flow and volume during breathing?

<p>Respirometer (B)</p> Signup and view all the answers

Flashcards

Maximum Inspiratory Pressure (MIP)

The maximum pressure a person can generate while inhaling.

Maximum Expiratory Pressure (MEP)

The maximum pressure a person can generate while exhaling.

Vital Capacity

The total amount of air a person can exhale after a maximum inhalation.

Respiratory Rate

The rate of breathing, typically measured in breaths per minute.

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Tidal Volume

The volume of air inhaled or exhaled with each breath.

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Minute Volume

The total volume of air breathed in a minute.

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Inspiration:Expiration Ratio (I:E)

The ratio of the time spent inhaling to the time spent exhaling.

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Lung Compliance

The ability of the lungs to expand and contract.

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General Appearance

The overall look of a patient, including factors like muscle loss, swollen veins, fluid buildup in the legs, excessive sweating, clubbed fingers, bluish skin color, and how quickly blood returns to the finger after pressing on it.

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Pneumothorax

Abnormal air pockets around the lungs, which could be caused by collapsed lung or air leaking into the chest wall.

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Subcutaneous Emphysema

A condition where air becomes trapped under the skin, often caused by chest injuries.

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Consolidation

Areas of the lung that are filled with fluid or thickened, making them dense and difficult to inflate.

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Atelectasis

A collapsed or deflated part of the lung.

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Physical Examination

The process of examining a patient's body for signs of illness or injury, particularly focusing on their overall appearance.

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Venous Distention

Swollen veins, often visible on the surface of the skin.

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Peripheral Edema

Fluid buildup in the legs and feet.

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Analyze available data

The process of analyzing available data to understand the patient's physiological state, such as their breathing pattern, lung function, oxygen levels, and overall health.

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Oxygen administration devices

Devices that deliver oxygen to the patients, such as nasal cannulas, masks, and oxygen concentrators.

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Humidifiers

Devices that help deliver oxygen to the lungs by increasing humidity, such as bubble humidifiers, heat moisture exchangers, and ultrasonic nebulizers.

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Determine the appropriateness of respiratory care plans

The evaluation of respiratory care plans to see if they are suitable for the patient's needs and to suggest adjustments if necessary.

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Aerosol generators

Devices that create a fine mist of medication or water that can be inhaled by patients, such as pneumatic nebulizers and ultrasonic nebulizers.

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Resuscitation devices

Devices used for emergency situations to provide artificial ventilation, such as bag-valve masks and demand-valve resuscitators.

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Recommend modifications

The ability to suggest changes to the respiratory care plan based on the patient's progress and needs.

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Metered-dose inhaler (MDI)

A method of delivering medication directly to the lungs using a pressurized canister and mouthpiece.

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MDI spacers

A device that helps with accurate delivery of medication from a metered-dose inhaler by creating a larger chamber to hold the medication.

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Nasal Cannula

An oxygen delivery system with a lightweight tube that goes into the nostrils.

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MDI spacers

A device that helps with accurate delivery of medication from a metered-dose inhaler by creating a larger chamber to hold the medication.

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Oxygen mask

A type of oxygen delivery system that covers the entire face for more concentrated oxygen delivery.

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Non-rebreathing mask

A type of oxygen delivery system designed for patients with severe respiratory problems.

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Tracheostomy collar

A medical device used to deliver oxygen directly to the trachea via a tube.

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T-piece

A device used to deliver oxygen directly to the trachea via a tube.

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Ventilators

Machines that provide mechanical ventilation, often used for patients with respiratory failure.

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CPAP and PEEP

Non-invasive ventilation methods that provide positive pressure to the airways, used to treat sleep apnea and other respiratory conditions.

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Incentive Breathing Devices

Devices that help patients breathe deeply and effectively, often used after surgery or for lung conditions.

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Oro- and Nasopharyngeal Airways

Clear tubes inserted into the nose or mouth to help maintain an open airway, used in various medical situations.

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Endotracheal Tubes

Tubes inserted into the trachea (windpipe) to provide a direct airway, used for patients who require mechanical ventilation.

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Suctioning Devices

Devices used to remove secretions from the airway, maintaining airway patency and preventing respiratory complications.

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Gas Delivery Systems

Systems that deliver gases to the patient, measuring and analyzing gas flow and composition.

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Therapy Effects

The effects of therapy on a patient, including any adverse reactions and the patient's overall response to treatment.

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Verify Computations

Checking calculations made by a healthcare professional, especially when dealing with medication dosages or treatment plans.

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Auscultatory Findings

Listening to sounds in the lungs using a stethoscope to assess breathing patterns and lung health.

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Vital Sign Assessment

Recording and interpreting a patient's vital signs such as heart rate, breathing rate, blood pressure, and body temperature.

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Pulse Oximetry, Heart Rhythm, and Capnography

Measuring a patient's oxygen levels using a pulse oximeter, assessing heart rhythm, and analyzing carbon dioxide levels in the breath.

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Suctioning

The act of removing secretions from the airways using a suction catheter.

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Aerosol Therapy

Delivering medication directly to the lungs using a nebulizer or inhaler.

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Bronchopulmonary Hygiene Techniques

Instructing and encouraging patients to use techniques to clear their airways, like coughing, deep breathing, and using special devices.

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Study Notes

Monitoring Data

  • Pulmonary Mechanics: Includes maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP), and vital capacity.
  • Respiratory Monitoring: Evaluates respiratory rate, tidal volume, minute volume, inspiratory-to-expiratory (I:E) ratio, inspiratory and expiratory pressures, and flow, volume and pressure waveforms.
  • Lung Function: Measures lung compliance, airway resistance, and work of breathing.
  • Blood Gas Analysis: Involves arterial, umbilical, and/or central venous blood gas analysis, co-oximetry, and calculation of P(A-a)O2.
  • Other Assessments: Includes electrocardiography (ECG), echocardiography, pulse oximetry, and transcutaneous oxygen/carbon dioxide (O2/CO2) monitoring.

Clinical Information Collection

  • Patient Assessment: Observes general appearance, muscle wasting, venous distention, peripheral edema, diaphoresis, digital clubbing, cyanosis, and capillary refill. Also checks for pneumothorax, subcutaneous emphysema, consolidation, and atelectasis.
  • Monitoring Devices: Includes oxygen administration devices (nasal cannula, mask, reservoir mask, face tents, transtracheal oxygen catheter, oxygen conserving cannulas, air-entrainment devices, tracheostomy collar), CPAP devices, humidifiers (bubble, passover, cascade, wick, heat moisture exchanger), aerosol generators (pneumatic and ultrasonic nebulizers), and resuscitation devices (manual resuscitator, pneumatic demand-valve, mouth-to-valve mask).

Respiratory Care Plan Development

  • Plan Appropriateness: Evaluates if the prescribed respiratory care plan is appropriate and suggests modifications if necessary.
  • Data Analysis: Analyze available data to determine the patient's pathophysiological state.
  • Equipment Malfunctions: Identifies and corrects malfunctions of oxygen administration devices, humidifiers, aerosol generators, resuscitation devices, ventilators, CPAP/PEEP valve assembly, artificial airways, suctioning devices, gas delivery mechanisms, and other respiratory equipment.
  • Quality Control Procedures: Includes quality control of blood gas analyzers, suctioning techniques, aerosol therapy, and bronchopulmonary hygiene techniques instruction.
  • Patient Response: Monitors and interprets patient responses to therapy, noting effects, adverse reactions, and subjective/attitudinal responses
  • Equipment types: Includes manometers, respirometers, ECG devices, vacuum systems, metered-dose inhalers (MDIs), small particle aerosol generators (SPAGs), incentive spirometers , percussors, vibrators, and various types of ventilators, and artificial airways (Oro-nasopharyngeal, endotracheal, and tracheostomy).

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