Podcast
Questions and Answers
What nursing action should be taken when a high-pressure alarm is indicated on a ventilator?
What nursing action should be taken when a high-pressure alarm is indicated on a ventilator?
- Administer a bronchodilator
- Suction secretions or insert an oral airway (correct)
- Adjust the tidal volume
- Increase the PEEP setting
What effect does increased PEEP have on intrathoracic pressure?
What effect does increased PEEP have on intrathoracic pressure?
- It increases intrathoracic pressure, potentially decreasing cardiac output (correct)
- It improves cardiac output by enhancing airway resistance
- It decreases intrathoracic pressure and increases blood return
- It has no effect on intrathoracic pressure
Which complication may occur due to barotrauma from mechanical ventilation?
Which complication may occur due to barotrauma from mechanical ventilation?
- Decreased oxygenation without need for intervention
- Pneumothorax or subcutaneous emphysema (correct)
- Increased urine output and hydration
- Hypotension from fluid overload
What should clients be educated to avoid when dealing with increased intrathoracic pressure?
What should clients be educated to avoid when dealing with increased intrathoracic pressure?
Which of the following assessments is important to monitor signs of barotrauma?
Which of the following assessments is important to monitor signs of barotrauma?
Which of the following consequences may result from prolonged immobilization?
Which of the following consequences may result from prolonged immobilization?
What nursing action can help prevent muscle atrophy in immobilized patients?
What nursing action can help prevent muscle atrophy in immobilized patients?
Which symptom is typically associated with Post-Acute Coronavirus Syndrome?
Which symptom is typically associated with Post-Acute Coronavirus Syndrome?
What is an essential part of patient education for SARS-CoV-2 prevention?
What is an essential part of patient education for SARS-CoV-2 prevention?
Which action should be taken when assessing clients for Post-Acute Coronavirus Syndrome during follow-up visits?
Which action should be taken when assessing clients for Post-Acute Coronavirus Syndrome during follow-up visits?
Flashcards
Blocked endotracheal tube
Blocked endotracheal tube
A blockage in the tube used to deliver air to the lungs.
Increased intrathoracic pressure
Increased intrathoracic pressure
Higher pressure in the chest cavity.
Barotrauma
Barotrauma
Lung damage caused from positive pressure ventilation.
PEEP
PEEP
Signup and view all the flashcards
Pneumothorax
Pneumothorax
Signup and view all the flashcards
Immobilization
Immobilization
Signup and view all the flashcards
Muscle Atrophy
Muscle Atrophy
Signup and view all the flashcards
Pneumonia
Pneumonia
Signup and view all the flashcards
Post-Acute Coronavirus Syndrome
Post-Acute Coronavirus Syndrome
Signup and view all the flashcards
Frequent Hand Hygiene
Frequent Hand Hygiene
Signup and view all the flashcards
Study Notes
Blocked Endotracheal Tube
- High-pressure alarm on ventilator indicates a blocked endotracheal tube.
- Nursing actions include suctioning secretions or inserting an oral airway to prevent biting.
Mechanical Ventilation
- Increased intrathoracic pressure is a result of mechanical ventilation.
- Positive end-expiratory pressure (PEEP) increases intrathoracic pressure.
- Increased intrathoracic pressure can decrease blood return to the heart, leading to decreased cardiac output and hypotension.
- Decreased cardiac output can trigger the renin-angiotensin-aldosterone system, potentially causing fluid retention and reduced urine output.
- Nursing actions include monitoring intake, output, weight, and hydration.
Client Education
- Advise clients to avoid the Valsalva maneuver (straining during bowel movements) as it increases intrathoracic pressure.
Barotrauma
- Positive-pressure ventilation can damage the lungs, causing complications like pneumothorax and subcutaneous emphysema.
Nursing Actions (Barotrauma)
- Monitor oxygenation status, blood gases, electrolytes, and chest x-ray.
- Assess for subcutaneous emphysema (identifiable by crackles or air movement under the skin).
- Monitor the ventilator's high-pressure alarm, as it can signal a pneumothorax.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
